TREKEN PRIMARY CARE INC (NPI# 1588169759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588169759 |
Entity Type | Organization |
Organization Name | TREKEN PRIMARY CARE INC |
Practice Address |
777 Cleveland Ave Sw Atlanta GA 30315-7129 |
Practice Telephone | 4043050004 |
Practice Fax Number | 4043050494 |
Mailing Telephone | 4043050004 |
Mailing Fax Number | 4043050494 |
Enumeration Date | 2018-03-28 |
Last Update Date | 2019-09-05 |
Authorized Official Name | CHERYLANCE FARNUM (PROVIDER) |
Authorized Official Telephone | 4043050004 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
777 CLEVELAND AVE SW |
City | ATLANTA |
State | GA |
Zip Code | 30315-7129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063410173 | Anthony Edward Barnes | Urology | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7129 | 2005-07-12 |
1700307139 | Gloria Mixon | Occupational Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2017-07-06 |
1407211139 | Trisha Brown | Counselor | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-12-22 |
1972976348 | Safira Zayas | Massage Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2015-11-07 |
1609246800 | Jeannette Hokanson | Counselor | 777 Cleveland Ave Sw, Suite 301, Atlanta, GA 30315-7129 | 2015-09-30 |
1801270335 | Serene Reflections for Holistic Behavior Wellness, LLC | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-07-15 |
1144665415 | Eric Alexander Lohman | Social Worker | 777 Cleveland Ave Sw, Suite 316, Atlanta, GA 30315-7129 | 2013-05-01 |
1851657167 | Pathways Career Services | Day Training, Developmentally Disabled Services | 777 Cleveland Ave Sw, 316, Atlanta, GA 30315-7129 | 2012-04-11 |
1710284435 | Gates Rapid Diagnostic Laboratory of Atlanta | General Practice | 777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129 | 2011-02-15 |
1447553292 | Stanston D. Spence M.d., P.C. | Specialist | 777 Cleveland Ave Sw, Suite 305, Atlanta, GA 30315-7129 | 2010-12-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
Find all providers in zip 30315 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003078296 | Carzadean Bernadette Hall | Internal Medicine | 185 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2008-06-28 |
1164472338 | Ar Medical LLC | Internal Medicine | 15 Mcdonald St, Ludowici, GA 31316-4500 | 2006-05-11 |
1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
1063751402 | Focus Care Medical Center | Internal Medicine | 2171 Northlake Pkwy, Tucker, GA 30084-4104 | 2013-02-05 |
1831406024 | Vinilkumar Badri | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2010-09-09 |
1003076001 | Shonali Saha | Internal Medicine | 3200 Highlands Pkwy Se, Ste 400, Smyrna, GA 30082-5166 | 2008-06-12 |
1982714333 | Saima Khan | Internal Medicine | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 2006-08-30 |
1023067147 | Ognjenka Goga Brkic-vukotic | Internal Medicine | 11050 Crabapple Rd, Suite 104 B, Roswell, GA 30075-2489 | 2006-05-08 |
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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.