ATHENS CLARKE MEDICAL ENTERPRISES LLC


Address: 1230 Baxter St, Athens, GA 30606-3712
Phone: 7063893000

ATHENS CLARKE MEDICAL ENTERPRISES LLC (NPI# 1295370542) 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) 1295370542
Entity Type Organization
Organization Name ATHENS CLARKE MEDICAL ENTERPRISES LLC
Practice Address 1230 Baxter St
Athens
GA 30606-3712
Mailing Address 5665 New Northside Dr Ste 320
Atlanta
GA 30328-5834
Practice Telephone 7063893000
Mailing Telephone 7708745400
Enumeration Date 2019-11-11
Last Update Date 2020-02-04
Authorized Official Name NEAL A PRIEST (MEDICAL DIRECTOR)
Authorized Official Telephone 7062079960
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538791579 Athens Clarke Medical Enterprises LLC Emergency Medicine 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 2020-02-07

Office Location

Street Address 1230 BAXTER ST
City ATHENS
State GA
Zip Code 30606-3712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841299195 St. Mary's Health Care System, Inc. Pharmacy 1230 Baxter St, Athens, GA 30606-3712 2005-07-19
1346875770 Solomon John Leggett Nurse Practitioner 1230 Baxter St, Athens, GA 30606-3791 2020-03-05
1972072239 Brandi Buggs Occupational Therapist 1230 Baxter St, Athens, GA 30606-3791 2018-11-16
1407322563 Dimitrios K Vavlas Anesthesiologist Assistant 1230 Baxter St, Athens, GA 30606-3712 2018-10-16
1790279149 Nathaniel David Aguar Nurse Anesthetist, Certified Registered 1230 Baxter St, Athens, GA 30606 2018-06-19
1467951707 Christopher Blake Couey Family Medicine 1230 Baxter St, Athens, GA 30606 2018-02-01
1265957278 Rebecca Daniels Nurse Practitioner 1230 Baxter St, Athens, GA 30606-3712 2017-08-10
1619490232 Michelle Elizabeth Sheppard Anesthesiologist Assistant 1230 Baxter St, Athens, GA 30606-3712 2017-07-25
1538698162 Brighton Patrick Nurse Practitioner 1230 Baxter St, Athens, GA 30606-3712 2017-06-07
1740717172 Drew L Willey Internal Medicine 1230 Baxter St, Athens, GA 30606-3712 2017-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346426723 Paul Buczynsky Emergency Medicine 1571 Spartan Ln, Athens, GA 30606-5386 2008-01-15
1407964356 Sarvotham Kini Emergency Medicine 108 Spear Rd, Suite 309, Athens, GA 30602-0001 2006-08-29
1104933043 Karl Harnish Emergency Medicine 39 Briarwood Dr, Athens, OH 45701-1302 2006-08-24
1003854738 Brent Alan Beaird Emergency Medicine 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 2006-06-03
1962459941 Jacqueline L. Heiser Emergency Medicine 265 W Union St Ste A, Athens, OH 45701-2313 2006-05-27
1205882834 David Ryan Childress Emergency Medicine 711 Cook Dr, Suite 100, Athens, TN 37303-3486 2006-05-25
1568412146 Perry R Hearn Emergency Medicine 775 Sunset Dr, Athens, GA 30606 2006-05-12
1700845195 Alexander Paul Keller Iv Emergency Medicine 105 Trinity Pl, Athens, GA 30607-2112 2006-03-23
1063490415 Cecil G Pinholster Emergency Medicine 485 Highway 29 N, Athens, GA 30601-5583 2006-01-05
1447232012 Aimee T. Martin Emergency Medicine 55 Carlton St, Athens, GA 30602-1503 2005-11-18
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Competitor

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City ATHENS
Zip Code 30606

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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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