CHARLES D PROCTER JR. (NPI# 1598780488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598780488 |
| Entity Type | Individual |
| Full Name | CHARLES D PROCTER JR. |
| Other Name | CHARLEY D PROCTER JR. |
| Credential | MD |
| Practice Address |
3193 Howell Mill Rd Nw Ste 125 Atlanta GA 30327-2100 |
| Practice Telephone | 4704194380 |
| Practice Fax Number | 8777085261 |
| Mailing Telephone | 4704194380 |
| Mailing Fax Number | 8777085261 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 059108 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 52222643 | 01 |
| GA | CIGNA | 7992557 | 01 |
| GA | COVENTRY | 1139200 | 01 |
| GA | AETNA | 9243155 | 01 |
| GA | BC/BS OF GEORGIA | 52222643 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Bullsboro Dr Ste C, Newnan, GA 302631681 | 7706833230 | 8777085261 |
| 550 Eagles Landing Pkwy Ste 204, Stockbridge, GA 302819082 | 6787823866 | 8777085261 |
| 900 Towne Lake Pkwy Ste 302, Woodstock, GA 301891604 | 4704194380 | 8777085261 |
| 300 Bullsboro Dr Ste B, Newnan, GA 302631681 | 7705197949 | 8777085261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457369258 | Charles Daniel Procter Sr. | Surgery | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2006-08-04 |
| Street Address |
3193 HOWELL MILL RD NW STE 125 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518907625 | Lee John Skandalakis | Surgery | 3193 Howell Mill Rd Nw Ste 125, Atlanta, GA 30327-2100 | 2006-06-07 |
| 1134686090 | Beltline Weight Loss LLC | 3193 Howell Mill Rd Nw Ste 125, Atlanta, GA 30327-2100 | 2019-02-27 | |
| 1285190389 | Taylor Knittel | Dietitian, Registered | 3193 Howell Mill Rd Nw Ste 125, Atlanta, GA 30327-2100 | 2019-02-13 |
| 1245710144 | Michelle Lynn Ledford | Nurse Practitioner | 3193 Howell Mill Rd Nw Ste 125, Atlanta, GA 30327 | 2018-08-20 |
| 1700232865 | Beltline Bariatric and Surgical Group LLC | 3193 Howell Mill Rd Nw Ste 125, Atlanta, GA 30327-2100 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073028866 | Empire Medical Billing Solutions, Lls | Surgery | 3535 Peachtree Rd Ne Ste 520-252, Atlanta, GA 30326-3287 | 2017-12-03 |
| 1316338197 | My Concierge Surgery LLC | Surgery | 1233 Spring Park Dr Sw, Atlanta, GA 30311-2410 | 2015-02-14 |
| 1467841445 | Atlanta Surgery Associates LLC | Surgery | 550 Peachtree St Ne Ste 1430, Atlanta, GA 30308-2242 | 2015-01-14 |
| 1205230554 | Intralign Ga PC | Surgery | 993 Johnson Fy Rd Ne # C, Atlanta, GA 30342-1620 | 2014-10-15 |
| 1457789570 | Just Breast, LLC | Surgery | 1841 Hedge Rose Dr Ne, Atlanta, GA 30324-2784 | 2013-10-29 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1962846873 | James Middleton Chang | Surgery | 5673 Peachtree Dunwoody Rd Ste 675, Atlanta, GA 30342-1774 | 2013-04-22 |
| 1346583028 | Katherine Jane Baxter | Surgery | 1364 Clifton Rd Ne Rm H120, Atlanta, GA 30322-1059 | 2013-04-01 |
| 1629311451 | Yuda Liu | Surgery | 5665 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1701 | 2013-03-29 |
| 1609117357 | Brook Cardiothoracic Surgery LLC | Surgery | 550 Peachtree St Ne Ste 1035, Atlanta, GA 30308-2221 | 2013-03-05 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on CHARLES D PROCTER JR..
| 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.