DR. JANA A STOCKWELL (NPI# 1487617528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487617528 |
| Entity Type | Individual |
| Full Name | DR. JANA A STOCKWELL |
| Credential | M.D. |
| Practice Address |
1405 Clifton Rd Ne Atlanta GA 30322-1060 |
| Practice Telephone | 4047856397 |
| Practice Fax Number | 4047856233 |
| Mailing Telephone | 4047856397 |
| Mailing Fax Number | 4047856233 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
042453 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000713072 | 05 |
| Street Address |
1405 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167040 | Kiesha Fraser Doh | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-01-06 |
| 1316548654 | Alexa Shea | Audiologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-11-03 |
| 1669071866 | Tara Hynes | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-10-20 |
| 1255947628 | Lauren Nicole Halula | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-09-21 |
| 1003424151 | Meagan Green | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-07-15 |
| 1518587096 | Diane Bailey | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-24 |
| 1194345264 | Meghan Mchale | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-19 |
| 1194344788 | Marisa Winter | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-13 |
| 1073142410 | Kaley Laurence French | Student in an Organized Health Care Education/Training Program | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-07 |
| 1326677600 | Chari Lakey | Technician/Technologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-3050 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000358 | Spring Heather Ou-tim | Pediatrics | 5461 Meridian Marks Rd Ste 540, Atlanta, GA 30342-3283 | 2018-10-26 |
| 1477796951 | Geoffrey Edward Mickells | Pediatrics | 5901-b Peachtree Dunwoody Rd, Suite B-420, Atlanta, GA 30328-7156 | 2009-04-13 |
| 1225455793 | Lisa Lima | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1020 | 2014-03-23 |
| 1265775159 | Neelima Krishnapriya Marupudi | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-03-29 |
| 1114215431 | Asaad G Beshish | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-5000 | 2011-07-20 |
| 1316238074 | Nabihah R Mahmood | Pediatrics | 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2011-04-28 |
| 1033437215 | Brandon W Kirkland | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2010-05-12 |
| 1235371212 | Jocelyn Rebecca Grunwell | Pediatrics | 1405 Clifton Rd Ne, Choa Egleston, Tower 1, 4th Floor Ccm Offices, Atlanta, GA 30322-1059 | 2009-04-06 |
| 1659513224 | Amanda Ruth | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2009-03-29 |
| 1295992972 | Mary Lihinie Dealmeida | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2008-05-20 |
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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.