ATLANTA HOSPITAL AUTHORITY (NPI# 1265517106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265517106 |
| Entity Type | Organization |
| Organization Name | ATLANTA HOSPITAL AUTHORITY |
| Other Organization Name | ATLANTA MEMORIAL HOSPITAL |
| Practice Address |
1007 S William St Atlanta TX 75551-3245 |
| Practice Telephone | 9037993000 |
| Practice Fax Number | 9037993005 |
| Mailing Telephone | 9037993000 |
| Mailing Fax Number | 9037993005 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | MR. TOM CROW (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 9037993000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SUPERIOR HEALTH PLAN | 122058 | 01 |
| TX | 133255302 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 00BW85 | 01 |
| AR | BLUE CROSS BLUE SHIELD | 9R041 | 01 |
| Other Name | Type Code |
|---|---|
| Atlanta Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437236510 | Atlanta Hospital Authority | Home Health | 1007 S William St, Atlanta, TX 75551-3245 | 2006-11-01 |
| 1639256712 | Atlanta Hospital Authority | Nurse Anesthetist, Certified Registered | 1007 S William St, Atlanta, TX 75551-3245 | 2006-11-01 |
| 1558443085 | Atlanta Hospital Authority | Psychiatric Unit | 1007 S William St, Atlanta, TX 75551-3245 | 2006-10-20 |
| 1265514798 | Atlanta Hospital Authority | Medicare Defined Swing Bed Unit | 1007 S William St, Atlanta, TX 75551-3245 | 2006-10-20 |
| 1073600136 | Atlanta Hospital Authority | General Acute Care Hospital | 1007 S William St, Atlanta, TX 75551-3245 | 2006-10-09 |
| Street Address |
1007 S WILLIAM ST |
| City | ATLANTA |
| State | TX |
| Zip Code | 75551-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034010 | Subramaniam Balachandran | Surgery | 1007 S William St, Atlanta, TX 75551-3245 | 2005-06-26 |
| 1922520576 | Lhcg Cxi, LLC | Home Health | 1007 S William St, Atlanta, TX 75551-3245 | 2017-07-14 |
| 1871916650 | Christus Health Ark-la-tex | General Practice | 1007 S William St, Atlanta, TX 75551-3245 | 2014-01-29 |
| 1922344332 | Christus Health Ark-la-tex | Home Health | 1007 S William St, Atlanta, TX 75551-3245 | 2012-12-13 |
| 1891061313 | Christus Health Ark-la-tex | Psychiatric Unit | 1007 S William St, Atlanta, TX 75551-3245 | 2012-03-29 |
| 1699095075 | S. Balachandran, Md, Pa | Surgery | 1007 S William St, Atlanta, TX 75551-3245 | 2010-06-08 |
| 1558504845 | Atlanta Emergency Medicine LLC | Emergency Medicine | 1007 S William St, Atlanta, TX 75551-3245 | 2009-04-16 |
| 1922250042 | Rowena L Schaeffer | Dietitian, Registered | 1007 S William St, Atlanta, TX 75551-3245 | 2008-10-21 |
| 1003952185 | Terry Dean Boatman | Nurse Anesthetist, Certified Registered | 1007 S William St, Atlanta, TX 75551-3245 | 2007-01-29 |
| 1437236510 | Atlanta Hospital Authority | Home Health | 1007 S William St, Atlanta, TX 75551-3245 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1912176983 | Glenna B Frost | Speech-Language Pathologist | 1001 West Main Street, Atlanta, TX 75551 | 2008-02-25 |
| 1043438823 | Shelia Kaye Langbartels | Optometrist | 201 Hwy. 59 South, Atlanta, TX 75551 | 2007-04-24 |
| 1598838583 | Tim C Hogan | Dentist | 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 | 2006-11-16 |
| 1003991290 | Jimmy Glenn Stillwell | Nurse Anesthetist, Certified Registered | 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 | 2006-10-26 |
| 1336248376 | Miles Drug Company | Pharmacist | 122 N East St, Atlanta, TX 75551 | 2006-09-22 |
| 1417050667 | Danny Warren Addington | Dentist | 307 East Hiram, Atlanta, TX 75551 | 2006-09-06 |
| 1912917899 | Atlanta Nursing Homes Inc. | Skilled Nursing Facility | 200 Live Oak, Atlanta, TX 75551 | 2006-08-09 |
| Find all providers in zip 75551 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
| 1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
| 1487729992 | Lisa Tadayon | Emergency Medicine | 1000 John Fy Rd Ne, Atlanta, GA 30342-1606 | 2006-11-21 |
| 1598851636 | Model N/a Neway | Emergency Medicine | 3112 Pine Heights Dr Ne, Atlanta, GA 30324-2843 | 2006-10-05 |
| 1154439586 | Barbara D Nichols | Emergency Medicine | 1968 Peachtree Rd. Northeast, Atlanta, GA 30309 | 2006-08-27 |
| 1164480869 | Emerginet, LLC | Emergency Medicine | 235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 | 2006-05-02 |
| 1972154722 | Nichelle Jackson | Emergency Medicine | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-09-24 |
| 1336564236 | James Patrick O'neal | Emergency Medicine | 2 Peachtree St Nw Fl 15, Suite 15-433, Atlanta, GA 30303-3142 | 2014-02-28 |
| 1427353861 | Suwanee Physicians, LLC | Emergency Medicine | 2151 Peachford Rd, Hospitalist Service, Atlanta, GA 30338-6534 | 2011-01-16 |
| 1972777209 | Piedmont Minor Emergency Clinic PC | Emergency Medicine | 3108 Piedmont Rd Ne, Atlanta, GA 30305-2513 | 2008-04-17 |
| Find all providers in ATLANTA | ||||
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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.