PMC HEALTHCARE AND DIAGNOSTICS PC (NPI# 1700183357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700183357 |
| Entity Type | Organization |
| Organization Name | PMC HEALTHCARE AND DIAGNOSTICS PC |
| Practice Address |
4646 N Shallowford Rd Atlanta GA 30338-6308 |
| Mailing Address |
2090 Dunwoody Circle Club Drive Atlanta GA 30350 |
| Practice Telephone | 7706766000 |
| Practice Fax Number | 7703929805 |
| Mailing Telephone | 7706766000 |
| Mailing Fax Number | 7703929805 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | MRS. MARY LEACH (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7706766000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4646 N SHALLOWFORD RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553278 | Mallory Howe | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1548896780 | Jenna Davis | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1881220010 | Taylor Lee Howell | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1558997791 | Megan Marie Borreson | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1942846464 | Katelyn E Atwell | Health Educator | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-11-19 |
| 1992347587 | Regenerative Medical Center, PC | Family Medicine | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-10-15 |
| 1255973046 | Amy Tarquini | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-10-13 |
| 1407321334 | Adelena Marie Izold | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2018-10-08 |
| 1437688355 | Loren Kennedy Psalidas | Dietitian, Registered | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2017-06-05 |
| 1295181261 | Progressive Healthcare & Diagnostics, LLC | General Practice | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1790292688 | Battery Healthcare LLC | General Practice | 2550 Heritage Ct Se Ste 155, Atlanta, GA 30339-3065 | 2018-01-02 |
| 1255882353 | Pro-medical Center LLC | General Practice | 2090 Dunwoody Club Dr Ste 106-241, Atlanta, GA 30350-5434 | 2016-10-24 |
| 1174917470 | Thomas Merryfield Jarrett | General Practice | 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 | 2015-03-24 |
| 1306247663 | Hbisc | General Practice | 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2014-09-05 |
| 1891106183 | Stephanie Elizabeth James | General Practice | 315 Boulevard Ne Ste 516, Atlanta, GA 30312 | 2014-05-08 |
| 1871928747 | Shefffrin Men's Health-midtown, P.C. | General Practice | 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 | 2013-09-10 |
| 1750721221 | International Community Medical Network, LLC | General Practice | 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 | 2013-06-28 |
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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.