DPM BRISSETT NRGA LLC (NPI# 1326040114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326040114 |
| Entity Type | Organization |
| Organization Name | DPM BRISSETT NRGA LLC |
| Practice Address |
5124 Grove Field Pt Lithonia GA 30038-2387 |
| Practice Telephone | 6467212072 |
| Practice Fax Number | 8666789749 |
| Mailing Telephone | 6467212072 |
| Mailing Fax Number | 8666789749 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT P BRISSETT (DPM) |
| Authorized Official Telephone | 6467212072 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000950 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 48SCIQW | 01 |
| Street Address |
5124 GROVE FIELD PT |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999004 | Robert P Brissett | Podiatrist | 5124 Grove Field Pt, Lithonia, GA 30038-2387 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568663144 | Lawanna K Monday | Podiatrist | 5700 Hillandale Dr., Ste. 290, Lithonia, GA 30058-4103 | 2007-05-30 |
| 1659454304 | Village Podiatry Group LLC | Podiatrist | 5700 Hillandale Dr, Suite 290, Lithonia, GA 30058-4103 | 2006-10-23 |
| 1003918152 | Naim G. Shaheed | Podiatrist | 5910 Hillandale Dr, Suite 102, Lithonia, GA 30058 | 2006-09-01 |
| 1912999004 | Robert P Brissett | Podiatrist | 5124 Grove Field Pt, Lithonia, GA 30038-2387 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DPM BRISSETT NRGA LLC.
| 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.