GRADY MEMORIAL HOSPITAL CORPORATION (NPI# 1619982261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619982261 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | ASA YANCEY HEALTH CENTER PHARMACY |
| Practice Address |
1247 Donald Lee Hollowell Pkwy Nw Atlanta GA 30318-6657 |
| Mailing Address |
Pharmacy Administration-26041 80 Jesse Hill Jr Drive Atlanta GA 30303 |
| Practice Telephone | 4046169951 |
| Practice Fax Number | 4046161184 |
| Mailing Telephone | 4046163576 |
| Mailing Fax Number | 4046166070 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | VALAURA HALLMAN (DIRECTOR OF PHARMACY ADMINISTRATION) |
| Authorized Official Telephone | 4046163576 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004189 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131380 | 01 | |
| GA | 937307F | 05 |
| Other Name | Type Code |
|---|---|
| Asa Yancey Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598362 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm 10b-043, Atlanta, GA 30303-3031 | 2018-11-30 |
| 1396025367 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm Gf, Atlanta, GA 30303-3031 | 2011-08-23 |
| 1427373224 | Grady Memorial Hospital Corporation | Pharmacy | 1575 Northside Dr Nw Bldg 400, Atlanta Tech Center Suite 450, Atlanta, GA 30318-4235 | 2010-04-05 |
| 1891966578 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Drive Se, Box 26042, Atlanta, GA 30303-3050 | 2008-03-20 |
| 1437255395 | Grady Memorial Hospital Corporation | Skilled Nursing Facility | 2800 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2006-09-16 |
| 1083629638 | Grady Memorial Hospital Corporation | Pharmacy | 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA 30308-2012 | 2006-07-30 |
| 1205872223 | Grady Memorial Hospital Corporation | Pharmacy | 48-50 Coca Cola Place, Atlanta, GA 30303-3050 | 2006-06-20 |
| 1992799050 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3050 | 2005-09-06 |
| 1649765686 | Grady Memorial Hospital Corporation | Clinic/Center | 3896 Princeton Lakes Way, Atlanta, GA 30331 | 2018-06-22 |
| 1316294713 | Grady Memorial Hospital Corporation | Pharmacy | 10 Park Place, Atlanta, GA 30303 | 2012-08-06 |
| Street Address |
1247 DONALD LEE HOLLOWELL PKWY NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366442238 | Sujata Bhowmik | Internal Medicine | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2005-07-21 |
| 1033555263 | Rashida Allen Avery | Pediatrics | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2013-05-15 |
| 1477870111 | Wilhelmina Margaretha Prinssen | Family Medicine | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2010-04-20 |
| 1609055169 | Carla Mae Schissel | Nurse Practitioner | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2007-10-31 |
| 1467670414 | Felecia Lane | Nurse Practitioner | 1247 Donald Lee Hollowell Pkwy Nw, Asa Yancey Health Center of Grady Healthcare, Atlanta, GA 30318-6657 | 2007-04-23 |
| 1922104496 | Michael P Rafferty | Family Medicine | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2006-09-15 |
| 1407951049 | Betti Jo Steele | Pediatrics | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2006-09-14 |
| 1447264163 | Asa Yancy Health Center | Clinic/Center | 1247 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6657 | 2006-07-28 |
| 1912992942 | Michelle L Todd | Family Medicine | 1247 Donald Lee Hollowell Pkwy Nw, Asa G. Yancey, Sr., M.d. Health Center, Atlanta, GA 30318-6657 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1407492119 | Capsule Atlanta LLC | Pharmacy | 867 Peachtree St Ne Ste 102, Atlanta, GA 30308-1380 | 2019-11-18 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1912357641 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Drive, Suite B, Atlanta, GA 30331 | 2016-06-14 |
| 1285022277 | Express Food & Pharmacy Investment LLC | Pharmacy | 2111 Campbellton Rd Sw, Atlanta, GA 30311-4605 | 2014-12-30 |
| 1881024479 | Camp Creek Village Pharmacy Inc. | Pharmacy | 3220 Butner Rd Sw Suite #130, Atlanta, GA 30331 | 2013-11-18 |
| 1487093662 | Pharm Holdings | Pharmacy | 102 E Allday St, Atlanta, TX 75551-2305 | 2013-06-20 |
| 1255676326 | Eastlake Pharmacy Inc | Pharmacy | 1308 Glenwood Ave Se, Atlanta, GA 30316-2077 | 2012-11-30 |
| 1689918468 | Wal-mart Stores East Lp | Pharmacy | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2012-11-19 |
| Find all providers in ATLANTA | ||||
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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.