ALLYSON JOY UNDERWOOD (NPI# 1639302250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639302250 |
| Entity Type | Individual |
| Full Name | ALLYSON JOY UNDERWOOD |
| Credential | FNP-BC |
| Practice Address |
700 Church St Ne Marietta GA 30060-7220 |
| Practice Telephone | 7704201690 |
| Practice Fax Number | 6783377447 |
| Mailing Telephone | 7704201690 |
| Mailing Fax Number | 6783377447 |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN177114 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 CHURCH ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068945 | Kim Wilder-dyer | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2005-10-27 |
| 1912325655 | Rheumatology Associates of Marietta | Clinic/Center | 700 Church St Ne, Marietta, GA 30060-7220 | 2014-03-31 |
| 1992082739 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-11-08 |
| 1114210127 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-05-24 |
| 1538465109 | Wellstar Medical Group, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2011-01-31 |
| 1710114517 | Xena Antoinette Whittier | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2009-06-18 |
| 1326239823 | A. Henry Randall Jr. | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2007-08-08 |
| 1720287188 | Wellstar Rheumatology Associates of Marietta, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2007-07-16 |
| 1821044207 | Wellstar Marietta Primary Care, LLC | Internal Medicine | 700 Church St Ne, Marietta, GA 30060-7220 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576931 | Dzintra Leblanc | Nurse Practitioner | 2583 Ballew Ct Ne, Marietta, GA 30062-4424 | 2020-10-19 |
| 1730786047 | Monique An-jel Rosser | Nurse Practitioner | 687 Johnson Ferry Rd # 7044, Marietta, GA 30068-4628 | 2020-10-08 |
| 1518564418 | Althea Bryan | Nurse Practitioner | 198 Rotherhithe Ln Nw, Marietta, GA 30066-3491 | 2020-10-04 |
| 1013523646 | Susan Wanjiku Kamau | Nurse Practitioner | 1579 Sage Ridge Dr, Marietta, GA 30064-5327 | 2020-09-18 |
| 1982217402 | Lisa Abbott | Nurse Practitioner | 580 Kurtz Rd, Marietta, GA 30066-5348 | 2020-08-25 |
| 1538796008 | Chinwe Christiana O'hara | Nurse Practitioner | 3079 Hidden Forest Ct Unit 3650, Marietta, GA 30066-3137 | 2020-03-25 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1689138935 | Mobile Np, LLC | Nurse Practitioner | 1120 Heather Wood Ct, Marietta, GA 30062-2926 | 2019-01-30 |
| 1790258531 | Leslie Burns | Nurse Practitioner | 2910 Burnt Hickory Rd Nw, Marietta, GA 30064-1238 | 2019-01-04 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| Find all providers in MARIETTA | ||||
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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.