DR. LARRY L MEDDERS (NPI# 1316965221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965221 |
| Entity Type | Individual |
| Full Name | DR. LARRY L MEDDERS |
| Credential | MD |
| Practice Address |
2319 Prince Ave Athens GA 30606-6030 |
| Practice Telephone | 7063541625 |
| Practice Fax Number | 7065434155 |
| Mailing Telephone | 7063541625 |
| Mailing Fax Number | 7065434155 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 019078 | GA | Other Service Providers |
| Street Address |
2319 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216610 | Joshua Nolan Bloodworth | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2020-08-24 |
| 1780239905 | Phillip Rustin | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2019-08-05 |
| 1851874556 | Katie Hammond | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2018-09-10 |
| 1003331588 | Nidhi Patel | Physical Medicine & Rehabilitation | 2319 Prince Ave, Athens, GA 30606-6030 | 2017-08-07 |
| 1740696764 | Therapy South Athens LLC | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2014-07-10 |
| 1255744090 | Kellie Moore | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2014-06-10 |
| 1043466956 | Bret Harrison Joiner | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2008-08-12 |
| 1073607362 | Jimmy Haralson Wood Jr. | Specialist | 2319 Prince Ave, Athens, GA 30606-6030 | 2006-10-03 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881137479 | Lara Elizabeth Vaughn | Specialist | 1351 White Oak Dr, Athens, GA 30606-5211 | 2016-11-30 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| 1447666987 | Paul Dobbs | Specialist | 1002 E Pryor St, Athens, AL 35611-2160 | 2014-07-04 |
| 1699101105 | Cynthia A Czarnecki | Specialist | 105 Hamilton Rd, Athens, NY 12015-4912 | 2013-09-17 |
| 1780925560 | Julie E Kinsman | Specialist | 111 Old Hopkins St, Athens, PA 18810-1005 | 2013-03-04 |
| 1982960217 | Bruce A Townsend | Specialist | 1650 W Broad St, Athens, GA 30606-0001 | 2012-04-11 |
| 1144496662 | Basic Wellness Center, LLC | Specialist | 1190 Prince Ave, Lowr B, Athens, GA 30606-2769 | 2008-05-05 |
| 1922273655 | Center for Women's Health and Fitness, LLC | Specialist | 965 Hawthorne Ave, 100a, Athens, GA 30606-2139 | 2008-04-23 |
| 1649445438 | Southeast Ohio Sports Medicine and Physical Therapy | Specialist | 215 Columbus Rd Ste 101, Athens, OH 45701-1335 | 2008-04-23 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on DR. LARRY L MEDDERS.
| 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.