ONE HEALTH RESEARCH CLINIC, INC (NPI# 1225564677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225564677 |
| Entity Type | Organization |
| Organization Name | ONE HEALTH RESEARCH CLINIC, INC |
| Practice Address |
5430 Jimmy Carter Blvd Suite 200b Norcross GA 30093-1517 |
| Practice Telephone | 6785854917 |
| Practice Fax Number | 6786918129 |
| Mailing Telephone | 6785854917 |
| Mailing Fax Number | 6786918129 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | SYLVIA FISCHER (SITE DIRECTOR) |
| Authorized Official Telephone | 6785854917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 30147 | GA | Other Service Providers |
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 35421 | GA | Other Service Providers |
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 9270 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1710088505 | 1710088505 | 01 |
| 1235345588 | 1235345588 | 01 | |
| GA | 1669555819 | 1669555819 | 01 |
| GA | 1225028947 | 1225028947 | 01 |
| Street Address |
5430 JIMMY CARTER BLVD SUITE 200B |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669555819 | Richard Burnett Stewart | Obstetrics & Gynecology | 5430 Jimmy Carter Blvd, 200, Norcross, GA 30093-1517 | 2006-10-23 |
| 1306395256 | Morning Chiropractic | Chiropractor | 5430 Jimmy Carter Blvd, Ste 200, Norcross, GA 30093-1517 | 2016-10-03 |
| 1770995946 | Stone Mountain Skin Health Center | Clinic/Center | 5430 Jimmy Carter Blvd, Norcross, GA 30093 | 2014-05-22 |
| 1700023215 | Jong I Lee | Chiropractor | 5430 Jimmy Carter Blvd, Ste 200, Norcross, GA 30093-1506 | 2009-01-21 |
| 1205002946 | John Yolman Salinas | Emergency Medicine | 5430 Jimmy Carter Blvd, Suite 100, Norcross, GA 30093-1517 | 2008-05-02 |
| 1194858407 | Thien M Le | Dentist | 5430 Jimmy Carter Blvd, Norcross, GA 30093-1517 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493689 | Zunyan Dai | Medical Genetics, Ph.D. Medical Genetics | 550 Lakehill Way, Johns Creek, GA 30022-7453 | 2020-10-05 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| 1154431732 | North Fayette Family Practice | Medical Genetics, Ph.D. Medical Genetics | 290 Highway 314 Ste B, Fayetteville, GA 30214-7813 | 2006-08-30 |
| 1659369593 | Joe C Liu | Medical Genetics, Ph.D. Medical Genetics | 5150 Buford Hwy, Ste C-200, Doraville, GA 30340-1153 | 2005-10-13 |
| 1790987956 | Sandra W. Helman | Medical Genetics, Ph.D. Medical Genetics | 1120 15th St, Ba1641, Augusta, GA 30912-0004 | 2007-06-01 |
| 1609993260 | Peter W Benoit | Medical Genetics, Ph.D. Medical Genetics | 3280 Howell Mill Rd Nw, Suite 240, Atlanta, GA 30327-4111 | 2007-03-26 |
| 1952323057 | Reliant Healthcare LLC | Medical Genetics, Ph.D. Medical Genetics | 1406 Broadrick Drive, Dalton, GA 30720 | 2006-07-25 |
| 1821047721 | Internal Medicine Education & Research Foundation of Columbus, Inc | Medical Genetics, Ph.D. Medical Genetics | 710 Center St, Columbus, GA 31901-1527 | 2006-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.