MERIDIAN EDUCATION RESOURCE GROUP, INC. (NPI# 1730305004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730305004 |
| Entity Type | Organization |
| Organization Name | MERIDIAN EDUCATION RESOURCE GROUP, INC. |
| Other Organization Name | WHITEFOORD, INC. |
| Practice Address |
30 Warren St Se Atlanta GA 30317-2267 |
| Mailing Address |
1353 George W Brumley Way Se Atlanta GA 30317-1743 |
| Practice Telephone | 4043736614 |
| Practice Fax Number | 4045880226 |
| Mailing Telephone | 4045232500 |
| Mailing Fax Number | 4045225100 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | DR. JEAN O'CONNOR (CEO) |
| Authorized Official Telephone | 4043736614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GA | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 85002417G | 05 | |
| GA | 85000942G | 05 |
| Other Name | Type Code |
|---|---|
| Whitefoord, Inc. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Hosea Williams Dr Se, Atlanta, GA 303171703 | 4043736614 | |
| 35 Whitefoord Ave Se, Atlanta, GA 303171727 | 4045880101 | |
| 545 Hill St Se, Atlanta, GA 303123051 | 4043736614 | |
| 65 Rogers St Ne, Atlanta, GA 303171018 | 4043736614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699921 | Meridian Education Resource Group, Inc. | Clinic/Center | 65 Rogers St Ne, Atlanta, GA 30317-1018 | 2018-08-20 |
| Street Address |
30 WARREN ST SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30317-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082524 | Mary Virginia Acklin | Nurse Practitioner | 30 Warren St Se, Dekalb Grady Clinic, Atlanta, GA 30317-2267 | 2006-07-28 |
| 1790946325 | Yolanda Washington Tapp | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2008-06-17 |
| 1942417480 | Andre Shinabarger | Physician Assistant | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-05-16 |
| 1437271095 | Carolyn W Brewster | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-04 |
| 1790806016 | Sherri Arnise Okpodu | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-03 |
| 1699809970 | Samuel W. Dooley Jr. | Internal Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-03-16 |
| 1891829883 | Henry Slater Kahn | Internal Medicine | 30 Warren St Se, Dekalb Grady Neighborhood Health Center, Atlanta, GA 30317-2267 | 2007-03-14 |
| 1508912809 | Weigong Zhou | Family Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-01-27 |
| 1396809216 | Betty Neal | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-22 |
| 1659433696 | Amina Porter | Counselor | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
| 1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
| 1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
| 1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
| Find all providers in zip 30317 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1629510466 | Southside Medical Center, Inc. | Clinic/Center | 2025 Jonesboro Rd Se, Atlanta, GA 30315-6726 | 2016-11-10 |
| 1639527237 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 160 Pine Street Ne, Atlanta, GA 30308-2324 | 2016-05-25 |
| 1912365263 | Fulton County Government | Clinic/Center | 265 Boulevard Ne Fl 3, Atlanta, GA 30312-1208 | 2016-02-02 |
| 1154728335 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 2836 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2014-12-03 |
| 1689090896 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 355 Peachtree St Ne, Atlanta, GA 30308-3256 | 2014-03-12 |
| 1760741102 | The Family Health Centers of Georgia, Inc | Clinic/Center | 3700 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3674 | 2012-05-04 |
| 1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
| 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.