GEORGIA INTERNAL MED ASSOC 2 LLC (NPI# 1457481152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457481152 |
| Entity Type | Organization |
| Organization Name | GEORGIA INTERNAL MED ASSOC 2 LLC |
| Practice Address |
3875 Austell Rd Suite 101 Austell GA 30106-1103 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 4049430205 |
| Mailing Telephone | 4049430205 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALICIA HOLDEN (LEAD) |
| Authorized Official Telephone | 4049430205 |
| Authorized Official Credential | ACCOUNTING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
3875 AUSTELL RD SUITE 101 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706915 | Janice Wynell Carlile | Pharmacist | 3875 Austell Rd, Suite 302, Austell, GA 30106-1103 | 2005-08-02 |
| 1487193793 | Donna Hasterok | Nurse Practitioner | 3875 Austell Rd, Suite 101, Austell, GA 30106-1103 | 2017-02-20 |
| 1194167767 | Ofelia Maria Pineda | Pharmacist | 3875 Austell Rd, Suite 302, Austell, GA 30106-1103 | 2013-07-24 |
| 1427326495 | Women's Healthcare Center of Georgia | Specialist | 3875 Austell Rd, Suite 301, Austell, GA 30106-1103 | 2011-12-06 |
| 1285880443 | Sital Vijendra Patel | Psychiatry & Neurology | 3875 Austell Rd, Suite 204, Austell, GA 30106-1103 | 2008-08-07 |
| 1831367119 | Britni Lynn Lockwood | Physician Assistant | 3875 Austell Rd, Suite 201, Austell, GA 30106-1103 | 2008-02-20 |
| 1861605594 | Warren M Weber Md PC | Internal Medicine | 3875 Austell Rd, 203, Austell, GA 30106-1103 | 2007-05-08 |
| 1366502155 | James A Sexson | Internal Medicine | 3875 Austell Rd, Suite 203, Austell, GA 30106-1103 | 2006-12-11 |
| 1134151681 | Georgia Internal Medicine Associates, P.a. | Internal Medicine | 3875 Austell Rd, Suite 101, Austell, GA 30106-1103 | 2006-07-07 |
| 1821036278 | Cobb Nephrology Hypertension Associates, PC | Internal Medicine | 3875 Austell Rd, Suite 101, Austell, GA 30106-1153 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1427158542 | Aisha Oseye Woodard-redmond | Obstetrics & Gynecology | 3640 Tramore Pointe Parkway, Kaiser Permanent West Cobb Medical Center, Austell, GA 30106 | 2006-09-25 |
| 1134425283 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 | 2011-02-08 |
| 1013213651 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2011-01-30 |
| 1770711129 | Maria Mischelle Casiano | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 | 2009-06-24 |
| 1639320260 | Sekeyta Gerald Hall | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 | 2008-10-01 |
| 1386859163 | Yoon Jeong Chang | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2007-05-14 |
| 1356464432 | Scott F Reynolds | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 500, Austell, GA 30106-6810 | 2007-04-06 |
| 1306922596 | Leslie A Choy-hee | Obstetrics & Gynecology | 3950 Austell Rd, Austell, GA 30106 | 2006-10-31 |
| 1740363746 | Karen T. Hamilton | Obstetrics & Gynecology | 3950 Austell Road, Ob/gyn Hospitalists Office, Austell, GA 30106 | 2006-10-23 |
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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.