PROFESSIONAL PREMIUM SERVICES INC (NPI# 1366821365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366821365 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PREMIUM SERVICES INC |
| Practice Address |
2470 Windy Hill Rd Se Num 366c Marietta GA 30067-8613 |
| Practice Telephone | 4044142523 |
| Practice Fax Number | 4043938880 |
| Mailing Telephone | 4044142523 |
| Mailing Fax Number | 4043938880 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | YESDEL ACOSTA (OWNER) |
| Authorized Official Telephone | 4044142523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
GA | Ambulatory Health Care Facilities |
| Street Address |
2470 WINDY HILL RD SE NUM 366C |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700828795 | Stephen Chacko Jacob | Preventive Medicine | 2470 Windy Hill Rd Se, Ste 300, Marietta, GA 30067-8613 | 2006-06-12 |
| 1649729658 | Serene Transitional Hospice | Hospice, Inpatient | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2016-10-03 |
| 1780048330 | Cheerful Habits LLC | Clinic/Center | 2470 Windy Hill Rd Se, Suite 300 Pmb 5202, Marietta, GA 30067-8613 | 2016-04-11 |
| 1073993150 | Annette Mary Bernard Md P.a. | Clinic/Center | 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 | 2015-06-04 |
| 1467842617 | Lauren Thomas | Behavioral Analyst | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2015-01-27 |
| 1730579137 | Vicki Posey Lackey | Behavioral Analyst | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2015-01-23 |
| 1467840447 | Cobb Anger Management Company LLC | Community/Behavioral Health | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2014-12-29 |
| 1144626094 | Ab Center Group Corp LLC | Internal Medicine | 2470 Windy Hill Rd Se, Suite 322a, Marietta, GA 30067-8613 | 2014-11-05 |
| 1982006904 | Innovative Therapy of Georgia | Psychologist | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2014-09-22 |
| 1821490848 | Shelena Davis | Counselor | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| 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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| 1225400575 | Living I.e. Chiropractic LLC | Clinic/Center | 1673 Miller Ave Se, Marietta, GA 30060-4241 | 2015-10-27 |
| 1154791820 | Kazz Care LLC | Clinic/Center | 771 Reeves Lake Dr Sw, Marietta, GA 30064-5239 | 2015-10-06 |
| 1023424181 | Lifequest East Marietta LLC | Clinic/Center | 4930 Davidson Rd Ne, 100, Marietta, GA 30068-4661 | 2014-07-09 |
| 1780048330 | Cheerful Habits LLC | Clinic/Center | 2470 Windy Hill Rd Se, Suite 300 Pmb 5202, Marietta, GA 30067-8613 | 2016-04-11 |
| 1073993150 | Annette Mary Bernard Md P.a. | Clinic/Center | 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 | 2015-06-04 |
| 1144659830 | Radiance Light Systems, LLC | Clinic/Center | 2145 Roswell Rd, Marietta, GA 30062-0821 | 2013-11-04 |
| 1346366747 | P & J Enterprises of West Atl, Inc. | Clinic/Center | 114 Cherry St Ne, Suite C, Marietta, GA 30060-7277 | 2007-03-21 |
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| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
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| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.