MEDICAS MEDICAL CLINIC, LLC


Address: 5846 Stewart Pkwy, Douglasville, GA 30135-2374
Phone: 7706167758

MEDICAS MEDICAL CLINIC, LLC (NPI# 1598269250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598269250
Entity Type Organization
Organization Name MEDICAS MEDICAL CLINIC, LLC
Practice Address 5846 Stewart Pkwy
Douglasville
GA 30135-2374
Mailing Address Po Box 1215
Douglasville
GA 30133-1215
Practice Telephone 7706167758
Practice Fax Number 7704890822
Mailing Telephone 7706167758
Mailing Fax Number 7704890822
Enumeration Date 2018-03-19
Last Update Date 2018-03-19
Authorized Official Name MISS SARAH PRESIDENT (OWNER)
Authorized Official Telephone 7706167758
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN166739 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5846 STEWART PKWY
City DOUGLASVILLE
State GA
Zip Code 30135-2374

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265043301 Heart & Soul Wellness Solutions LLC Social Worker 4752 Pepper Tree Lane, Douglasville, GA 30135 2020-08-12
1477176923 R & J Health Care Clinic/Center 6853b Douglas Blvd Ste B, Douglasville, GA 30135 2020-05-19
1003479411 The Sister Circle of Love and Empowerment LLC Clinic/Center 4706 Boyer Glen Dr., Douglasville, GA 30135 2019-04-22
1457825358 Marcia Ann-marie Wilson Nurse Practitioner 4279 Caroline Court, Douglasville, GA 30135 2019-01-14
1225564917 Danielle Doebereiner-brown Nurse Practitioner 3872 Ga-5, Douglasville, GA 30135 2017-05-02
1851832430 Jennifer Williams Physical Therapist 4999 Presley Mill Rd, Douglasville, GA 30135 2017-03-15
1316484686 Geneva Brent Licensed Practical Nurse 2109 Fairburn Road, Douglasville, GA 30135 2017-01-25
1659816288 Stephanie Walthour Marriage & Family Therapist 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 2017-01-05
1770932105 Solutions 2 Wellness and Recovery,llc Social Worker 2256 Greenwood Meadows Lane, Douglasville, GA 30135 2016-06-07
1326408378 Sr & L Transport Services, LLC Non-emergency Medical Transport (VAN) 4841 Black Bear Trail, Douglasville, GA 30135 2016-03-03
Find all providers in zip 30135

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033710298 Karen F Frazier Nurse Practitioner 6610 Crest Wood Ln, Douglasville, GA 30135-9046 2020-11-04
1851915631 Lilian Pereira Nurse Practitioner Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 2020-06-08
1184268682 Rasheedat Adunni Ibrahim Nurse Practitioner 6712 Brookfield Way, Douglasville, GA 30134-1461 2019-10-29
1538717475 Shantel Brown Nurse Practitioner 3347 Surveyor Ct, Douglasville, GA 30135-8102 2019-09-03
1457825358 Marcia Ann-marie Wilson Nurse Practitioner 4279 Caroline Court, Douglasville, GA 30135 2019-01-14
1962986224 Sherry-ann Francis-grant Nurse Practitioner 6510 Manor Creek Dr, Douglasville, GA 30135-3681 2018-09-21
1891278602 Monique Danielle Jasper Nurse Practitioner 3090 Stone Oak Dr, Douglasville, GA 30135-1903 2018-09-09
1720560006 Chinelo Emekwue Nurse Practitioner 2361 Salah Cir, Douglasville, GA 30135-8159 2018-09-03
1477083913 Angela Long Nurse Practitioner 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 2017-06-18
1225564917 Danielle Doebereiner-brown Nurse Practitioner 3872 Ga-5, Douglasville, GA 30135 2017-05-02
Find all providers in DOUGLASVILLE

Competitor

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City DOUGLASVILLE
Zip Code 30135

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Dataset Information

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.

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