MS. JUAQUITA D CALLAWAY (NPI# 1629075544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629075544 |
| Entity Type | Individual |
| Full Name | MS. JUAQUITA D CALLAWAY |
| Credential | MD |
| Practice Address |
2785 Lawrenceville Hwy Ste 107 Decatur GA 30033 |
| Practice Telephone | 6782050405 |
| Mailing Telephone | 6782050405 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-06-07 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
033289 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000532749A | 05 |
| Street Address |
2785 LAWRENCEVILLE HWY STE 107 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807380 | Littlejohn Consulting & Psychological Services | Community/Behavioral Health | 2785 Lawrenceville Hwy, Suite 202, Decatur, GA 30033-2515 | 2015-12-17 |
| 1578937256 | Tiffany Muse | Nurse Practitioner | 2785 Lawrenceville Hwy, Decatur, GA 30033-2515 | 2015-11-18 |
| 1245656768 | Gayla Woodson | Nurse Practitioner | 2785 Lawrenceville Hwy, Suite 207, Decatur, GA 30033-2515 | 2014-03-07 |
| 1801192661 | Luis Felipe Valdes | Psychologist | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033-2515 | 2011-01-26 |
| 1346419710 | Kids & Teens Primary Healthcare | Family Medicine | 2785 Lawrenceville Hwy, Suite 207, Decatur, GA 30033 | 2008-02-29 |
| 1740480227 | Firoz Lalani | Dentist | 2785 Lawrenceville Hwy, Ste 103, Decatur, GA 30033-2515 | 2007-07-23 |
| 1669510194 | Lawrenceville Hwy Dental Group | Dentist | 2785 Lawrenceville Hwy, Suite 103, Decatur, GA 30033-2515 | 2007-02-05 |
| 1720151632 | Maureen Ann Oharra | Psychologist | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033-2515 | 2006-11-16 |
| 1194803536 | Stephen John Ritz | Psychologist | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033-2515 | 2006-11-02 |
| 1164503132 | Atlanta Neurosurgical Associates, P.a. | Neurological Surgery | 2785 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-2515 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477795268 | Cynthia Jo Goodman | Obstetrics & Gynecology | 2948 Battle Forrest Dr, Decatur, GA 30034-2760 | 2009-03-25 |
| 1841393097 | Tyrone Cecil Malloy | Obstetrics & Gynecology | 4201 Rainbow Dr, Decatur, GA 30034-2302 | 2006-09-06 |
| 1457367070 | Vivian Womens Center, Inc | Obstetrics & Gynecology | 1750 East Lake Shore Dr Suite 320, Anthony O Amiewalan,m.d. Sc, Decatur, IL 62521 | 2006-08-01 |
| 1023423605 | Decatur Womens Healthcare | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2014-06-23 |
| 1376978007 | G. William Manifold, M.d., P.C. | Obstetrics & Gynecology | 1208 Somerville Rd Se, Decatur, AL 35601-4335 | 2013-09-12 |
| 1477999571 | Hh Health System Morgan | Obstetrics & Gynecology | 1107 14th Ave Se, Suite 330, Decatur, AL 35601-3309 | 2013-05-15 |
| 1417209081 | Decatur General Hospital | Obstetrics & Gynecology | 1304 13th Ave Se, Suite C, Decatur, AL 35601-4359 | 2012-10-08 |
| 1316296411 | Kathleen M. Raviele, Md PC | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2012-09-05 |
| 1417213109 | Emerald Screws | Obstetrics & Gynecology | 1304 13th Ave Se, Decatur, AL 35601-4359 | 2012-04-06 |
| 1972878270 | Hh Health System-morgan Inc. | Obstetrics & Gynecology | 1215 7th St Se, Suite G300, Decatur, AL 35601-3337 | 2012-03-20 |
| Find all providers in DECATUR | ||||
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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.