MEREDITH STAUCH


Address: 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357
Phone: 7705091025

MEREDITH STAUCH (NPI# 1235516303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235516303
Entity Type Individual
Full Name MEREDITH STAUCH
Other Name MEREDITH ASHOOH
Credential NP
Practice Address 4800 Olde Towne Pkwy Ste 150a
Marietta
GA 30068-4357
Mailing Address Northside Hospital - Managed Care Dept
1000 Johnson Ferry Rd Ne
Atlanta
GA 30342
Practice Telephone 7705091025
Practice Fax Number 7705091884
Mailing Telephone 4043002476
Mailing Fax Number 4042508010
Enumeration Date 2015-04-28
Last Update Date 2020-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN232705 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4800 OLDE TOWNE PKWY STE 150A
City MARIETTA
State GA
Zip Code 30068-4357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992779342 Thomas A Collentine Emergency Medicine 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2006-02-14
1538701263 Allison Heather Miller Nurse Practitioner 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2019-10-15
1225484165 Esther Barnes Klein Nurse Practitioner 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2016-05-10
1154750545 Tonya Gipson Nurse Practitioner 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2013-11-06
1568714061 Amanda Ann Choi Physician Assistant 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2012-10-08
1043416662 Sandra Lamb Nurse Practitioner 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2007-06-21
1770682890 Carole Felser Nurse Practitioner 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2006-09-22
1578517876 Melissa M Davidson Physician Assistant 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2006-05-20
1427018068 Pamela L Asadi Physician Assistant 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 2006-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1285274480 Cory Plasker Chiropractor 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 2020-01-15
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1417501834 Cornerstone Hospice and Palliative Care of Georgia, LLC Hospice Care, Community Based 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 2019-07-25
1639721038 Cayla Clark Behavior Technician 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 2019-07-15
1467910828 2me Healthcare,llc Home Health 2586 Club Valley Drive Ne, Marietta, GA 30068 2019-03-05
1265912604 Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 2018-08-15
1225514219 Audrey Hughes. Lcsw, LLC Clinic/Center 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 2018-07-13
1316461379 Evan King Registered Nurse 52 Pioneer Trl, Marietta, GA 30068 2017-08-01
1912431867 Anthony Izore Nurse Practitioner 5163 Tall Oak Drive, Marietta, GA 30068 2017-04-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576931 Dzintra Leblanc Nurse Practitioner 2583 Ballew Ct Ne, Marietta, GA 30062-4424 2020-10-19
1730786047 Monique An-jel Rosser Nurse Practitioner 687 Johnson Ferry Rd # 7044, Marietta, GA 30068-4628 2020-10-08
1518564418 Althea Bryan Nurse Practitioner 198 Rotherhithe Ln Nw, Marietta, GA 30066-3491 2020-10-04
1013523646 Susan Wanjiku Kamau Nurse Practitioner 1579 Sage Ridge Dr, Marietta, GA 30064-5327 2020-09-18
1982217402 Lisa Abbott Nurse Practitioner 580 Kurtz Rd, Marietta, GA 30066-5348 2020-08-25
1538796008 Chinwe Christiana O'hara Nurse Practitioner 3079 Hidden Forest Ct Unit 3650, Marietta, GA 30066-3137 2020-03-25
1376197335 Nicole I Crawford Nurse Practitioner 868 Cedar Rd, Marietta, SC 29661-9006 2019-07-29
1689138935 Mobile Np, LLC Nurse Practitioner 1120 Heather Wood Ct, Marietta, GA 30062-2926 2019-01-30
1790258531 Leslie Burns Nurse Practitioner 2910 Burnt Hickory Rd Nw, Marietta, GA 30064-1238 2019-01-04
1316428527 Candice Murray Nurse Practitioner 2727 Wynford Ave Sw, Marietta, GA 30064 2018-08-25
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Competitor

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City MARIETTA
Zip Code 30068

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Dataset Information

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.

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