MR. CLARENCE THOMAS MILLIKIN (NPI# 1609883016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609883016 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE THOMAS MILLIKIN |
| Credential | PA-C |
| Practice Address |
3200 Downwood Cir Nw Suite 500 Atlanta GA 30327-1610 |
| Mailing Address |
111 Royal Burgess Way Mcdonough GA 30253-4283 |
| Practice Telephone | 4043524500 |
| Practice Fax Number | 4043500722 |
| Mailing Telephone | 4043524500 |
| Mailing Fax Number | 4043500722 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
002525 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002525 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 002525 | 01 |
| Street Address |
3200 DOWNWOOD CIR NW SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708929 | Novamed Management Services LLC | Clinic/Center | 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 | 2005-05-23 |
| 1679185342 | Carmen Bradshaw | Nurse Practitioner | 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 | 2020-08-23 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| 1174072383 | Pamela Lyman | Nurse Practitioner | 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 | 2016-09-28 |
| 1811357502 | Stacey Dawn Tatroe | Nurse Practitioner | 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 | 2016-02-24 |
| 1528425360 | Clark Laser & Cosmetic Dermatology, LLC | Dermatology | 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610 | 2016-01-25 |
| 1831554765 | Atlanta Knee and Shoulder Clinic PC | Non-Pharmacy Dispensing Site | 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 | 2015-12-18 |
| 1699143131 | Atlanta Center for Endodontics, P.C. | Clinic/Center | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1407224991 | Melanie Burns | Dentist | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1770963993 | Ansley Mccarter | Physical Therapist | 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 | 2015-06-03 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1417422916 | Alison Miller | Physician Assistant | 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 | 2018-10-10 |
| 1588139414 | Tammy May Luu | Physician Assistant | 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 | 2018-10-08 |
| 1104323476 | Cody Weldon Howell | Physician Assistant | 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 | 2018-04-12 |
| 1659895373 | Sudhisha Kumari Jala | Physician Assistant | 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 | 2017-08-03 |
| 1487178893 | Magdalena Kertscher | Physician Assistant | 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 | 2017-07-27 |
| 1841738044 | Adrienne Anderson | Physician Assistant | 1800 Howell Mill Rd Nw Ste 450, Atlanta, GA 30318-2508 | 2017-02-08 |
| 1730623802 | Catherine Lynn Johnson | Physician Assistant | 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 | 2016-12-08 |
| 1649626938 | Alex Phillip Schultz | Physician Assistant | 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 | 2016-05-05 |
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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.