PROVIDER PARTNERS, LLC DBA YOUR VIRTUAL CLINCIAL (NPI# 1598233231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598233231 |
| Entity Type | Organization |
| Organization Name | PROVIDER PARTNERS, LLC DBA YOUR VIRTUAL CLINCIAL |
| Other Organization Name | YOUR VIRTUAL CLINIC |
| Practice Address |
1815 Satellite Blvd Ste 403 Duluth GA 30097-5239 |
| Mailing Address |
450 Old Peachtree Rd Nw Ste 101 Suwanee GA 30024-7289 |
| Practice Telephone | 7704015200 |
| Mailing Telephone | 7704015200 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | RUTHERFORD POLHILL (OWNER) |
| Authorized Official Telephone | 7704015200 |
| Is Organization Subpart | Y |
| Parent Organization Name | TKRR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Your Virtual Clinic | Doing Business As Name - Organization |
| Street Address |
1815 SATELLITE BLVD STE 403 |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645310 | Quantum Grace Solutions LLC | Home Health | 6555 Sugarloaf Pkwy Ste 307-106, Duluth, GA 30097-4930 | 2020-09-23 |
| 1790303444 | Latravia Lishell Williams | Home Health | 1335 Herrington Rd Apt 2722, Duluth, GA 30096-6422 | 2020-07-09 |
| 1528685138 | M. A. Health Services, Inc. | Home Health | 3973 Stillwater Dr, Duluth, GA 30096-5589 | 2020-06-30 |
| 1639795610 | Dunamis Healthcare Services | Home Health | 2028 The Falls Pkwy, Duluth, GA 30096-8805 | 2020-06-25 |
| 1427532704 | 1st Option Healthcare,llc | Home Health | 1810 Peachtree Industrial Blvd Ste 215, Duluth, GA 30097-8177 | 2018-09-21 |
| 1306326475 | Caringcompanions Home Care Services LLC | Home Health | 3121 Barkley Square Dr, Duluth, GA 30097-3453 | 2018-08-18 |
| 1306359179 | Anthony Olajide | Home Health | 3780 Old Norcross Rd # 103-366, Duluth, GA 30096-1740 | 2017-11-14 |
| 1437678885 | Teleigha L Peavy | Home Health | 2695 Kingsbrooke Ln, Duluth, GA 30097-7392 | 2017-09-18 |
| 1194250233 | Katie T Dang | Home Health | 4370 Satellite Blvd, #834, Duluth, GA 30096-8843 | 2017-04-26 |
| 1639627391 | Recover Health of Minnesota, Inc | Home Health | 4609 Grand Ave, Duluth, MN 55807-2749 | 2016-09-12 |
| Find all providers in DULUTH | ||||
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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.