SAINT JOSEPH'S MERCY CARE SERVICES INC (NPI# 1588663421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588663421 |
Entity Type | Organization |
Organization Name | SAINT JOSEPH'S MERCY CARE SERVICES INC |
Practice Address |
3367 Buford Hwy Ne Suite 910 Atlanta GA 30329-1709 |
Mailing Address |
424 Decatur St Se Atlanta GA 30312-1848 |
Practice Telephone | 6788438700 |
Practice Fax Number | 4046330502 |
Mailing Telephone | 6788438500 |
Mailing Fax Number | 6788438501 |
Enumeration Date | 2005-07-21 |
Last Update Date | 2011-01-31 |
Authorized Official Name | MR. E THOMAS ANDREWS JR. (PRESIDENT) |
Authorized Official Telephone | 6788438502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00649844B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831266618 | Saint Joseph's Mercy Care Services Inc | Clinic/Center | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2006-11-29 |
Street Address |
3367 BUFORD HWY NE SUITE 910 |
City | ATLANTA |
State | GA |
Zip Code | 30329-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699171140 | Marly Alexis Santana | Social Worker | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1833 | 2014-11-11 |
1225454309 | Maria Isabel Castaneda | Social Worker | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1833 | 2014-03-12 |
1750543815 | Stephen R Benoit | Preventive Medicine | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1833 | 2008-06-30 |
1548420177 | Theresa Anne Harrington | Internal Medicine | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 | 2008-06-17 |
1205021912 | Gabriel Esteban Onofre | Family Medicine | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1833 | 2007-09-06 |
1124225511 | Robert D Newman | Pediatrics | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 | 2007-06-28 |
1528174117 | Shelley E Kim | Pediatrics | 3367 Buford Hwy Ne, Suite 910, Atlanta, GA 30329-1833 | 2006-08-23 |
1780653972 | Karen M Tartt Callier | Dentist | 3367 Buford Hwy Ne, Suite910, Atlanta, GA 30329-1833 | 2006-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
1700328309 | Health Education Assessment and Leadership, Inc | Clinic/Center | 4215 Bakers Ferry Rd Sw, Miles Elementary School, Atlanta, GA 30331-4401 | 2016-11-14 |
1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
1912365263 | Fulton County Government | Clinic/Center | 265 Boulevard Ne Fl 3, Atlanta, GA 30312-1208 | 2016-02-02 |
1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
1760741102 | The Family Health Centers of Georgia, Inc | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2012-05-04 |
1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
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.