MRS. TONYA MICHELLE OGLETREE (NPI# 1477540946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477540946 |
Entity Type | Individual |
Full Name | MRS. TONYA MICHELLE OGLETREE |
Credential | P.A.C. |
Practice Address |
165 N Park Trl Suite 100 Stockbridge GA 30281-6500 |
Practice Telephone | 7705061800 |
Practice Fax Number | 7705064686 |
Mailing Telephone | 7705061800 |
Mailing Fax Number | 7705064686 |
Enumeration Date | 2005-09-30 |
Last Update Date | 2015-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004599 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
165 N PARK TRL SUITE 100 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-6500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942716840 | Jessica Leann Nieves | Physician Assistant | 165 N Park Trl, Stockbridge, GA 30281 | 2017-12-14 |
1942637954 | Pain Management Specialists of Atlanta P C | Anesthesiology | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2013-10-04 |
1801110275 | Ga Pain Management Center, LLC | Clinic/Center | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2010-03-15 |
1316145675 | Jeffrey Yoonsuk Lee | Physical Medicine & Rehabilitation | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2007-07-10 |
1619024692 | Raffaela R Isett | Physician Assistant | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2007-01-04 |
1962459198 | Ashna Parti | Pain Medicine | 165 N Park Trl, Ste 100, Stockbridge, GA 30281-6500 | 2006-05-31 |
1720031503 | Randall Charles Berinhout | Pain Medicine | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2006-05-19 |
1518923218 | Sherrell Monique Forston | Physician Assistant | 165 N Park Trl, Suite 100, Stockbridge, GA 30281-6500 | 2006-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033218581 | Charla V Johnson | Physician Assistant | 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281-7343 | 2006-09-21 |
1972068633 | Christopher Yegge | Physician Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-02-07 |
1598240269 | Kris Magpantay | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2018-09-28 |
1932649902 | Rebekah Worley | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2017-02-24 |
1063956431 | Jerrica Miles | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2016-12-05 |
1225420938 | Nguyen Ngoc Thi Vu | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2015-03-04 |
1023415528 | Michael C. Martin | Physician Assistant | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 | 2014-11-26 |
1225476492 | Monica Sohani | Physician Assistant | 210 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2013-06-11 |
1245579572 | David Didier | Physician Assistant | 290 Country Club Dr, 200, Stockbridge, GA 30281-9069 | 2013-02-06 |
1831453570 | Shannon Lynn Pearce | Physician Assistant | 830 Eagles Landing Pkwy, Stockbridge, GA 30281-7366 | 2012-06-27 |
Find all providers in STOCKBRIDGE |
City | STOCKBRIDGE |
Zip Code | 30281 |
Please comment or provide details below to improve the information on MRS. TONYA MICHELLE OGLETREE.
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.