EMORY CLINIC INC (NPI# 1306472063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306472063 |
| Entity Type | Organization |
| Organization Name | EMORY CLINIC INC |
| Practice Address |
1924 Piedmont Rd Ne Atlanta GA 30324-4117 |
| Mailing Address |
101 W Ponce De Leon Ave Decatur Plaza Annex- Attn: Jwilliams Decatur GA 30030-2542 |
| Practice Telephone | 4042514670 |
| Mailing Telephone | 4047785079 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | MRS. BROOKE MOORE (CFO) |
| Authorized Official Telephone | 4047785014 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMORY CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EMORY AMBULATORY SURGERY CENTER AT PIEDMONT HEIGHTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386165504 | Emory Clinic Inc | Clinic/Center | 7813 Spivey Station Blvd, Jonesboro, GA 30236-2900 | 2017-06-28 |
| 1467527671 | Emory Clinic Inc | Chronic Disease Hospital | 101 Woodruff Cir, Room 5105, Atlanta, GA 30322-0001 | 2006-11-22 |
| 1295748531 | Emory Clinic Inc | Clinic/Center | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-08-15 |
| 1396798229 | Emory Clinic Inc | Dentist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-05-19 |
| Street Address |
1924 PIEDMONT RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329613 | Jenelle E Foote | Urology | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2005-07-08 |
| 1669970703 | Emily Manning | Physician Assistant | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2018-01-23 |
| 1316475619 | Brandon Robert Kryak | Physician Assistant | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2017-05-31 |
| 1558812024 | Gabriella Concetta Smith | Physician Assistant | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2016-10-20 |
| 1891741203 | Midtown Urology | Specialist | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2006-05-26 |
| 1902852841 | Midtown Urology Surgical Center, PC | Clinic/Center | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2006-05-25 |
| 1447224340 | Jeffrey F Goldsmith | Anesthesiology | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862389 | Pediatric and Adult Surgery Center of Atlanta LLC | Clinic/Center | 2061 Peachtree Rd Ne Ste 300-a, Atlanta, GA 30309-1447 | 2018-08-22 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1316435779 | Summit Surgery Center of Buckhead LLC | Clinic/Center | 2045 Peachtree Rd Ne Ste T2, Atlanta, GA 30309-1405 | 2018-05-01 |
| 1679007108 | Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc | Clinic/Center | 601 Pryor St Sw, Atlanta, GA 30312 | 2017-04-11 |
| 1295288751 | Plastic Head and Neck Surgery Institute | Clinic/Center | 5730 Glenridge Dr Ste T150, Atlanta, GA 30328-5872 | 2016-08-01 |
| 1659755692 | The Spine Institute of Peachtree Neurosurgery, LLC | Clinic/Center | 1150 Hammond Dr Ste E600, Atlanta, GA 30328-8604 | 2015-07-18 |
| 1831576891 | Advanced Surgery Center Perimeter, LLC | Clinic/Center | 1100 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342-1733 | 2015-04-29 |
| 1841459211 | Aasc, LLC | Clinic/Center | 4200 Northside Pkwy Nw Bldg 8, Atlanta, GA 30327-3054 | 2008-06-02 |
| 1922131770 | Northside Womens Clinic Inc | Clinic/Center | 3543 Chamblee Dunwoody Road, Atlanta, GA 30341-2454 | 2007-03-13 |
| 1780715219 | Gyn Resources, Inc | Clinic/Center | 987 Chattahoochee Ave Nw, Suite A, Atlanta, GA 30318-3701 | 2007-03-08 |
| 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.