SPELIOS AND ASSOCIATES- SUMMITT PC (NPI# 1447483730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447483730 |
| Entity Type | Organization |
| Organization Name | SPELIOS AND ASSOCIATES- SUMMITT PC |
| Practice Address |
3823 Roswell Rd Suite 205 Marietta GA 30062-6278 |
| Practice Telephone | 7709739275 |
| Practice Fax Number | 7709731915 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | DONALD WALKER DEHAVEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6788791177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
3823 ROSWELL RD SUITE 205 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839925 | Clarence Lyn Crooms | Orthopaedic Surgery | 3823 Roswell Rd, Suite 202, Marietta, GA 30062-6278 | 2005-05-27 |
| 1295289478 | David Mccollum | Dentist | 3823 Roswell Rd, #205, Marietta, GA 30062-6278 | 2016-08-05 |
| 1952773947 | Integrity Orthodontics, LLC | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-10-29 |
| 1326416256 | Integrity Orthodontics | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-09-09 |
| 1609208461 | Ruximar Hernandez Linkous | Dentist | 3823 Roswell Rd, Suite 205, Marietta, GA 30062-6278 | 2013-08-04 |
| 1184986887 | Laurie Ann Cavallaro | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2012-06-09 |
| 1982855094 | Richard H. Erickson | Dentist | 3823 Roswell Rd, Suite 104, Marietta, GA 30062-6278 | 2008-10-07 |
| 1922259563 | Family Wellcare Center Inc. | Family Medicine | 3823 Roswell Rd, Suite 214, Marietta, GA 30062-6278 | 2008-10-01 |
| 1154530293 | Michael L. Leingang, IIi, Dds, PC | Dentist | 3823 Roswell Rd, Suite 201, Marietta, GA 30062-6278 | 2007-05-22 |
| 1134347222 | William Robert Hansmann | Dentist | 3823 Roswell Rd, Suite 104, Marietta, GA 30062-6278 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1801204409 | Yvonne G. Jarrett | Point of Service | 2651 Flintlock Ln Sw, Marietta, GA 30008-5016 | 2014-07-27 |
| 1750763132 | Primary Medical Homecare LLC | Point of Service | 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 | 2015-06-23 |
| 1790194066 | Diversified Diagnostics, Inc | Point of Service | 2440 Sandy Plains Rd, Suite 115, Marietta, GA 30066-7217 | 2014-08-12 |
| 1316098965 | Spelios and Associates Delk Road PC | Point of Service | 2759 Delk Rd Se, Suite 105, Marietta, GA 30067-8847 | 2007-01-12 |
| 1437219656 | Wellstar Health System, Inc. | Point of Service | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-12-11 |
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| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
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| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1861856486 | Golden Isles Chiropractic | Point of Service | 62 Lisa Rd, Homerville, GA 31634-1513 | 2016-04-09 |
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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.