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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538791579 | Athens Clarke Medical Enterprises LLC | Emergency Medicine | 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 2020-02-07 |
Street Address |
1230 BAXTER ST |
City | ATHENS |
State | GA |
Zip Code | 30606-3712 |
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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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 |
Find all providers in zip 30606 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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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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.