MYRON JAVON FALKNER (NPI# 1598196198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598196198 |
| Entity Type | Individual |
| Full Name | MYRON JAVON FALKNER |
| Credential | PMHNP |
| Practice Address |
150 Medical Way Suite F Riverdale GA 30274 |
| Practice Telephone | 2606020822 |
| Mailing Telephone | 2606020822 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5006650 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 MEDICAL WAY SUITE F |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427000777 | Benchmark Physical Therapy Inc | Occupational Therapist | 150 Medical Way, Suite E1, Riverdale, GA 30274-2533 | 2006-05-16 |
| 1114385598 | Amanda Holloway | Counselor | 150 Medical Way, Riverdale, GA 30274-2533 | 2016-02-01 |
| 1780040576 | Lifestyle Therapy Center, LLC | Counselor | 150 Medical Way, Suite F1, Riverdale, GA 30274-2533 | 2016-01-08 |
| 1265813059 | Amber Thomas Burns | Physical Therapist | 150 Medical Way, Ste E1, Riverdale, GA 30274-2533 | 2015-06-17 |
| 1396154837 | Maria Anjanette Costales Nunez | Physical Therapist | 150 Medical Way, Ste E1, Riverdale, GA 30274-2533 | 2014-08-08 |
| 1356624910 | Traci Pope Jordan | Physical Therapist | 150 Medical Way, Ste E1, Riverdale, GA 30274-2533 | 2011-09-21 |
| 1710122031 | Michael Harris | Physical Therapist | 150 Medical Way, Suite E1, Riverdale, GA 30274-2533 | 2008-12-16 |
| 1184844102 | Cameron Dewitt Barham | Physical Therapist | 150 Medical Way, Ste E1, Riverdale, GA 30274-2533 | 2007-05-01 |
| 1154467991 | Sadrudin J Sarangi | Internal Medicine | 150 Medical Way, Suite B - 1, Riverdale, GA 30274-2533 | 2007-01-29 |
| 1801942685 | Sadrudin J Sarangi, M D, P C | Internal Medicine | 150 Medical Way, Suite B - 1, Riverdale, GA 30274-2533 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815664 | Jordan Lea Goad | Nurse Practitioner | 189 Medical Way Ste C, Riverdale, GA 30274-4905 | 2019-01-22 |
| 1760035414 | Constance Francis-agalaba | Nurse Practitioner | 223 Medical Center Dr, Riverdale, GA 30274-2640 | 2019-07-22 |
| 1205488152 | Icare & Associates, LLC | Nurse Practitioner | 7574 Highway 85, Riverdale, GA 30274-3447 | 2019-07-11 |
| 1770142093 | Nkechi Nikki Franca Ukwandu | Nurse Practitioner | 4404 Queensbury Rd, Riverdale, MD 20737-1068 | 2019-06-10 |
| 1659615342 | Tyronjala Shontel Gainey-grant | Nurse Practitioner | 223 Medical Center Dr, Riverdale, GA 30274-2640 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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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.