LRDJ LLC (NPI# 1578003349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578003349 |
| Entity Type | Organization |
| Organization Name | LRDJ LLC |
| Practice Address |
790 Huff Rd Nw Apt 4055 Atlanta GA 30318-4373 |
| Mailing Address |
60 Carriage Oaks Dr Tyrone GA 30290-1684 |
| Practice Telephone | 3016748761 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | DR. JULIAN STEWART (ORTHODONTIST/CEO) |
| Authorized Official Telephone | 3016748761 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DN014757 | GA | Managed Care Organizations |
| Street Address |
790 HUFF RD NW APT 4055 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1588052641 | Bjmm Medical LLC | Preferred Provider Organization | 1287 Glenwood Ave Se Ste C, Atlanta, GA 30316-1932 | 2014-12-24 |
| 1982955902 | Melson Counseling & Consulting Group | Preferred Provider Organization | 2900 Chamblee Tucker Rd Bldg 5-300, Atlanta, GA 30341-4158 | 2012-10-01 |
| 1013296078 | Peachtree Spine Center | Preferred Provider Organization | 1401 Peachtree St Ne Ste 160, Atlanta, GA 30309-3000 | 2011-08-09 |
| 1588812465 | Applications Technology Group, Inc. | Preferred Provider Organization | 5825 Glenridge Dr Ne Bldg 3, Atlanta, GA 30328-5387 | 2008-09-04 |
| 1851439830 | Dr.lily Narusevicius | Preferred Provider Organization | 4890 Roswell Rd Ne Ste 100, Atlanta, GA 30342-2606 | 2007-02-02 |
| 1679680557 | Nicholas Jean Beaulieu | Preferred Provider Organization | 920 Ponce De Leon Ave Ne, 920 Ponce De Leon Ave, Atlanta, GA 30306-4212 | 2006-08-24 |
| 1407365224 | Ascension Wellness Inc | Preferred Provider Organization | 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 | 2017-09-25 |
| 1538559729 | Mind's Eye Enterprises, LLC | Preferred Provider Organization | 455 E Paces Ferry Rd Ne, Suite 332, Atlanta, GA 30305-3313 | 2015-01-27 |
| 1699199554 | Care Choice Adult Development Program Inc | Preferred Provider Organization | 1075 Peachtree St Ne Ste 3650, Atlanta, GA 30309-3934 | 2014-02-13 |
| 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.