DR. NEIL A PERSAUD (NPI# 1356428700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356428700 |
| Entity Type | Individual |
| Full Name | DR. NEIL A PERSAUD |
| Credential | D.O |
| Practice Address |
6130 Prestley Mill Rd Ste C Douglasville GA 30134-2288 |
| Practice Telephone | 6788383903 |
| Practice Fax Number | 6788387454 |
| Mailing Telephone | 6788383903 |
| Mailing Fax Number | 6788387454 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
049470 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
6130 PRESTLEY MILL RD STE C |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423601 | Miranda Colletta Horton | Otolaryngology | 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | 2015-04-01 |
| 1821163577 | Ear, Nose & Throat Plastic Surgery Center | Otolaryngology | 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | 2006-11-21 |
| 1922187871 | Jahmal A Hairston | Otolaryngology | 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821163577 | Ear, Nose & Throat Plastic Surgery Center | Otolaryngology | 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942431408 | Joseph H. Bee | Otolaryngology | 3025 Shrine Road, Suite 480, Brunswick, GA 31520-4722 | 2009-08-01 |
| 1821164500 | Booker Terry Seymour IIi | Otolaryngology | 3280 Howell Mill Rd, Ste 200, Atlanta, GA 30327 | 2006-11-27 |
| 1245305879 | Piedmont Ear Nose &throat Associates PC | Otolaryngology | 1720 Peachtree Street, Suite 200, Atlanta, GA 30309-1605 | 2006-11-21 |
| 1609959725 | Robert David Marcus | Otolaryngology | 8065 Innisbrook Ct, Columbus, GA 31909-2088 | 2006-10-23 |
| 1982786810 | Ramon S. Franco | Otolaryngology | 700 Galleria Pkwy Se, Suite 350, Atlanta, GA 30339-5943 | 2006-10-19 |
| 1023198660 | Donald Patrick Dennis | Otolaryngology | 3193 Howell Mill Rd, #215, Atlanta, GA 30327 | 2006-10-17 |
| 1073596193 | Douglas Christian Miller | Otolaryngology | 2151 W Spring St Ste B120, Monroe, GA 30655-3210 | 2005-11-22 |
| 1265425912 | Rick Lockhart | Otolaryngology | 111 Fieldstone Dr, Suite 102, Milledgeville, GA 31061-7106 | 2005-08-29 |
| 1922000959 | David S Oliver | Otolaryngology | 322 Commercial Dr Ste 2, Savannah, GA 31406 | 2005-08-10 |
| 1740281161 | Stephen Perry Rashleigh | Otolaryngology | 5201 Frederick Street, Savannah, GA 31405-4501 | 2005-08-09 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.