TIFFANY COLARUSSO (NPI# 1356581979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356581979 |
| Entity Type | Individual |
| Full Name | TIFFANY COLARUSSO |
| Credential | M.D. |
| Practice Address |
1015 Donald Lee Hollowell Pkwy Nw Atlanta GA 30318-6653 |
| Mailing Address |
9111 Old Mill St Lithia Springs GA 30122-6415 |
| Practice Telephone | 4045236571 |
| Mailing Telephone | 4048616315 |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | L9447 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 053146 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1015 DONALD LEE HOLLOWELL PKWY NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-6653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356386411 | Joseph Sean Cavanaugh | Internal Medicine | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2006-06-20 |
| 1609496637 | Bernice Aderintola Bamgbade | Student in an Organized Health Care Education/Training Program | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2020-04-20 |
| 1174157341 | Alexa Silva | Student in an Organized Health Care Education/Training Program | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2020-02-26 |
| 1568092047 | Nicole Anderson | Nurse Practitioner | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2020-01-23 |
| 1447814975 | Martin Revere Curry II | Student in an Organized Health Care Education/Training Program | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2019-04-30 |
| 1477904670 | Molly Hawkins Ruiz | Dentist | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2016-06-29 |
| 1902214836 | Lori Ann Levine | Nurse Practitioner | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2014-07-23 |
| 1639421910 | Jerlyn Jones | Dietitian, Registered | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2012-10-10 |
| 1548525751 | Stephen S. Law | Obstetrics & Gynecology | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2012-07-13 |
| 1407152424 | Catherine Elizabeth Stump | Registered Nurse | 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.