TERRI MARIE CLACK (NPI# 1487169173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487169173 |
Entity Type | Individual |
Full Name | TERRI MARIE CLACK |
Credential | NP-C |
Practice Address |
2550 Akers Mill Rd Se Apt C26 Atlanta GA 30339-3211 |
Practice Telephone | 7168120736 |
Practice Fax Number | 7168120736 |
Mailing Telephone | 7168120736 |
Enumeration Date | 2017-12-05 |
Last Update Date | 2017-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN214255 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2550 AKERS MILL RD SE APT C26 |
City | ATLANTA |
State | GA |
Zip Code | 30339-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
Find all providers in zip 30339 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1780238048 | Rasa Abital Teytel | Nurse Practitioner | 6105 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30328-5909 | 2019-07-25 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1780184366 | Anne E Taylor | Nurse Practitioner | 550 Peachtree St Ne Ste 1700, Atlanta, GA 30308-2262 | 2018-02-20 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1093068397 | Lauren Eichel Nourparvar | Nurse Practitioner | 2580 Oglethorpe Cir Ne, Atlanta, GA 30319-6602 | 2012-10-24 |
1346800257 | Regine G Vincent | Nurse Practitioner | 3750 Peachtree Rd Ne, Atlanta, GA 30319-1385 | 2019-06-13 |
1629582135 | Mary Rabon Murfee | Nurse Practitioner | 3280 Howell Mill Rd Nw Ste 150, Atlanta, GA 30327 | 2017-11-20 |
1124555180 | Obianauju Okoroafor | Nurse Practitioner | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2017-05-20 |
1386195683 | Kimberly Barbee | Nurse Practitioner | 550 Peachtree St Ne, Suite 1220, Atlanta, GA 30308-2212 | 2016-10-21 |
Find all providers in ATLANTA |
Please comment or provide details below to improve the information on TERRI MARIE CLACK.
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.