MS. GALE ELAINE ELLIS-JOHNSON (NPI# 1730319260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730319260 |
Entity Type | Individual |
Full Name | MS. GALE ELAINE ELLIS-JOHNSON |
Credential | RN |
Practice Address |
3855 Presidential Pkwy Atlanta GA 30340-3705 |
Mailing Address |
1239 Ellis Rd Hogansville GA 30230-4014 |
Practice Telephone | 7704516838 |
Mailing Telephone | 7066721016 |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN058893 | GA | Nursing Service Providers |
Street Address |
3855 PRESIDENTIAL PKWY |
City | ATLANTA |
State | GA |
Zip Code | 30340-3705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790854222 | The Bridges Center | Psychologist | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2006-11-07 |
1952745549 | A Family First Community Services | Community/Behavioral Health | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2013-04-25 |
1104173343 | We Care Family Pharmacy LLC | Pharmacy | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2012-08-07 |
1427348390 | Claudette Nwefo | Marriage & Family Therapist | 3855 Presidential Pkwy, Atlanta, GA 30340 | 2011-04-13 |
1780987933 | Tanya Gomes | Social Worker | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-12-09 |
1154622843 | Stacie Baker Conliffe | Counselor | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-11-11 |
1598070351 | Kimberly A Brown | Social Worker | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-08-17 |
1689989576 | Tiffany C Carter | Counselor | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-08-16 |
1841516929 | Judith Eva Samuel | Marriage & Family Therapist | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-04-14 |
1578889754 | Veronica Blakely | Counselor | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2010-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
Find all providers in zip 30340 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205324357 | Lona M Sims | Registered Nurse | 2113 Defoors Ferry Rd Nw Apt F5, Atlanta, GA 30318-2344 | 2018-04-24 |
1881108884 | Carol Lee Hadley | Registered Nurse | 10 Park Place South Se Ste 445, Atlanta, GA 30303-2913 | 2017-11-29 |
1497926448 | Elizabeth Ann Bostick | Registered Nurse | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2008-03-18 |
1275745341 | Nicole J Klinedinst | Registered Nurse | 1520 Clifton Rd Ne, Suite 244, Atlanta, GA 30322-4201 | 2007-05-03 |
1659493724 | Earnestine B Gray | Registered Nurse | 23 Warren St Se, Atlanta, GA 30317-2201 | 2007-04-06 |
1316018187 | Vivian Dawson | Registered Nurse | 265 Boulevard Ne, 3rd Floor, Atlanta, GA 30312 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
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1255967071 | Simran Kaur | Registered Nurse | 2252 Nellie Dr, Augusta, GA 30906-8964 | 2020-03-13 |
1124651914 | Gyneth Springs Givens | Registered Nurse | 30 Glen Ridge Ct, Covington, GA 30014-6080 | 2020-02-19 |
1760021448 | Kenneth Unuovurhaye | Registered Nurse | 2073 Corners Circle Trce, Lithonia, GA 30058-7993 | 2019-12-30 |
1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
1508325242 | Yashate Kinkia Pendergrass | Registered Nurse | 2159 Grove Landing Way, Grovetown, GA 30813-7017 | 2019-03-12 |
1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
1144701855 | Nadiyah Gardner | Registered Nurse | 1790 Mulkey Rd Ste 3b, Austell, GA 30106-1122 | 2018-08-22 |
1164940235 | De Advance Home Healthcare Services Inc | Registered Nurse | 932 Landon Dr, Marietta, GA 30064-6421 | 2017-09-08 |
1467976811 | Talia Montoya Anderson | Registered Nurse | 927 N Hansell St, Thomasville, GA 31792-4542 | 2017-07-27 |
1467826289 | Tanya Kidd | Registered Nurse | 114 Forest Ridge Dr, Savannah, GA 31419-1251 | 2015-11-17 |
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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.