ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC (NPI# 1245579234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245579234 |
| Entity Type | Organization |
| Organization Name | ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC |
| Practice Address |
820 Ebenezer Church Rd Sharpsburg GA 30277-2073 |
| Practice Telephone | 7702514345 |
| Practice Fax Number | 7702518072 |
| Mailing Telephone | 7702514345 |
| Mailing Fax Number | 7702518072 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | THOMAS HUMBER (OWNER) |
| Authorized Official Telephone | 7702514345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
176824 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| Y | 208D00000X | General Practice | 67600 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
820 EBENEZER CHURCH RD |
| City | SHARPSBURG |
| State | GA |
| Zip Code | 30277-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639117690 | Countryside Hospice Care Inc | Hospice Care, Community Based | 820 Ebenezer Church Rd, Suite 106, Sharpsburg, GA 30277-2073 | 2006-06-03 |
| 1245697333 | Travis John Humber | Chiropractor | 820 Ebenezer Church Rd, Sharpsburg, GA 30277-2073 | 2016-01-21 |
| 1154690345 | Julie Renee Evans | Counselor | 820 Ebenezer Church Rd, Suite 110, Sharpsburg, GA 30277-2073 | 2011-12-19 |
| 1669691846 | Glenn W Howell | Chiropractor | 820 Ebenezer Church Rd, Suite 100, Sharpsburg, GA 30277-2073 | 2007-04-25 |
| 1396964565 | Thomas M Humber | Chiropractor | 820 Ebenezer Church Rd, Suite 100, Sharpsburg, GA 30277-2073 | 2007-04-25 |
| 1740407584 | Thomas C Kirk Jr. | Chiropractor | 820 Ebenezer Church Rd, Suite 100, Sharpsburg, GA 30277-2073 | 2007-04-20 |
| 1689891483 | Humber-kirk Chiropractic Clinic, LLC | Chiropractor | 820 Ebenezer Church Rd, Suite 100, Sharpsburg, GA 30277-2073 | 2007-04-20 |
| 1841417631 | Humber-kirk Chiropractic Clinic, LLC | Chiropractor | 820 Ebenezer Church Rd, Suite 100, Sharpsburg, GA 30277-2073 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347433 | Joshua Su-keong Chao | Pharmacist | 40 Fischer Crossings Blvd, Sharpsburg, GA 30277 | 2020-08-19 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1295395705 | Costco Wholesale Corporation | Hearing Aid Equipment | 40 Fischer Crossings Dr., Sharpsburg, GA 30277 | 2019-06-17 |
| 1154392744 | John Schuler | Family Medicine | 3345 E Hwy 34, Suite 101, Sharpsburg, GA 30277 | 2006-01-31 |
| 1083619233 | George Joseph Vellanikaran | Internal Medicine | 20 Francis Way, Suite 101, Sharpsburg, GA 30277 | 2005-06-15 |
| 1659931160 | Costco Wholesale Corporation | Pharmacy | 40 Fischer Crossings Dr., Sharpsburg, GA 30277 | 2019-06-17 |
| 1114379963 | Sherri Christopher | Marriage & Family Therapist | 4006 Highway 34 E, Sharpsburg, GA 30277 | 2016-07-05 |
| 1932533197 | Liberty Mcclead | Social Worker | 820 Ebenezer Church Rd Ste 110, Sharpsburg, GA 30277 | 2013-08-23 |
| 1326348079 | Sams East Inc | Technician/Technologist | 310 Fischer Rd, Peachtree City, GA 30277 | 2010-10-28 |
| 1689845950 | Cardiovascular Consultants of Georgia, P.C. | Internal Medicine | 20 Francis Way, Suite 101, Sharpsburg, GA 30277 | 2008-03-14 |
| Find all providers in zip 30277 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | SHARPSBURG |
| Zip Code | 30277 |
Please comment or provide details below to improve the information on ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC.
| 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.