DR. KEVIN J FARRELL (NPI# 1306928809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306928809 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J FARRELL |
| Credential | MD |
| Practice Address |
101 West Ponce Deleon Ave Emory Medical Care Foundation Ste 331 Decatur GA 30030 |
| Mailing Address |
80 Jesse Hill Jr Dr Se Grady Health System Atlanta GA 30303 |
| Practice Telephone | 4047128100 |
| Mailing Telephone | 4046165800 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
48512 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386014611 | Kevin Farrell | Hearing Instrument Specialist | 12490 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2015-09-29 |
| 1881947596 | Kevin C Farrell | Specialist/Technologist, Other | 4175 S Saint Louis Ave, Tulsa, OK 74105-4013 | 2012-10-18 |
| 1013125368 | Kevin P Farrell | Dentist | 335 Bewley Bldg, Lockport, NY 14094 | 2007-05-18 |
| 1962409599 | Kevin Eugene Farrell | Internal Medicine | 3014 Oak St, Kansas City, MO 64108-3240 | 2005-06-28 |
| 1245788173 | Kevin Glenn Farrell | Social Worker | 3440 Viking Dr, Suite 114, Sacramento, CA 95827-2844 | 2016-09-20 |
| 1598035834 | Kevin Gregory Farrell | Social Worker | 1626 Westwood Blvd, Suite # 102, Los Angeles, CA 90024-5621 | 2012-01-04 |
| 1598716987 | Kevin P Farrell | Physical Therapist | 1008 W 35th St, Davenport, IA 52806-5827 | 2006-05-12 |
| Street Address |
101 WEST PONCE DELEON AVE EMORY MEDICAL CARE FOUNDATION STE 331 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192424 | Nathan John Klingensmith | Surgery | 69 Jesse Hill Jr Drive, Se, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 | 2012-04-03 |
| 1972503837 | Gregory R Strauther | Surgery | 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501-3473 | 2005-07-21 |
| 1841583119 | Brian H Gibson | Surgery | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2011-05-19 |
| 1699065573 | Wellstar Medical Group, LLC | Surgery | 55 Whitcher St Ne, Suite 130, Marietta, GA 30060-1156 | 2011-04-13 |
| 1710283460 | Malcolm Ingram Goodchild | Surgery | 2737 Warm Springs Rd, Building A, Columbus, GA 31904-6859 | 2011-01-28 |
| 1215248604 | James G Boron | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2010-06-30 |
| 1427377043 | James Clifton Haynes | Surgery | 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 | 2010-05-21 |
| 1700047784 | Keren Aviva Bashan-gilzenrat | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2008-06-22 |
| 1790946762 | Katherine Kohler | Surgery | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-06-22 |
| 1801062773 | Nathan Joseph Creel | Surgery | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2008-05-01 |
| Find all providers with the same taxonomy | ||||
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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.