JENCARE NEIGHBORHOOD MEDICAL CENTER WEST END, LLC (NPI# 1366783524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366783524 |
| Entity Type | Organization |
| Organization Name | JENCARE NEIGHBORHOOD MEDICAL CENTER WEST END, LLC |
| Practice Address |
1325 Ralph David Abernathy Blvd Sw Atlanta GA 30310-1649 |
| Mailing Address |
1000 Park Centre Blvd Suite 136 Miami FL 33169-5373 |
| Practice Telephone | 3056286117 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | CHRISTOPHER CHEN (OWNER) |
| Authorized Official Telephone | 3056286117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | 069385 | GA | Suppliers |
| Y | 174400000X | Specialist | 069385 | GA | Other Service Providers |
| Street Address |
1325 RALPH DAVID ABERNATHY BLVD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134650203 | Emily Anne Kaltz | Internal Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2017-03-21 |
| 1013303650 | Kaynessa Celena Providence | Internal Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2015-04-10 |
| 1861812117 | Rani Patil | Family Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310 | 2014-04-24 |
| 1780004705 | Arash Taheri | Internal Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2014-04-17 |
| 1255759775 | Kendra Allen | Family Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2014-04-01 |
| 1881033207 | Latoya Jean Lee | Family Medicine | 1325 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1649 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
| 1114489663 | Dr. Behling, LLC | Specialist | 1100 Peachtree St Ne Ste 250, Atlanta, GA 30309-4522 | 2019-04-03 |
| 1376013813 | Quality Therapeutic Massage LLC | Specialist | 423 Tazor St Nw, Atlanta, GA 30314-2718 | 2018-11-27 |
| 1467945444 | Lynette Singleton Brown | Specialist | 1509 Virginia Ave, Atlanta, GA 30337-2841 | 2018-06-13 |
| 1952806572 | Prerana Upadhyaya | Specialist | 920 Dannon Vw Sw Ste 3103, Atlanta, GA 30331-2158 | 2018-03-26 |
| 1225566300 | Aspire Fertility Georgia, LLC | Specialist | 6 Concourse Pkwy Ste 250, Atlanta, GA 30328-6117 | 2017-06-01 |
| 1376086256 | Integrated Healthcare Center of Dunwoody LLC | Specialist | 6115 Peachtree Dunwoody Rd, Atlanta, GA 30328-5546 | 2016-11-28 |
| 1063960748 | Lynda Louise Parrish | Specialist | 842 N Highland Ave Ne Ste 223, Atlanta, GA 30306-4530 | 2016-09-12 |
| 1922551118 | Shelley Fondren | Specialist | 5817 Jamerson Dr, Atlanta, GA 30349-7018 | 2016-07-25 |
| 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.