JAMES MICHAEL ELMORE (NPI# 1336174085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336174085 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL ELMORE |
| Credential | M.D. |
| Practice Address |
5445 Meridian Marks Rd Suite 420 Atlanta GA 30342-4763 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 4042525206 |
| Practice Fax Number | 4042521268 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
055002 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | BE9630927 | 01 |
| GA | 774932142A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578675500 | James Liddell Elmore | Psychiatry & Neurology | 68 Deerfield Rd, Hilton Head Island, SC 29926 | 2006-08-31 |
| 1821094772 | James F Elmore | Internal Medicine | 3000 Ne Medical Park, Suite 108, Columbia, SC 29223-6251 | 2005-06-24 |
| 1730375296 | James Rudolph Elmore | Pharmacist | 535 N Central Ave, Hapeville, GA 30354-1603 | 2007-09-19 |
| 1760436489 | James A Elmore | Psychiatry & Neurology | 1086 1/2 Baxter St, Athens, GA 30606-6316 | 2006-05-19 |
| 1477520971 | James R. Elmore | Surgery | 100 N Academy Ave, Danville, PA 17822-9800 | 2006-03-02 |
| 1346214210 | James Herbert Elmore Jr. | Social Worker | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-02-15 |
| Street Address |
5445 MERIDIAN MARKS RD SUITE 420 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972561405 | Wayne L Ambroze | Colon & Rectal Surgery | 5445 Meridian Marks Rd, Suite 180, Atlanta, GA 30342-4763 | 2006-05-03 |
| 1437509791 | Sarah Delk | Physician Assistant | 5445 Meridian Marks Rd, Ste 250, Atlanta, GA 30342-4763 | 2016-06-17 |
| 1962852434 | Jessica Beck | Physician Assistant | 5445 Meridian Marks Rd, Ste 250, Atlanta, GA 30342-4763 | 2016-06-15 |
| 1336546449 | Plastic Surgery Associates of Georgia | Plastic Surgery | 5445 Meridian Marks Rd, Suite 395, Atlanta, GA 30342-4763 | 2014-12-04 |
| 1588984058 | Ravinder Kaur Brar | Orthopaedic Surgery | 5445 Meridian Marks Rd, Suite 250, Atlanta, GA 30342-4763 | 2010-06-08 |
| 1023247863 | Joshua Murphy | Orthopaedic Surgery | 5445 Meridian Marks Rd, St 250, Atlanta, GA 30342-4763 | 2009-07-14 |
| 1104068972 | Michael Louis Garcia-roig | Student in an Organized Health Care Education/Training Program | 5445 Meridian Marks Rd, Ste 420, Atlanta, GA 30342-4763 | 2009-03-25 |
| 1265693204 | Kevin A Budman | Ophthalmology | 5445 Meridian Marks Rd, Atlanta, GA 30342-4763 | 2008-06-23 |
| 1225213804 | Tejas R Mehta | Pediatrics | 5445 Meridian Marks Rd, Suite 490, Atlanta, GA 30342-4763 | 2008-01-02 |
| 1689876526 | Nelson Castillo | Plastic Surgery | 5445 Meridian Marks Rd, Suite 395, Atlanta, GA 30342-4763 | 2007-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770942856 | Georgia Urology Pediatric LLC | Urology | 5730 Glenridge Dr, Ste 200, Atlanta, GA 30328-6141 | 2016-02-17 |
| 1508125865 | Shuvro De | Urology | 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 | 2012-05-08 |
| 1912137431 | Emily Blum | Urology | 5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 | 2009-07-17 |
| 1891993374 | Wolfgang Hans Cerwinka | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2007-07-06 |
| 1174749055 | Georgia Urology Pa | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2007-04-18 |
| 1427152982 | Bruce H Broecker | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2006-09-12 |
| 1336243898 | Andrew J Kirsch | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2006-09-12 |
| 1699879155 | Hal C Scherz | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2006-09-12 |
| 1245334705 | Charlotte A Massad | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2006-09-12 |
| 1821019076 | Georgia Urology Pediatric LLC | Urology | 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342-4763 | 2006-07-22 |
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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.