MEDLINK GEORGIA INC (NPI# 1649829532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649829532 |
Entity Type | Organization |
Organization Name | MEDLINK GEORGIA INC |
Practice Address |
2148 Duluth Hwy Ste 112 Duluth GA 30097-4505 |
Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
Practice Telephone | 7706766500 |
Mailing Telephone | 7067883234 |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |
Authorized Official Name | DAVE WARD (CEO) |
Authorized Official Telephone | 7067883234 |
Is Organization Subpart | Y |
Parent Organization Name | MEDLINK GEORGIA INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MedLink Gwinnett | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750860508 | Medlink Georgia Inc | Clinic/Center | 137 W Athens St Ste 104, Winder, GA 30680-1786 | 2018-08-13 |
1851722524 | Medlink Georgia Inc | Clinic/Center | 396 Historic Hwy 441 N, Demorest, GA 30535-4522 | 2013-12-06 |
1568572576 | Medlink Georgia Inc | Clinic/Center | 123 Gordon St, Washington, GA 30673-1601 | 2006-08-30 |
1275643272 | Medlink Georgia Inc | Clinic/Center | 63 W Gibson St, Hartwell, GA 30643-1845 | 2006-08-30 |
1235249236 | Medlink Georgia Inc | Clinic/Center | 206 E Church St, Bowman, GA 30624-2109 | 2006-08-30 |
1245340264 | Medlink Georgia Inc | Clinic/Center | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2006-08-30 |
1174177638 | Medlink Georgia Inc | Pharmacy | 396 Historic Hwy 441 N, Demorest, GA 30535 | 2019-08-01 |
1669951414 | Medlink Georgia Inc | Clinic/Center | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2018-08-13 |
1245732254 | Medlink Georgia Inc | Pharmacy | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2018-03-06 |
1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
Street Address |
2148 DULUTH HWY STE 112 |
City | DULUTH |
State | GA |
Zip Code | 30097-4505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
Find all providers in zip 30097 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699708297 | Lake Superior Community Health Center | Clinic/Center | 4325 Grand Avenue, Duluth, MN 55807-2730 | 2006-07-08 |
1013556638 | Lake Superior Community Health Center | Clinic/Center | 4602 Grand Ave Ste 1000, Duluth, MN 55807-2712 | 2019-12-30 |
1063789022 | Lake Superior Community Health Center | Clinic/Center | 4325 Grand Ave, Duluth, MN 55807-2730 | 2011-11-18 |
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1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
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.