GRADY HEALTH SYSTEMS (NPI# 1689779753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689779753 |
| Entity Type | Organization |
| Organization Name | GRADY HEALTH SYSTEMS |
| Practice Address |
49 Jesse Hill Jr Dr Se Fob, Division of General Medicine Atlanta GA 30303-3049 |
| Mailing Address |
1557 Anita Pl Ne Atlanta GA 30306-2201 |
| Practice Telephone | 4046861606 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | DR. URSULA P. WHALEN (CLINICAL INSTRUCTOR) |
| Authorized Official Telephone | 4046861606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
54695 | GA | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
54695 | GA | Ambulatory Health Care Facilities |
| N | 282N00000X | General Acute Care Hospital | 54695 | GA | Hospitals |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
54695 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BW8467880 | 01 | |
| GA | MEDICAL LICENSE | 54695 | 01 |
| Street Address |
49 JESSE HILL JR DR SE FOB, DIVISION OF GENERAL MEDICINE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155074 | Marc D Thames | Internal Medicine | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2005-06-27 |
| 1740806652 | Wesley Gordon | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-06-17 |
| 1073132981 | Kaitlin M O'sullivan | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-10 |
| 1902425051 | Sandip Kaur Minhas | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-09 |
| 1265061725 | Thinh Hoang Nguyen | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-06 |
| 1902435613 | Farina Shafqat | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-04 |
| 1083243919 | Monika Marie Sullivan | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1811526627 | Jacob Harris Levy | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1164051983 | Neha Shukla | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1194353383 | Vidya Menon | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1417593047 | Integrative Medical Group and Medical Spa, Inc | Clinic/Center | 805 Lambert Dr Ne Ste C, Atlanta, GA 30324-4189 | 2019-11-19 |
| 1811486905 | Atlanta Center of Women's Choice | Clinic/Center | 1874 Piedmont Ave Ne Ste 580e, Atlanta, GA 30324-4975 | 2018-05-04 |
| 1699282665 | Healthy Children Pediatrics, LLC | Clinic/Center | 1448 Lucile Ave Sw, Atlanta, GA 30310-1217 | 2017-12-29 |
| 1205347424 | Juliet Asher, Md, P.C. | Clinic/Center | 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 | 2017-10-15 |
| 1861870891 | Intown Medicine Inc | Clinic/Center | 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 | 2015-05-11 |
| 1780083188 | Amina Medical Consultants PC | Clinic/Center | 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 | 2014-08-21 |
| 1902236656 | Destiny Family Medical Center, LLC | Clinic/Center | 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 | 2013-11-16 |
| 1689017170 | Clinica Medica Prenatal Inc | Clinic/Center | 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 | 2013-04-15 |
| Find all providers in ATLANTA | ||||
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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.