DR. PAUL HENRY EARLEY (NPI# 1588690457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588690457 |
| Entity Type | Individual |
| Full Name | DR. PAUL HENRY EARLEY |
| Credential | M.D. |
| Practice Address |
4015 S Cobb Dr Se Smyrna GA 30080-6303 |
| Mailing Address |
4015 S Cobb Dr Se Smyrna GA 30080-6315 |
| Practice Telephone | 7704310005 |
| Practice Fax Number | 7704310176 |
| Mailing Telephone | 7704310005 |
| Mailing Fax Number | 7704310176 |
| 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 | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
030454 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056986 | Paul Earley | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2019-07-29 |
| Street Address |
4015 S COBB DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617351 | Carlton D Haggard | Social Worker | 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 | 2005-05-31 |
| 1417414632 | Mike Phillips LLC | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-24 |
| 1629534896 | Michael C Phillips | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-13 |
| 1902358146 | Hannah Jay Sabella | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 | 2016-11-03 |
| 1124470729 | Richard Charles Lie-nielsen | Counselor | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-07-07 |
| 1508216136 | Jason Rhoads | Counselor | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2016-06-14 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1669833448 | Christine Engstrom | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-03-08 |
| 1700246550 | Personal Recovery Network LLC | Counselor | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-03-07 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346770864 | Brenda Lewis | Counselor | 4577 Valley Pkwy Se, Apt P, Smyrna, GA 30082-3008 | 2017-06-18 |
| 1508394842 | Adam B Center | Counselor | 100 Sunnyside Rd Bldg 1, Smyrna, DE 19977-1752 | 2017-05-31 |
| 1639585367 | Candace A Glaviano | Counselor | 107 Apoorva Ln, Smyrna, DE 19977-4810 | 2014-07-02 |
| 1366707937 | Michele Alexander Bowdoin | Counselor | 405 Smyrna Square Dr, Smyrna, TN 37167-3000 | 2012-07-10 |
| 1881900330 | Michael C Gordon Md LLC | Counselor | 4015 S Cobb Dr Se Ste 275, Smyrna, GA 30080-6357 | 2010-08-22 |
| 1215243811 | Arneice A Ritchie | Counselor | 639 Widener Ln, Smyrna, DE 19977-1761 | 2010-08-20 |
| 1114171691 | Terrence K Pierce | Counselor | 4015 S Cobb Dr Se Ste 220, Smyrna, GA 30080-6316 | 2008-11-10 |
| 1508038571 | Lois Ann Dutton | Counselor | 2605 Bridlewood Ln Se, Smyrna, GA 30080-7376 | 2008-03-30 |
| 1861553059 | Cynthia Wynn | Counselor | 1246 Concord Rd Se Ste A204, Smyrna, GA 30080-4374 | 2006-12-12 |
| 1013006584 | Tommie M Richardson | Counselor | 4015 S Cobb Dr, #115, Smyrna, GA 30080 | 2006-10-12 |
| Find all providers in SMYRNA | ||||
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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.