CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC (NPI# 1699300939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699300939 |
| Entity Type | Organization |
| Organization Name | CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC |
| Practice Address |
704 Breedlove Dr Ste A Monroe GA 30655-2054 |
| Mailing Address |
Po Box 5856 Atlanta GA 31107-0856 |
| Practice Telephone | 8887720076 |
| Practice Fax Number | 7707518014 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | AMAR MOHAN (OWNER) |
| Authorized Official Telephone | 8887720076 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
704 BREEDLOVE DR STE A |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124280870 | Alexander Kushnier | Psychiatry & Neurology | 704 Breedlove Dr Ste A, Monroe, GA 30655 | 2008-06-25 |
| 1972117562 | Dylan Keith Mixson | Nurse Practitioner | 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | 2020-09-01 |
| 1700358140 | Charlotte David | Nurse Practitioner | 704 Breedlove Dr Ste A, Monroe, GA 30655-2054 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548592975 | James M. Potts, M.d., Apmc | Physical Medicine & Rehabilitation | 312 Grammont St., Suite 301, Monroe, LA 71201 | 2010-02-10 |
| 1578584926 | Keith Roydon Barbour | Physical Medicine & Rehabilitation | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-07-21 |
| 1487683454 | Emily J Rayes-prince | Physical Medicine & Rehabilitation | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2006-07-02 |
| 1750337804 | Judy A Macy | Physical Medicine & Rehabilitation | 167 Cole Rd, Monroe, MI 48162-4106 | 2006-05-26 |
| 1396734190 | Robert B Giedraitis | Physical Medicine & Rehabilitation | 1995 Wellness Blvd Bldg B, Suite 110, Monroe, NC 28110-7769 | 2005-10-14 |
| 1679061485 | Kathryn H Nance | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2018-04-26 |
| 1487158259 | Northwest Sport and Spine Physical Therapy | Physical Medicine & Rehabilitation | 17788 147th St Se, Monroe, WA 98272-1030 | 2018-03-19 |
| 1063700276 | Michelle S. Faull | Physical Medicine & Rehabilitation | 515 22nd Ave, Monroe, WI 53566-1569 | 2011-07-21 |
| 1639479355 | Novant Medical Group, Inc | Physical Medicine & Rehabilitation | 1995 Wellness Blvd, Bldg B Suite 110, Monroe, NC 28110-7772 | 2010-10-28 |
| 1184806374 | Rolf D. Morstead, M.d. Apmc | Physical Medicine & Rehabilitation | 312 Grammont St, Suite 301, Monroe, LA 71201-7457 | 2007-11-29 |
| Find all providers in MONROE | ||||
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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.