MRS. MARA B EHRET (NPI# 1750497343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750497343 |
| Entity Type | Individual |
| Full Name | MRS. MARA B EHRET |
| Credential | PA-C |
| Practice Address |
1388 A Wellbrook Circle Conyers GA 30012-3872 |
| Mailing Address |
3390 Peachtree Nerd 1500 Atlanta GA 30326-2822 |
| Practice Telephone | 7709299033 |
| Practice Fax Number | 7709299092 |
| Mailing Telephone | 4049204972 |
| Mailing Fax Number | 4049204959 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003621 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1388 A WELLBROOK CIRCLE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| 1538611686 | Jonae Perrin | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2016-10-25 |
| 1972885192 | Katharine Regina Simmon | Physician Assistant | 1313 Milstead Ave Ne, Conyers, GA 30012-3829 | 2011-09-14 |
| 1063487015 | Alan M. Keating | Physician Assistant | 1301 Sigman Rd, Suite 100, Conyers, GA 30012-4515 | 2006-02-22 |
| 1285101162 | Sarah Madeline Stripling | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2018-10-29 |
| 1982184438 | Rebecca Smith Coman | Physician Assistant | 1101 Nor Tec Drive, Conyers, GA 30013 | 2018-08-15 |
| 1336538974 | Michael Martin Johnson | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2015-01-20 |
| 1467633511 | Brandy Michelle Collins | Physician Assistant | 2215 Exchange Pl Se, Conyers, GA 30013-6723 | 2007-11-16 |
| 1548335896 | Bhavin Patel | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
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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.