DR. DANNY GILLIS (NPI# 1417364019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417364019 |
| Entity Type | Individual |
| Full Name | DR. DANNY GILLIS |
| Credential | M.D. |
| Practice Address |
59 Executive Park S Suite 1000 Atlanta GA 30329-2208 |
| Mailing Address |
57 Executive Park S Suite 160-3 Atlanta GA 30329-2288 |
| Practice Telephone | 4047786970 |
| Mailing Telephone | 4047786970 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 72549 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
59 EXECUTIVE PARK S SUITE 1000 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054386 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 59 Executive Park S, Suite 1300, Atlanta, GA 30329-2208 | 2005-06-24 |
| 1174143275 | Alexander Ross Webb | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-20 |
| 1275152019 | Haley Marie Mckissack | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-12 |
| 1609405356 | Jason Shah | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-05 |
| 1326693656 | Shatari Grimes | Occupational Therapist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-08-05 |
| 1245798248 | Erin Dobeck | Nurse Practitioner | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-03-08 |
| 1548793185 | Huai Ming Phen | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2017-04-11 |
| 1598128092 | Heather Schmidt | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-04-01 |
| 1932562824 | Cherell Lawson | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-30 |
| 1245693209 | Jordan Teboda | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1114422250 | Atlanta Breast Reconstruction | Orthopaedic Surgery | 2795 Peachtree Rd Ne Unit 309, Atlanta, GA 30305-3672 | 2018-03-29 |
| 1093129678 | Roy M Rubin | Orthopaedic Surgery | 3806 Ashford Knls Ne, Atlanta, GA 30319-1868 | 2014-06-11 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1144583261 | Amy L Ravindra | Orthopaedic Surgery | 1839 Buford Hwy Ne, Ste 100, Atlanta, GA 30309 | 2012-06-22 |
| 1316213788 | Oren Goltzer | Orthopaedic Surgery | 57 Executive Park S Ste 160-3, Atlanta, GA 30329-2288 | 2012-03-29 |
| 1457624215 | Allan Neil Levine | Orthopaedic Surgery | 1060 Riverside Trce Nw, Atlanta, GA 30328-3655 | 2012-02-09 |
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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.