DR. JIMI SAMUEL MALIK (NPI# 1619318045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619318045 |
| Entity Type | Individual |
| Full Name | DR. JIMI SAMUEL MALIK |
| Credential | M.D. |
| Practice Address |
1821 Clifton Rd Ne Ste 1017 Atlanta GA 30329-4021 |
| Mailing Address |
3105 Payton Rd Ne Atlanta GA 30345-2643 |
| Practice Telephone | 4047128979 |
| Mailing Telephone | 2293471114 |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 070276 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 070276 | GA | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
070276 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1821 CLIFTON RD NE STE 1017 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588920078 | Daniel S Bell | Emergency Medicine | 1821 Clifton Rd Ne Ste 1017, Atlanta, GA 30329-4021 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205380995 | Seasons Medical Group of Georgia PC | Family Medicine | 5775 Peachtree Dunwoody Rd Ne, Suite C120, Atlanta, GA 30342-1501 | 2016-08-10 |
| 1871968511 | Prime By Aseracare LLC | Family Medicine | 1117 Perimeter Ctr, N500, Atlanta, GA 30338-5451 | 2015-12-07 |
| 1366671711 | Jesse Ann Soodalter | Family Medicine | 550 Peachtree St Ne, Atlanta, GA 30308 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548501000 | Bethany Hospice and Palliative Care of Coastal Georgia, LLC | Family Medicine | 8395 Us Highway 301, Claxton, GA 30417-5992 | 2013-03-08 |
| 1205121811 | Ceveland Thompson IIi | Family Medicine | 208 Plantation Dr, Waycross, GA 31501-4269 | 2011-06-10 |
| 1538339726 | Alice Irene Lawver | Family Medicine | 2362 Lawrenceville Highway, Decatur, GA 30033 | 2008-03-04 |
| 1285284893 | Affinity Acquisitions Georgia LLC | Family Medicine | 12 Sammy Mcghee Blvd Ste 202, Jasper, GA 30143-7712 | 2019-09-16 |
| 1013485382 | Alisha Dalila Springer | Family Medicine | 500 Osigian Blvd, Warner Robins, GA 31088-8995 | 2018-11-05 |
| 1194230763 | Grace Hospice Services LLC | Family Medicine | 2398 Lenora Church Rd, Snellville, GA 30078-6921 | 2017-12-05 |
| 1942593959 | Wellstar Medical Group, LLC | Family Medicine | 4040 Hospital West Dr, Austell, GA 30106-8117 | 2011-05-24 |
| 1063665834 | South Georgia Family Medicine Associates | Family Medicine | 1203 Brampton Ave, Statesboro, GA 30458-0850 | 2008-10-24 |
| 1013103423 | Columbus Palliative Care, Inc. | Family Medicine | 7020 Moon Rd, Columbus, GA 31909-4900 | 2007-09-19 |
| 1003006768 | Maureen A Newman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2007-07-30 |
| Find all providers with the same taxonomy | ||||
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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.