LUCKY JAIN (NPI# 1497781215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497781215 |
| Entity Type | Individual |
| Full Name | LUCKY JAIN |
| Credential | MD |
| Practice Address |
2015 Uppergate Drive 3rd Floor Atlanta GA 30322-0001 |
| Practice Telephone | 4047271471 |
| Practice Fax Number | 4047277233 |
| Mailing Telephone | 4047271471 |
| Mailing Fax Number | 4047277233 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
038813 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2015 UPPERGATE DRIVE 3RD FLOOR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314003 | Carissa Aubrey Hayes | Nurse Practitioner | 2015 Uppergate Drive, Atlanta, GA 30322-0001 | 2020-04-07 |
| 1285113373 | Jessica Marie Buzenski | Psychologist | 2015 Uppergate Drive, Atlanta, GA 30322-0001 | 2018-08-09 |
| 1720507114 | Meredith Varnadore | Nurse Practitioner | 2015 Uppergate Drive, Atlanta, GA 30322-0001 | 2017-09-17 |
| 1902255193 | Robert Andrew Morgan | Student in an Organized Health Care Education/Training Program | 2015 Uppergate Drive, Atlanta, GA 30322-5809 | 2016-06-08 |
| 1053724989 | Amanda Macgregor Harrington | Pediatrics | 2015 Uppergate Drive, Atlanta, GA 30322-1552 | 2014-06-09 |
| 1073742045 | Addie Beatrice Lofton | Registered Nurse | 2015 Uppergate Drive, Atlanta, GA 30322 | 2009-07-10 |
| 1366628091 | Olufolake Adisa | Pediatrics | 2015 Uppergate Drive, 4th Floor, Atlanta, GA 30322-1062 | 2008-01-11 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124348826 | Suneeti Gupta | Pediatrics | 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 | 2010-06-03 |
| 1528201027 | Sarita A. Patel | Pediatrics | 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 | 2009-04-13 |
| 1598959124 | Danielle Cecelia Giliberti Kallmyer | Pediatrics | 1428 Markan Dr Ne, Atlanta, GA 30306-2305 | 2007-08-27 |
| 1710060256 | William Ranson Laforce | Pediatrics | 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 | 2006-10-20 |
| 1518047877 | Heidi Eigenrauch Karpen | Pediatrics | Emory Childrens Center Neonatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322-1014 | 2006-10-17 |
| 1891896478 | Mohammed Haytham Al Rabbat | Pediatrics | 115 Dunwoody Creek Ct, Atlanta, GA 30350-4318 | 2006-09-26 |
| 1891743878 | Anthony Joseph Piazza | Pediatrics | 49 Jesse Hill Jr Drive, Dept of Pediatrics, Division of Neonatal-perinatal Med, Atlanta, GA 30303-3049 | 2006-05-04 |
| 1851351944 | David P Carlton | Pediatrics | 2015 Uppergate Dr, Atlanta, GA 30327 | 2006-03-24 |
| 1053319228 | Kenneth G. Kupke | Pediatrics | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-07-12 |
| 1285632455 | William G. Keyes | Pediatrics | 5901b Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2005-07-12 |
| Find all providers in ATLANTA | ||||
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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.