MID PHYSICIAN NETWORK (KY), LLC (NPI# 1346783388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346783388 |
| Entity Type | Organization |
| Organization Name | MID PHYSICIAN NETWORK (KY), LLC |
| Practice Address |
5665 New Northside Dr Suite 520 Atlanta GA 30328-5831 |
| Practice Telephone | 6784912804 |
| Mailing Telephone | 6784912804 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | ADRIAN DAVIS (CEO) |
| Authorized Official Telephone | 6784912804 |
| Is Organization Subpart | Y |
| Parent Organization Name | MYIDEALDOCTOR, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265945166 | Mid Physician Network (ky), LLC | Community/Behavioral Health | 5665 New Northside Dr Ste 520, Atlanta, GA 30328-4617 | 2017-11-14 |
| Street Address |
5665 NEW NORTHSIDE DR SUITE 520 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689813628 | Michelle Hicks | Emergency Medicine | 5665 New Northside Dr, Suite #320, Atlanta, GA 30328-5834 | 2009-02-16 |
| 1720560899 | Asia Evelyn Scaife | Physician Assistant | 5665 New Northside Dr, Atlanta, GA 30328-5831 | 2018-09-05 |
| 1811400724 | Mid Physician Network (in), LLC | Community/Behavioral Health | 5665 New Northside Dr, Atlanta, GA 30328-5831 | 2017-11-14 |
| 1346753241 | Myidealdoctor LLC | Community/Behavioral Health | 5665 New Northside Dr, Atlanta, GA 30328-5831 | 2017-11-14 |
| 1598280539 | Denise Darlene Morgan | Nurse Practitioner | 5665 New Northside Dr, Atlanta, GA 30328-5831 | 2017-08-10 |
| 1649703836 | Mid Physician Network (wv), Pllc | General Practice | 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 | 2017-04-05 |
| 1447793484 | Mid Physician Network (in), LLC | General Practice | 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 | 2016-11-23 |
| 1538527635 | Myidealdoctor LLC | General Practice | 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 | 2016-02-03 |
| 1982077590 | Mid Physician Network (oh), LLC | General Practice | 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 | 2015-11-04 |
| 1407231327 | Sabrena Delk | Nurse Practitioner | 5665 New Northside Dr, Suite 320, Atlanta, GA 30328-5831 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1790292688 | Battery Healthcare LLC | General Practice | 2550 Heritage Ct Se Ste 155, Atlanta, GA 30339-3065 | 2018-01-02 |
| 1255882353 | Pro-medical Center LLC | General Practice | 2090 Dunwoody Club Dr Ste 106-241, Atlanta, GA 30350-5434 | 2016-10-24 |
| 1174917470 | Thomas Merryfield Jarrett | General Practice | 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 | 2015-03-24 |
| 1306247663 | Hbisc | General Practice | 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2014-09-05 |
| 1891106183 | Stephanie Elizabeth James | General Practice | 315 Boulevard Ne Ste 516, Atlanta, GA 30312 | 2014-05-08 |
| 1871928747 | Shefffrin Men's Health-midtown, P.C. | General Practice | 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 | 2013-09-10 |
| 1750721221 | International Community Medical Network, LLC | General Practice | 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 | 2013-06-28 |
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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.