ELEVEN 11 MEDICAL MANAGEMENT, LLC (NPI# 1356616338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356616338 |
| Entity Type | Organization |
| Organization Name | ELEVEN 11 MEDICAL MANAGEMENT, LLC |
| Practice Address |
438 Henry Ford II Ave Hapeville GA 30354-1622 |
| Practice Telephone | 6782352401 |
| Practice Fax Number | 6782352403 |
| Mailing Telephone | 6782352401 |
| Mailing Fax Number | 6782352403 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | MS. CYNTHIA TATE (ADMINISTRATOR) |
| Authorized Official Telephone | 6782352401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Street Address |
438 HENRY FORD II AVE |
| City | HAPEVILLE |
| State | GA |
| Zip Code | 30354-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
| 1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
| 1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
| 1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
| 1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
| 1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
| 1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
| Find all providers in zip 30354 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749211 | Northeast Georgia Physicians Group, Inc. | Allergy & Immunology | 1515 River Pl Ste 380, Braselton, GA 30517-5605 | 2020-04-20 |
| 1215597828 | The Coble Group, LLC | Allergy & Immunology | 3875 Roland Hayes Pkwy Sw, Calhoun, GA 30701-7501 | 2019-06-17 |
| 1932683083 | Quick Care Diagnostics LLC | Allergy & Immunology | 4760 Austell Rd Ste 7, Austell, GA 30106-2007 | 2018-09-24 |
| 1679075873 | Atlanta Wide Mobile Testing, LLC | Allergy & Immunology | 2215 Cheshire Bridge Rd Ne Ste C, Atlanta, GA 30324-4234 | 2018-03-02 |
| 1669986709 | Thomas Chacko M.d. P.c | Allergy & Immunology | 330 Newcastle Dr, Alpharetta, GA 30009-7162 | 2017-11-28 |
| 1053868083 | Savannah Respiratory and Allergy Associates, P.C. | Allergy & Immunology | 1 Mulberry Bluff Dr, Savannah, GA 31406-3270 | 2016-09-07 |
| 1972871960 | Haeja K. Jung | Allergy & Immunology | 9175 Etching Overlook, Johns Creek, GA 30097 | 2011-12-06 |
| 1295012631 | Southeast Asthma and Allergy Center, PC | Allergy & Immunology | 511 Gordon Ave, Thomasville, GA 31792-6645 | 2011-11-14 |
| 1225340540 | Adesh D. Patel | Allergy & Immunology | 3300 Old Milton Pkwy Ste 125, Alpharetta, GA 30005-2426 | 2010-07-02 |
| 1326119918 | Gregg Robert Sachs | Allergy & Immunology | 5555 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30342-1710 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
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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.