STAR FAMILY HEALTHCARE AND WELLNESS CENTER (NPI# 1346590221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346590221 |
Entity Type | Organization |
Organization Name | STAR FAMILY HEALTHCARE AND WELLNESS CENTER |
Practice Address |
5337 Old National Hwy Suite 100 College Park GA 30349-3208 |
Practice Telephone | 4047677777 |
Practice Fax Number | 4047677770 |
Mailing Telephone | 4047677777 |
Mailing Fax Number | 4047677770 |
Enumeration Date | 2012-09-18 |
Last Update Date | 2012-09-18 |
Authorized Official Name | HELEN UZOKWE (DIRECTOR) |
Authorized Official Telephone | 7705103766 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN145805 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5337 OLD NATIONAL HWY SUITE 100 |
City | COLLEGE PARK |
State | GA |
Zip Code | 30349-3208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306018445 | Helen O Uzokwe | Nurse Practitioner | 5337 Old National Hwy, Suite 100, College Park, GA 30349-3208 | 2008-03-28 |
1407476013 | Keisha A Murray | Radiologic Technologist | 5337 Old National Hwy, College Park, GA 30349-3208 | 2020-04-23 |
1083958623 | Star Family Healthcare and Wellness Center LLC | Nurse Practitioner | 5337 Old National Hwy, Suite 100, College Park, GA 30349-3208 | 2012-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
Find all providers in zip 30349 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497146112 | Abiodun Elizabeth Jaiyeola | Nurse Practitioner | 7100 Baltimore Ave Ste 510, College Park, MD 20740-3641 | 2015-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
Find all providers with the same taxonomy |
City | COLLEGE PARK |
Zip Code | 30349 |
Please comment or provide details below to improve the information on STAR FAMILY HEALTHCARE AND WELLNESS CENTER.
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.