DR. M DENISE POLLARD-MANIGAULT (NPI# 1356674840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356674840 |
| Entity Type | Individual |
| Full Name | DR. M DENISE POLLARD-MANIGAULT |
| Other Name | M DENISE POLLARD-MANIAGULT |
| Credential | NP |
| Practice Address |
2015 Upper Gate Dr Ne Atlanta GA 30322-1014 |
| Practice Telephone | 4047853864 |
| Mailing Telephone | 4047853864 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN234981 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381487 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2015 UPPER GATE DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880727 | Jennifer A Jackson | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2005-12-05 |
| 1063712644 | Ayanna Butler-cephas | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1015 | 2010-10-28 |
| 1043465941 | Jennifer A Button | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-11-20 |
| 1821253436 | Tanicia Cheri Daley Jean Pierre | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-07-23 |
| 1669659801 | Emory University School of Medicine | General Acute Care Hospital | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-01-30 |
| 1114116480 | Jamika Lashell Hallman-cooper | Psychiatry & Neurology | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-0001 | 2007-10-23 |
| 1659571628 | Ravi Mangal Patel | Pediatrics | 2015 Upper Gate Dr Ne, Division of Neonatology, 3rd Floor, Atlanta, GA 30322-1014 | 2007-07-19 |
| 1174642193 | Helen O Williams | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2007-03-29 |
| 1942346309 | Lynn Sherrer | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2007-01-30 |
| 1881768471 | Shannon Hamrick | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1487290581 | Fawn Aryana Hastay | Nurse Practitioner | 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 | 2019-11-23 |
| 1245798057 | Rebecca Emory | Nurse Practitioner | 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 | 2019-03-11 |
| 1497265904 | Stephanie Edlhuber | Nurse Practitioner | 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 | 2017-10-10 |
| 1275074924 | Anna Louise Kelly | Nurse Practitioner | 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 | 2017-03-14 |
| 1518410984 | Brie Batchelor Baxter | Nurse Practitioner | 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 | 2016-08-02 |
| 1649630310 | Mary Bertossi | Nurse Practitioner | 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 | 2016-02-24 |
| 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.