JACQUELINE ANN STEWART (NPI# 1356633853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356633853 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANN STEWART |
| Credential | MD |
| Practice Address |
1110 W Peachtree St Nw # 200 Atlanta GA 30309-3609 |
| Practice Telephone | 4045752000 |
| Mailing Telephone | 4045752000 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD60452305 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 076449 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD60452305 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11685 Alpharetta Hwy Ste 150a, Roswell, GA 300764982 | 7706193860 | 7706193861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708080 | Jacqueline J Stewart | Technician | 128 Blue Jay Six Rd, Shady Spring, WV 25918 | 2020-07-23 |
| 1285001370 | Jacqueline Elaine Stewart | Licensed Practical Nurse | 227 Sweet Water Bnd, Royal Palm Beach, FL 33411-8621 | 2015-08-25 |
| 1679772420 | Jacqueline Kay Stewart | Marriage & Family Therapist | 29141 Vallejo Ave, Temecula, CA 92592-2319 | 2007-07-12 |
| 1174142681 | Jacqueline Brenetta Stewart | Physical Therapist | 6111 Queens Blvd, Woodside, NY 11377-4965 | 2020-04-14 |
| 1497176101 | Jacqueline Ann Stewart | Physical Therapist | 1401 Union St, Schenectady, NY 12308-3023 | 2013-12-23 |
| 1154649721 | Jacqueline M Stewart | Internal Medicine | 10150 Staples Mill Rd, Suite E, Glen Allen, VA 23060-3452 | 2010-05-06 |
| 1881827129 | Jacqueline Anne Stewart | Family Medicine | 9100 Andermatt Dr Ste 2, Lincoln, NE 68526-6700 | 2009-09-03 |
| 1669669396 | Jacqueline Sue Stewart | Nurse Practitioner | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2007-09-26 |
| 1982715629 | Jacqueline F Stewart | Social Worker | 4400 Breckenridge Ln, 2nd, Louisville, KY 40218-4082 | 2006-08-31 |
| 1619949146 | Jacqueline W. Stewart | Pediatrics | 1621 11th Ave S, Birmingham, AL 35205-4703 | 2006-02-07 |
| Street Address |
1110 W PEACHTREE ST NW # 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| Find all providers in ATLANTA | ||||
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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.