PEDIATRICS AND ADULT MEDICINE INC. (NPI# 1598125312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598125312 |
Entity Type | Organization |
Organization Name | PEDIATRICS AND ADULT MEDICINE INC. |
Practice Address |
4153 Flat Shoals Pkwy Bld C Suite 300b Decatur GA 30034-4106 |
Practice Telephone | 4043866510 |
Practice Fax Number | 4045002097 |
Mailing Telephone | 4043866510 |
Mailing Fax Number | 4045002097 |
Enumeration Date | 2016-03-07 |
Last Update Date | 2017-03-03 |
Authorized Official Name | MS. MICHELE SEWELL (OWNER) |
Authorized Official Telephone | 7706397993 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
4153 FLAT SHOALS PKWY BLD C SUITE 300B |
City | DECATUR |
State | GA |
Zip Code | 30034-4106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
Find all providers in zip 30034 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1568967081 | Bernice R Swain Do Pllc | Clinic/Center | 2424 Danville Rd Sw Ste L, Decatur, AL 35603-4219 | 2018-03-27 |
1366972523 | Strawbridge Health LLC | Clinic/Center | 4150 Snapfinger Woods Dr Ste 100a, Decatur, GA 30035-3417 | 2017-06-19 |
1194120956 | Tricia Salmon Anderson | Clinic/Center | 5040 Snapfinger Woods Dr Ste 104, Decatur, GA 30035-4020 | 2014-10-22 |
1548671936 | Decatur Wellness Services, Inc. | Clinic/Center | 235 E Ponce De Leon Ave Ste 308, Decatur, GA 30030-3412 | 2014-05-19 |
1295175909 | Oakhurst Pediatrics, LLC | Clinic/Center | 317 W Hill St Ste 111, Suite 111, Decatur, GA 30030-4368 | 2013-06-26 |
1679814735 | Power In The Pews Ministry, Inc. | Clinic/Center | 5026 Snapfinger Woods Dr, Ste 110, Decatur, GA 30035-4063 | 2013-03-13 |
1912440207 | Oscar Medical, Inc | Clinic/Center | 3375 Memorial Dr, Decatur, GA 30032-2706 | 2016-11-18 |
1053867929 | Empower Family Medicine | Clinic/Center | 209 Swanton Way Ste A, Suite 101, Decatur, GA 30030-3274 | 2016-08-30 |
1982052585 | Springboard Pediatrics Inc | Clinic/Center | 2980 N Main St, Suite 2, Decatur, IL 62526-3291 | 2016-05-25 |
Find all providers in DECATUR |
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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.