MARY M FELDMAN MD LLC (NPI# 1699215541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699215541 |
| Entity Type | Organization |
| Organization Name | MARY M FELDMAN MD LLC |
| Other Organization Name | CARROLLTON DERMATOLOGY |
| Practice Address |
100 Professional Pl Ste 110 Carrollton GA 30117-3874 |
| Practice Telephone | 7708340818 |
| Practice Fax Number | 7708345098 |
| Mailing Telephone | 7708340818 |
| Mailing Fax Number | 7708345098 |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-02-26 |
| Authorized Official Name | DR. MARY M FELDMAN (OWNER) |
| Authorized Official Telephone | 5042315544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
69043 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CARROLLTON DERMATOLOGY | Doing Business As Name - Organization |
| Street Address |
100 PROFESSIONAL PL STE 110 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341614 | Guy Harris Langlo | Podiatrist | 100 Professional Pl, Suite 101, Carrollton, GA 30117-3874 | 2005-07-28 |
| 1447798822 | Cristal Rush | Nurse Practitioner | 100 Professional Pl, Ste 204, Carrollton, GA 30117-3874 | 2017-02-06 |
| 1952854572 | Hannah Pollard | Nurse Practitioner | 100 Professional Pl, #202, Carrollton, GA 30117-3874 | 2016-07-31 |
| 1003082363 | Sheila Reece Walls | Nurse Practitioner | 100 Professional Pl, Suite 104, Carrollton, GA 30117-3874 | 2008-05-06 |
| 1316111412 | Stephen Christopher Dudley | Psychiatry & Neurology | 100 Professional Pl, 303, Carrollton, GA 30117-3874 | 2008-04-18 |
| 1972774412 | Alexander Meski Md PC | Psychiatry & Neurology | 100 Professional Pl, Suite 301, Carrollton, GA 30117-3874 | 2008-03-12 |
| 1538369335 | Thomas H. Lamb, Md, PC | Dermatology | 100 Professional Pl, Suite 110, Carrollton, GA 30117-3874 | 2007-07-19 |
| 1023225596 | Crng,llc | Internal Medicine | 100 Professional Pl, Suite 303, Carrollton, GA 30117-3874 | 2007-05-16 |
| 1548488216 | Charles Michael Morley | Nurse Practitioner | 100 Professional Pl, Suite 207, Carrollton, GA 30117-3874 | 2007-04-20 |
| 1336266691 | Stephanie Dyane Simmons-cole | Counselor | 100 Professional Pl, Suite 104, Carrollton, GA 30117-3874 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1518972348 | Tmc Children's Healthcare of West Georgia | Clinic/Center | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2006-07-30 |
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| 1528601200 | Blued Consultant Solutions, LLC | Clinic/Center | 256 Rainbow Ln, Mcdonough, GA 30252-4839 | 2019-10-24 |
| 1578113585 | Centro Prenatal De Gwinnett LLC | Clinic/Center | 575 W Pike St Ste 1, Lawrenceville, GA 30046-7685 | 2019-09-12 |
| 1316508815 | Atlanta Health Clinic LLC | Clinic/Center | 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 | 2019-06-25 |
| 1659880847 | Jones Medical and Educational Consultants | Clinic/Center | 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 | 2017-09-20 |
| 1477005593 | Hirenirali LLC | Clinic/Center | 12390 Beragio Pl, Alpharetta, GA 30004-4188 | 2016-10-25 |
| 1851840961 | Tele Doctor Direct Inc | Clinic/Center | 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 | 2016-09-30 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.