CARLO C MCCALLA (NPI# 1467679845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467679845 |
| Entity Type | Individual |
| Full Name | CARLO C MCCALLA |
| Credential | MD |
| Practice Address |
6285 Garden Walk Blvd Ste A Riverdale GA 30274-2625 |
| Practice Telephone | 7709911500 |
| Practice Fax Number | 7709919745 |
| Mailing Telephone | 7709911553 |
| Mailing Fax Number | 7709919745 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 049886 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
049886 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1467679845 | 05 |
| Street Address |
6285 GARDEN WALK BLVD STE A |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639109424 | Joseph N. Saba | Specialist | 6285 Garden Walk Blvd, Suite C, Riverdale, GA 30274-2612 | 2006-07-04 |
| 1154509941 | Center Neurology, P.C. | Specialist | 6285 Garden Walk Blvd, Suite C, Riverdale, GA 30274-2612 | 2008-02-05 |
| 1689881989 | Infectious Diseases Associates, PC | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2007-05-17 |
| 1932238961 | Infectious Disease Associates 2 LLC | Obstetrics & Gynecology | 6285 Garden Walk Blvd, Suite A, Riverdale, GA 30274-2612 | 2007-03-05 |
| 1427064583 | Richard Prokesch | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2006-07-31 |
| 1548276603 | Lee A Diamond | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689881989 | Infectious Diseases Associates, PC | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2007-05-17 |
| 1427064583 | Richard Prokesch | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2006-07-31 |
| 1548276603 | Lee A Diamond | Internal Medicine | 6285 Garden Walk Blvd, Ste A, Riverdale, GA 30274-2612 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1417571175 | Infusimed, LLC | Internal Medicine | 2193 Cascade Rd Sw, Atlanta, GA 30311-2862 | 2020-05-28 |
| 1528689841 | Elysium Health and Wellness | Internal Medicine | 5555 Peachtree Dunwoody Rd Ste 201, Atlanta, GA 30342-1711 | 2020-04-27 |
| 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 |
| 1942635081 | Faebris Medical & Community Education | Internal Medicine | 3939 Lavista Rd Ste E-310, Tucker, GA 30084-5162 | 2013-09-09 |
| 1275970253 | Bernard M Branson | Internal Medicine | 2175 Eldorado Dr Ne, Atlanta, GA 30345-3414 | 2013-05-30 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1831439744 | Frank Owen Evans Jr. | Internal Medicine | 220 E Montgomery St, Milledgeville, GA 31061-3533 | 2013-03-01 |
| 1972863629 | Jacobo Leon | Internal Medicine | 1500 Oglethorpe Ave Ste 300b, Athens, GA 30606-2181 | 2012-05-29 |
| 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.