FIBROMYALGIA AND FATIGUE CENTERS, INC. (NPI# 1669660486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669660486 |
| Entity Type | Organization |
| Organization Name | FIBROMYALGIA AND FATIGUE CENTERS, INC. |
| Practice Address |
3750 Palladian Village Dr Suite 300 Marietta GA 30066-8200 |
| Mailing Address |
16415 Addison Rd Suite 600 Addison TX 75001-3218 |
| Practice Telephone | 6784947800 |
| Practice Fax Number | 6784947990 |
| Mailing Telephone | 9727884001 |
| Mailing Fax Number | 9727884002 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MS. SUE HRIM (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 9727884001 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | Y |
| Parent Organization Name | FIBROMYALGIA AND FATIGUE CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | FIBROMYALGIA AND FATIGUE CENTERS, INC. | 16415 Addison Road, Suite 600, Addison, TX 75001 |
| Washington State Corporations | FIBROMYALGIA AND FATIGUE CENTERS, INC. | 16415 Addison Rd #600, Addison, TX 75001 |
| Massachusetts Corporations | FIBROMYALGIA AND FATIGUE CENTERS, INC. | 16415 Addison Rd., Suite 600, Addison, TX 75001 |
| Connecticut Business Registrations | FIBROMYALGIA AND FATIGUE CENTERS, INC. | 16415 Addison Rd, Ste 600, Addison, TX 75001 |
| Street Address |
3750 PALLADIAN VILLAGE DR SUITE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865256 | Belva-anne Jernigan Wellman | Physical Therapist | 3750 Palladian Village Dr, Suite 320, Marietta, GA 30066-8200 | 2006-03-23 |
| 1255884649 | Christy Land | Counselor | 3750 Palladian Village Dr, Marietta, GA 30066-8200 | 2016-08-02 |
| 1689057986 | Sleep and Lung Specialists, LLC | Internal Medicine | 3750 Palladian Village Dr, Suite 110, Marietta, GA 30066-8200 | 2015-07-04 |
| 1073942603 | Physical Therapy Partners of Georgia, LLC | Clinic/Center | 3750 Palladian Village Dr, Suite 320, Marietta, GA 30066-8200 | 2013-11-04 |
| 1689938326 | Strongtower Behavioral Healthcare LLC | Internal Medicine | 3750 Palladian Village Dr, Suite 110 & 120, Marietta, GA 30066-8200 | 2012-06-27 |
| 1609135151 | Meadows Family Chiropractic, LLC | Chiropractor | 3750 Palladian Village Dr, Suite 330, Marietta, GA 30066-8200 | 2012-05-03 |
| 1811268667 | Lakeside Chiropractic Wellness Center, LLC | Chiropractor | 3750 Palladian Village Dr, Suite 330, Marietta, GA 30066-8200 | 2012-01-24 |
| 1285903682 | Dale Enoch Callaway | Chiropractor | 3750 Palladian Village Dr, Suite 330, Marietta, GA 30066-8200 | 2011-12-14 |
| 1790063287 | Carmen A Meadows | Chiropractor | 3750 Palladian Village Dr, Suite 330, Marietta, GA 30066-8200 | 2011-08-01 |
| 1659609394 | Beth A Baus Connaway | Nurse Practitioner | 3750 Palladian Village Dr, Marietta, GA 30066-8200 | 2009-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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] |
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|---|---|---|---|---|
| 1093364028 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2520 Windy Hill Rd Se Ste 205, Marietta, GA 30067-8650 | 2019-09-11 |
| 1245753052 | Walgreen Co | Non-Pharmacy Dispensing Site | 2833 Canton Rd, Marietta, GA 30066-5439 | 2017-07-24 |
| 1730573999 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 792 Church St Ne, Marietta, GA 30060-8954 | 2015-03-26 |
| 1447564919 | Dermatology Consultants, P.C. | Non-Pharmacy Dispensing Site | 1519 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6409 | 2010-07-27 |
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| 1740823202 | Gwinnett Pulmonary Group Duluth | Non-Pharmacy Dispensing Site | 3855 Pleasant Hill Rd Ste 180, Duluth, GA 30096-8093 | 2019-10-28 |
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
| 1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
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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.