DR. MICHEL BRATHWAITE (NPI# 1295723492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295723492 |
Entity Type | Individual |
Full Name | DR. MICHEL BRATHWAITE |
Credential | MD |
Practice Address |
3620 Martin Luther King Jr Dr Sw Atlanta GA 30331-3711 |
Practice Telephone | 4046967300 |
Practice Fax Number | 4046993514 |
Mailing Telephone | 4046967300 |
Mailing Fax Number | 4046993514 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2010-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
038694 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000618076C | 05 | |
GA | UNITED HEALTH CARE | 3120000 | 01 |
GA | 000618076M | 05 | |
GA | 000618076F | 05 | |
GA | 000618076N | 05 | |
GA | 000618076H | 05 | |
GA | RAILROAD MEDICARE | 110091303 | 01 |
GA | BCBS | 506853 | 01 |
GA | 000618076A | 05 | |
GA | 000618076K | 05 | |
GA | AETNA | 505411 | 01 |
GA | CIGNA | 726082 | 01 |
Street Address |
3620 MARTIN LUTHER KING JR DR SW |
City | ATLANTA |
State | GA |
Zip Code | 30331-3711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689139347 | Yomaris Figueroa Ramirez | Dietitian, Registered | 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 | 2019-02-07 |
1962571612 | Nadine Angela Ennis | Physician Assistant | 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 | 2006-11-07 |
1871524090 | Nicole M Brown | Physician Assistant | 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 | 2006-07-05 |
1861461790 | Southwest Atlanta Dialysis Centers LLC | Clinic/Center | 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
1194060483 | Hypertension and Kidney Center LLC | Internal Medicine | 6069 Harleston Rd, Atlanta, GA 30328-4105 | 2012-11-28 |
1659627248 | Tina Thomas | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-5019 | 2012-08-01 |
1437449741 | Srijita Kumar | Internal Medicine | 5667 Peachtree Dunwoody Rd Ste 260, Atlanta, GA 30342-1714 | 2011-04-08 |
1548562580 | Rahul Bhardwaj | Internal Medicine | 1639 Pierce Drive Ste 338, Atlanta, GA 30322 | 2010-11-24 |
1063740793 | Midtown Atlanta Nephrology PC | Internal Medicine | 650 Peachtree St Ne, Suite 1650, Atlanta, GA 30308-2310 | 2009-11-18 |
1407026818 | Jason Cobb | Internal Medicine | 550 Peachtree Street Mot 7th Floor Nephrology, Atlanta, GA 30308 | 2008-03-03 |
1558547943 | Roderic L. Woodson II | Internal Medicine | 105 Collier Rd N.w., Suite 1000, Atlanta, GA 30309 | 2008-01-15 |
1710160023 | Leonard Gyebi | Internal Medicine | 2001 Peachtree Rd Ne Ste 560, Atlanta, GA 30309-1476 | 2007-12-10 |
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.