JOHN ADDISON ALSOBROOK (NPI# 1245291616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245291616 |
| Entity Type | Individual |
| Full Name | JOHN ADDISON ALSOBROOK |
| Credential | MD |
| Practice Address |
4889 Golden Pkwy Ste 100 Buford GA 30518-5878 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7708486190 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME 92466 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
059115 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | 059115 | 01 |
| GA | 552625560F | 05 | |
| GA | 552625560O | 05 | |
| GA | 552625560H | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5445 Meridian Marks Rd Ne Ste 250, Atlanta, GA 303424767 | 4042551933 | 4042567924 |
| Street Address |
4889 GOLDEN PKWY STE 100 |
| City | BUFORD |
| State | GA |
| Zip Code | 30518-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285054742 | Peaesha Lynette Houston | Family Medicine | 4889 Golden Pkwy Ste 100, Buford, GA 30518-5878 | 2014-04-23 |
| 1588985626 | Lesley Paz Algert | Family Medicine | 4889 Golden Pkwy Ste 100, Buford, GA 30518-5878 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851534085 | Joseph Matthew Powers | Family Medicine | 4889 Golden Pkwy, Suite 110, Buford, GA 30518 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
| 1831422682 | Koji Nishimura | Family Medicine | Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 | 2009-09-11 |
| 1073787305 | Mark James Sakr | Family Medicine | 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 | 2008-04-17 |
| 1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
| 1366549073 | Michael Joseph Huey | Family Medicine | Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 | 2006-09-17 |
| 1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1609843481 | Tracy R Ray | Family Medicine | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2006-03-01 |
| 1982679684 | John Michael Buchanan | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1155 | 2006-02-17 |
| 1770562852 | Neeru Jayanthi | Family Medicine | 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 | 2006-01-17 |
| Find all providers with the same taxonomy | ||||
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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.