POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH (NPI# 1356738447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356738447 |
Entity Type | Organization |
Organization Name | POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH |
Practice Address |
2099 Fairburn Rd Sw Atlanta GA 30331-4812 |
Practice Telephone | 4044283133 |
Practice Fax Number | 4043447810 |
Mailing Telephone | 4044283133 |
Mailing Fax Number | 4043447810 |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |
Authorized Official Name | DR. ANGELA PATRICE SHANNON (DIRECTOR) |
Authorized Official Telephone | 4043468264 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
036661 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | TAXONOMY | 2084P08000X | 01 |
GA | 00635115D | 05 | |
GA | NPI | 1285707455 | 01 |
GA | 000635115E | 05 |
Street Address |
2099 FAIRBURN RD SW |
City | ATLANTA |
State | GA |
Zip Code | 30331-4812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1225407638 | Margaret Byrne | Clinic/Center | 2933 Townley Cir, Atlanta, GA 30340-4827 | 2015-09-16 |
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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.