MAGNOLIA MED MANAGEMENT, LLC (NPI# 1356803985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356803985 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MED MANAGEMENT, LLC |
| Practice Address |
2295 Parklake Dr Ne Ste 552 Atlanta GA 30345-2844 |
| Practice Telephone | 4048509712 |
| Mailing Telephone | 4048509712 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. JEFF SANDERS (PSYCHIATRIST) |
| Authorized Official Telephone | 4048509712 |
| Authorized Official Credential | MD.PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1821124488 | 05 |
| Street Address |
2295 PARKLAKE DR NE STE 552 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1114372455 | Jessica Chang | Psychiatry & Neurology | 12 Executive Park Dr Ne # 200, Atlanta, GA 30329-2206 | 2016-04-23 |
| 1275997843 | Carolina Ribeiro | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 142, Atlanta, GA 30329-2206 | 2016-04-11 |
| 1427412139 | Diana Woodall | Psychiatry & Neurology | 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695 | 2016-04-08 |
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1104232008 | John Cook Bartlett | Psychiatry & Neurology | 187 12th St Ne, Atlanta, GA 30309-4055 | 2014-07-11 |
| 1902229701 | Lawrence David Baker | Psychiatry & Neurology | 2950 Mount Wilkinson Pkwy Se Unit 613, Atlanta, GA 30339-3655 | 2014-01-29 |
| 1326482241 | Milena Hirata Armani | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 200, Atlanta, GA 30329 | 2013-04-22 |
| 1285976928 | R Matthew Kamins | Psychiatry & Neurology | 2480 Briarcliff Rd Ne, Suite 6-233, Atlanta, GA 30329-3034 | 2013-03-20 |
| 1033461736 | Ian I. Lipsitch, M.d., P.C. | Psychiatry & Neurology | 5064 Roswell Road, N.e., Suite D-201, Atlanta, GA 30342-2266 | 2012-10-05 |
| 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.