DR. ROBERT LEE CARLSON JR.


Address: 3900 Legacy Park Blvd Nw, Suite C-100, Kennesaw, GA 30144-7412
Phone: 6787976277

DR. ROBERT LEE CARLSON JR. (NPI# 1710030002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710030002
Entity Type Individual
Full Name DR. ROBERT LEE CARLSON JR.
Credential M.D.
Practice Address 3900 Legacy Park Blvd Nw
Suite C-100
Kennesaw
GA 30144-7412
Mailing Address 3970 Bellingrath Main Nw
Kennesaw
GA 30144-6020
Practice Telephone 6787976277
Practice Fax Number 6787976278
Mailing Telephone 7707941157
Mailing Fax Number 6787976278
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
043890 GA Allopathic & Osteopathic Physicians
X 207PE0005X Emergency Medicine
Specialization: Undersea and Hyperbaric Medicine
043890 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00770459C 05

Other Providers ROBERT CARLSON

NPI Name Taxonomy Address Enumeration
1174981344 Robert Carlson Counselor 6180 Lehman Dr Ste 205, Colorado Springs, CO 80918-3459 2016-02-03
1790003515 Robert Shaun Carlson Physical Therapist 884 Loblolly Dr, Vass, NC 28396 2010-05-05
1518289438 Robert Carlson Family Medicine 10813 Portobelo Dr, San Diego, CA 92124-1121 2010-02-19
1659524379 Robert Henry Carlson IIi General Practice 5454 Overton Rd, Birmingham, AL 35210-4103 2008-10-25
1922257047 Robert Henry Carlson Dentist 435 W Landis Ave, Vineland, NJ 08360-8105 2008-09-12
1811058399 Robert T. Carlson Optometrist 357 W Army Trail Rd, #32, Bloomingdale, IL 60108-2357 2006-12-12
1750494498 Robert Bruce Carlson Dentist 220 Sunbird Cliffs Ln, Colorado Springs, CO 80919-8015 2006-08-16
1871567198 Robert A Carlson Jr. Optometrist Ihs Optometry Clinic, 317 Main Street, Eagle Butte, SD 57625 2006-02-14
1013900174 Robert D Carlson Family Medicine 47 E Main St, Stafford Springs, CT 06076-1227 2005-08-24
1235786591 Robert Carlson Counselor 200 Cordwainer Dr Ste 200, Norwell, MA 02061-1671 2019-08-21

Office Location

Street Address 3900 LEGACY PARK BLVD NW
SUITE C-100
City KENNESAW
State GA
Zip Code 30144-7412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619483328 Dr. Michelle Oz LLC D/b/a Momentum Chiropractic Chiropractor 3900 Legacy Park Blvd Nw, Kennesaw, GA 30144-7412 2017-12-18
1255728580 Dream Body, Inc Specialist/Technologist 3900 Legacy Park Blvd Nw, D-400, Kennesaw, GA 30144-7412 2015-04-24
1477890945 Atlas First LLC Chiropractor 3900 Legacy Park Blvd Nw, Suite C100, Kennesaw, GA 30144-7412 2013-01-03
1467621375 Dunham Medical LLC Durable Medical Equipment & Medical Supplies 3900 Legacy Park Blvd Nw, D-300, Kennesaw, GA 30144-7412 2008-02-25
1891812251 Legacy Dental Care PC Dentist 3900 Legacy Park Blvd Nw, Suite D-100, Kennesaw, GA 30144-7412 2007-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205440054 Physician Assistant Surgical Solutions Surgery 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 2020-08-31
1487149340 Creative Family Care Inc. Social Worker 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 2018-06-24
1033632203 Octavio Andres Tobar Specialist/Technologist 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 2017-07-19
1851829220 Sharon Mcmillan Counselor 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 2017-05-31
1073054680 Metropolitan Health Care Plus Inc Home Health 445 Laurian Way, Kennesaw, GA 30144 2017-03-15
1649627969 Caresouth Hha Holdings of Gainesville, LLC Hospice Care, Community Based 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 2016-05-17
1851745988 Joseph Mulligan Social Worker 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 2016-04-14
1629438601 Youfit Health Clubs Clinic/Center 3895 Cherokee St Suite 100, Kennesaw, GA 30144 2016-03-03
1598156317 Jodie Evans Specialist 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 2015-02-16
1912302134 Sleepmed Therapies, Inc. Durable Medical Equipment & Medical Supplies 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 2014-10-30
Find all providers in zip 30144

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629143227 Tiffani Leigh Salas Emergency Medicine 750 Town Park Lane, Kennesaw, GA 30144 2006-11-21
1821196866 Brian Patrick Mason Emergency Medicine 750 Town Park Lane, Town Park Comprehensive Medical Center, Kennesaw, GA 30114 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528675956 Nextgen Ems LLC Emergency Medicine 121 Tyre Dr, Mcdonough, GA 30253-8542 2020-09-29
1710506233 Rita Udom Emergency Medicine 2795 Davis Rd, Marietta, GA 30062-6670 2020-04-14
1629463500 Quoc Vinh Ngo Emergency Medicine Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 2015-03-30
1831539253 Andrew Wesley White Emergency Medicine 1120 15th St # Af1006, Augusta, GA 30912-4500 2013-06-29
1013141118 Darren Deandre Naugles Emergency Medicine 8920 Firestone Cir, Duluth, GA 30097-6627 2009-05-05
1437393667 Donald R. Dalbey Emergency Medicine 3725 Sweetwater Drive, Cumming, GA 30041 2009-05-01
1346411667 Harvey E Schuck Emergency Medicine 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 2008-03-14
1639364011 Srihari Rao Malempati Emergency Medicine 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 2007-09-10
1306060264 Gary L Godlewski Emergency Medicine 4755 Wesleyan Woods Dr, Macon, GA 31210-4410 2007-04-12
1487729992 Lisa Tadayon Emergency Medicine 1000 John Fy Rd Ne, Atlanta, GA 30342-1606 2006-11-21
Find all providers with the same taxonomy

Competitor

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City KENNESAW
Zip Code 30144

Improve Information

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Dataset Information

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.

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