PREMIER MEDICAL GROUP OF COWETA 2LLC (NPI# 1750581112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750581112 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL GROUP OF COWETA 2LLC |
| Practice Address |
2700 Highway 34 E Bldg 300 Newnan GA 30265-1330 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 4049430205 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Authorized Official Name | ALICIA HOLDEN (LEAD) |
| Authorized Official Telephone | 4049430205 |
| Authorized Official Credential | ACCOUNTING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2700 HIGHWAY 34 E BLDG 300 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578641627 | Holly Hicks-deridder | Physician Assistant | 2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330 | 2006-11-02 |
| 1295925402 | Christopher A Stansell | Physician Assistant | 2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| 1295243038 | Aica Orthopedics, P.C. | Clinic/Center | 2700 Highway 34 E Ste 200, Newnan, GA 30265-2315 | 2018-01-15 |
| 1508239997 | Wellstreet of Georgia PC | Clinic/Center | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2015-11-06 |
| 1811241417 | Vibrant Kids Pediatrics, LLC | Clinic/Center | 10 Market Square Way Ste 100, Newnan, GA 30265-6078 | 2012-11-04 |
| 1356514038 | Rediclinic Us, LLC | Clinic/Center | 1025 Bullsboro Dr, Newnan, GA 30265-6803 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578820 | Pinpoint Covid Testing Inc | Clinic/Center | 3075 Tower Rd Ste A, Columbus, GA 31909-2537 | 2020-11-04 |
| 1194331439 | Shittu Family Practice,llc | Clinic/Center | 11679 Bruce Dr, Hampton, GA 30228-4008 | 2020-09-22 |
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| 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.