ONAJE DADISI GREENE (NPI# 1366484560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484560 |
| Entity Type | Individual |
| Full Name | ONAJE DADISI GREENE |
| Credential | MD |
| Practice Address |
705 Dixie St Suite 401 Carrollton GA 30117-3818 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708369326 |
| Practice Fax Number | 7708369358 |
| Mailing Telephone | 7708369326 |
| Mailing Fax Number | 7708369358 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
057079 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 511I060280 | 01 |
| GA | 346632641G | 05 |
| Street Address |
705 DIXIE ST SUITE 401 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848799 | Lawrence Brett Carter | Pharmacist | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-08-22 |
| 1760007322 | Crystal Renee Grayson | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-06-10 |
| 1962025361 | Amanda Hasty Mcentyre | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1265055669 | Purdy Jackson | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1528681921 | Amanda Phillips Kranz | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1699396630 | Katherine Victoria White | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-04-30 |
| 1144866047 | Jennifer Tiffany Jiles | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-11-26 |
| 1750934733 | Tiffany Landry | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104479195 | Kim Rowell | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104478916 | Brandon Gabe Graves | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914247 | Charlie C. Rouse | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2006-06-28 |
| 1598715203 | Chelif Junor | Internal Medicine | 705 Dixie St Ste 401, Carrollton, GA 30117-3818 | 2006-05-11 |
| 1629058573 | William Evan Rogers Sr. | Internal Medicine | 705 Dixie Street, Ste 401, Carrollton, GA 30117 | 2006-01-18 |
| 1912254624 | Olusegun Ayodeji Sheyin | Internal Medicine | 705 Dixie St Ste 401, Carrollton, GA 30117 | 2012-08-13 |
| 1154678415 | Meritas Health Corporation | Internal Medicine | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2012-08-06 |
| 1932421187 | West Georgia Cardiology Associates, PC | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2010-02-15 |
| 1962638437 | Dia Smiley | Internal Medicine | 705 Dixie St, Suite 401, Carrollton, GA 30117-3818 | 2009-06-10 |
| 1295987337 | Cardiovascular Consultants of North Texas, LLP | Internal Medicine | 2340 E Trinity Mills Rd, Suite 118, Carrollton, TX 75006-1942 | 2008-10-21 |
| 1457518656 | Cardiovascular Consultants, Inc. | Internal Medicine | 1020 Trump Rd Nw, Carrollton, OH 44615-8422 | 2008-05-16 |
| 1699945584 | Vidyasagar Chodimella, Md, Facc, P.a. | Internal Medicine | 4325 N Josey Ln, Suite 204, Carrollton, TX 75010-4635 | 2008-03-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on ONAJE DADISI GREENE.
| 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.