GEORGIA INSTITUTE OF TECHNOLOGY (NPI# 1396873527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396873527 |
| Entity Type | Organization |
| Organization Name | GEORGIA INSTITUTE OF TECHNOLOGY |
| Other Organization Name | STAMPS HEALTH SERVICES |
| Practice Address |
740 Ferst Drive, Nw Atlanta GA 30332-0470 |
| Practice Telephone | 4048941430 |
| Practice Fax Number | 4048944142 |
| Mailing Telephone | 4048947294 |
| Mailing Fax Number | 4048944142 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | GREGORY MOORE (SENIOR DIRECTOR) |
| Authorized Official Telephone | 4048953256 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
PHRE005743 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stamps Health Services | Doing Business As Name - Organization |
| Street Address |
740 FERST DRIVE, NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30332-0470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570415 | Michael Charles Horwath | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne Rm H-184, Atlanta, GA 30332 | 2019-04-21 |
| 1124311212 | Colin Michael Segovis | Radiology | Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 | 2011-05-23 |
| 1538467014 | Angelo Galante | Family Medicine | 740 Ferst Dr, Atlanta, GA 30332 | 2011-03-07 |
| 1053973313 | Robert Chavis | Specialist/Technologist | 150 Bobby Dodd Way Edge Building Athletic Training Room, Atlanta, GA 30332-0001 | 2019-07-07 |
| 1588158513 | Nesha Natasha Defoe | Behavioral Analyst | 2145 Kenridge Pkwy, Atlanta, GA 30332-0001 | 2018-06-22 |
| 1225561343 | Timothy Powers Quinn | Student in an Organized Health Care Education/Training Program | Department of Urology 1365 Clifton Rd Ne, Building B, Suite 400, Atlanta, GA 30332-0001 | 2017-04-05 |
| 1871716654 | James Edwin Behrens | Optometrist | 350 Ferst Dr Nw, Atlanta, GA 30332-0001 | 2007-04-10 |
| 1760434617 | Josephine Y. Lee | Specialist/Technologist | Georgia Tech Athletic Association, 150 Bobby Dodd Way, Nw, Atlanta, GA 30332-0001 | 2006-05-17 |
| 1073571410 | Paul Wolkoff | Specialist/Technologist | 150 Bobby Dodd Way, Atlanta, GA 30332-0001 | 2006-05-03 |
| 1740241520 | Timothy Emil Hansen | Specialist/Technologist | 150 Bobby Dodd Way Nw, Atlanta, GA 30332-0001 | 2006-03-31 |
| Find all providers in zip 30332 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043352016 | Georgia Institute of Technology Stamps Health Services | Clinic/Center | 740 Ferst Drive, Atlanta, GA 30332-0470 | 2007-02-13 |
| 1891255519 | Alexander Clifford Commanday | Clinic/Center | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1962687996 | Emory University Student Health Services | Clinic/Center | 1525 Clifton Rd Ne, Second Floor, Atlanta, GA 30322-4200 | 2008-01-09 |
| 1750326617 | Emory University Health Services | Clinic/Center | 1525 Clifton Rd Ne, Room 272, Atlanta, GA 30322-4200 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422417 | Georgia Southwestern State University | Clinic/Center | 800 Gsw University Drive, Americus, GA 31709 | 2014-06-13 |
| 1154758001 | Georgia College & State University | Clinic/Center | 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 | 2013-10-08 |
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| 1821373580 | Thomas University | Clinic/Center | 1501 Millpond Rd, Thomasville, GA 31792-7478 | 2011-10-13 |
| 1215239934 | Aasu Sports Medicne | Clinic/Center | 11935 Abercorn St, Savannah, GA 31419-1909 | 2010-12-01 |
| 1144629932 | Young Harris College | Clinic/Center | 1 College St, Young Harris, GA 30582-4137 | 2014-08-18 |
| 1790100170 | Wellstar Medical Group, LLC | Clinic/Center | 3215 Campus Loop Rd Nw, Kennesaw, GA 30144-3227 | 2014-02-21 |
| 1811324296 | Columbus State University | Clinic/Center | 4225 University Ave, Athletics Lumpkin Center Rm 124, Columbus, GA 31907-5679 | 2013-10-01 |
| 1891038568 | Abraham Baldwin Agricultural College | Clinic/Center | 2802 Moore Hwy, Abac 52, Tifton, GA 31793-5679 | 2013-04-01 |
| 1518207612 | Kennesaw State University | Clinic/Center | 1000 Chastain Rd Nw, Md5200 House 52, Kennesaw, GA 30144-5588 | 2013-02-26 |
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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.