HEALTHY STEPS PEDIATRICS, LLC (NPI# 1548567019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548567019 |
| Entity Type | Organization |
| Organization Name | HEALTHY STEPS PEDIATRICS, LLC |
| Practice Address |
3911 Mary Eliza Trce Nw Suite 200 Marietta GA 30064-1086 |
| Practice Telephone | 6783843480 |
| Practice Fax Number | 6783843481 |
| Mailing Telephone | 6783843480 |
| Mailing Fax Number | 6783843481 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | MARY BARNES HAMMOCK (OWNER) |
| Authorized Official Telephone | 6783843480 |
| Authorized Official Credential | CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
RN138345NP | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000978436D | 05 |
| Street Address |
3911 MARY ELIZA TRCE NW SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720136476 | Mary B. Hammock | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2007-01-08 |
| 1467936559 | Healthy Collaborations LLC | Behavioral Analyst | 3911 Mary Eliza Trce Nw, Marietta, GA 30064-1086 | 2018-09-24 |
| 1487105672 | Meagan Darling | Nurse Practitioner | 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 | 2016-10-22 |
| 1780059626 | Lauren Youmans | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2015-12-03 |
| 1295078954 | Young Jin Yang | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861545 | Careatc | Clinic/Center | 2130 Northwest Pkwy Se Ste H, Marietta, GA 30067-9307 | 2019-09-25 |
| 1205388980 | Careatc-quicktrip Atlanta-glenridge | Clinic/Center | 2130 Northwest Pkwy Se, Suite H, Marietta, GA 30067-9307 | 2016-10-28 |
| 1083071773 | Irshad Syed Md LLC | Clinic/Center | 2382 Monte Villa Cts, Marietta, GA 30062-2899 | 2016-01-26 |
| 1144500117 | Ann Drake Thomas M.d.,p.c. | Clinic/Center | 670 Canton Rd Ne, Suite A, Marietta, GA 30060-8952 | 2011-08-23 |
| 1194047050 | Cobb Pediatrics, P.C. | Clinic/Center | 410 Villa Rica Way Sw, Marietta, GA 30064-5741 | 2010-02-19 |
| 1255562757 | Williams Wellness Center | Clinic/Center | 2799 Delk Rd Se, Suite 100, Marietta, GA 30067-6247 | 2009-07-31 |
| 1871752410 | Pearl Medical & Associates, LLC | Clinic/Center | 2550 Windy Hill Rd Se Ste 109, Marietta, GA 30067-8607 | 2008-06-09 |
| 1437668548 | Health and Spine Clinic Corp | Clinic/Center | 2475 Windy Hill Rd Se, Marietta, GA 30067-8604 | 2017-09-21 |
| 1003356361 | Proactive Physicians of Marietta, PC | Clinic/Center | 790 Church St Ne, Suite 220, Marietta, GA 30060-7282 | 2017-03-06 |
| 1891234118 | Kennestone Family Medicine | Clinic/Center | 72 Plaza Way Nw, Marietta, GA 30060-1104 | 2017-02-20 |
| Find all providers in MARIETTA | ||||
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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.