PACIFIC COAST MEDICAL GROUP COMPANY (NPI# 1720471261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720471261 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST MEDICAL GROUP COMPANY |
| Practice Address |
315 Boulevard Ne Suite 555 Atlanta GA 30312-1200 |
| Mailing Address |
3060 Peachtree Rd Nw Suite 965 Atlanta GA 30305-2234 |
| Practice Telephone | 6789047564 |
| Mailing Telephone | 6789047564 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. SHAILESH KOTHARI (CEO) |
| Authorized Official Telephone | 6789047564 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
033801 | GA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC COAST MEDICAL GROUP COMPANY | 3060 Peachtree Road, Suite 965, Atlanta, GA 30305 |
| Street Address |
315 BOULEVARD NE SUITE 555 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874023 | Courtney D Shelton | Family Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1200 | 2005-07-10 |
| 1205316395 | Yolette Lafontant | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-08-17 |
| 1659871994 | Traci Ann Robinson | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-02-13 |
| 1982155222 | Terescah Lemon | Counselor | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2016-10-21 |
| 1154785624 | Shelton Hospitalists Group, LLC | Internal Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1264 | 2016-04-11 |
| 1447690581 | Lynn Lipa | Registered Nurse | 315 Boulevard Ne, Suite 332, Atlanta, GA 30312-1200 | 2013-07-03 |
| 1558637512 | Althea L. Turk,m.d.,p.c. | Ophthalmology | 315 Boulevard Ne, Suite 242, Atlanta, GA 30312-1200 | 2012-03-23 |
| 1144518291 | Veena Malepati | Internal Medicine | 315 Boulevard Ne, Atlanta Medical Center, Atlanta, GA 30312-1200 | 2011-07-11 |
| 1306131396 | Lonnie C. Jenkins Md PC | Internal Medicine | 315 Boulevard Ne, Suite 516, Atlanta, GA 30312 | 2011-06-17 |
| 1871895151 | Nexus Women's Health Associates | Obstetrics & Gynecology | 315 Boulevard Ne, Suite 328, Atlanta, GA 30312-1200 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1447742614 | John Francis Halpin | Preventive Medicine | Occupational Health Clinic Bldg. 16, 1600 Clifton Rd., Atlanta, GA 30333 | 2018-06-04 |
| 1932511946 | Richard Miller | Preventive Medicine | 100 Alabama St Sw, Atlanta, GA 30303-8701 | 2014-05-24 |
| 1801219373 | Fredric Kevin Rosenberg | Preventive Medicine | 3270 Cochise Dr Se, Atlanta, GA 30339-4319 | 2014-02-03 |
| 1508121625 | Ohm Clinical Services, Inc. | Preventive Medicine | 8100b Roswell Rd, 400, Atlanta, GA 30350-6428 | 2012-07-05 |
| 1497998058 | Margarett Ann Wilson | Preventive Medicine | 80 Jesse Hill Drive Ne, Atlanta, GA 30303 | 2009-04-13 |
| 1881852622 | Daniel Wolens | Preventive Medicine | 1353 Sheffield Glen Way Ne, Atlanta, GA 30329-3456 | 2008-05-29 |
| 1720205594 | Robert Steven Harshman | Preventive Medicine | 3050 Margaret Mitchell Dr Nw Apt 7, Atlanta, GA 30327-1700 | 2007-04-20 |
| 1043332950 | Lei J. Cheng | Preventive Medicine | 3356 Piedmont Rd. Tower Walk, Suite 1250, Atlanta, GA 30305 | 2007-04-04 |
| 1902357601 | Spine Center Savannah, LLC | Preventive Medicine | 3161 Howell Mill Rd Nw, Suite 400, Atlanta, GA 30327-2135 | 2016-10-18 |
| 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.