PRESTIGIOUS MEDICAL CENTER, INC (NPI# 1669627329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669627329 |
| Entity Type | Organization |
| Organization Name | PRESTIGIOUS MEDICAL CENTER, INC |
| Practice Address |
1650 County Services Pkwy Sw Marietta GA 30008-4010 |
| Mailing Address |
Po Box 670355 Marietta GA 30066-0123 |
| Practice Telephone | 4042076139 |
| Mailing Telephone | 4042076139 |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |
| Authorized Official Name | DR. AFRICA MCLEOD ALVAREZ (PRESIDENT) |
| Authorized Official Telephone | 4042076139 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1650 COUNTY SERVICES PKWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962414 | Ofelia S Mandock | Pediatrics | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2005-06-16 |
| 1598391112 | Sean Dougherty | Social Worker | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2020-03-15 |
| 1023659737 | Sherlyne O Anatole | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2019-10-03 |
| 1255847877 | Margaret Riddle | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-12-19 |
| 1548708209 | Brenda Westerman | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-02-02 |
| 1841737681 | Cassandra Guerrero | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-31 |
| 1548707789 | Daniel Mulcahy | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1003353103 | Frieda Wright | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1861939936 | Renee Christian | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1679994644 | Allyson Balzuweit | Dietitian, Registered | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2013-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885327 | Clinica De La Salud Smyrna, Inc | Family Medicine | 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 | 2019-01-19 |
| 1033689351 | H&h Weight Loss LLC | Family Medicine | 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 | 2018-11-29 |
| 1801380886 | Virginia Hinton | Family Medicine | 1738 Bertram Ln Sw, Marietta, GA 30008-4138 | 2018-06-21 |
| 1285145573 | Mitchell Scott Nudelman | Family Medicine | 577 Seminole Dr Ne, Marietta, GA 30060-1507 | 2017-10-13 |
| 1740649771 | Christine Morris | Family Medicine | 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 | 2016-02-18 |
| 1891110268 | Edith I. Okoi Chukwunyere | Family Medicine | 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 | 2014-02-21 |
| 1629407549 | Candace M. Walker | Family Medicine | 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 | 2013-11-01 |
| 1982959987 | Norman Glenn Marvin | Family Medicine | 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 | 2012-07-17 |
| 1457626855 | Gena Marie Mastrogianakis | Family Medicine | 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 | 2012-03-19 |
| 1710271010 | Roland Ngwang | Family Medicine | 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 | 2011-06-03 |
| 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.