CARTERSVILLE PHYSICIAN PRACTICE NETWORK, INC (NPI# 1760472104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760472104 |
| Entity Type | Organization |
| Organization Name | CARTERSVILLE PHYSICIAN PRACTICE NETWORK, INC |
| Practice Address |
960 Joe Frank Harris Pkwy Se Cartersville GA 30120-2129 |
| Practice Telephone | 7703821530 |
| Practice Fax Number | 7706062127 |
| Mailing Telephone | 7703821530 |
| Mailing Fax Number | 7706062127 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK BIRMINGHAM (DIRECTOR) |
| Authorized Official Telephone | 6153737625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
960 JOE FRANK HARRIS PKWY SE |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319901 | Chappell Rebecca Madhani | Dietitian, Registered | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2020-06-04 |
| 1083271472 | Jennifer Gazaway | Specialist/Technologist, Other | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2019-05-21 |
| 1922570282 | Tara Williams | Nurse Anesthetist, Certified Registered | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-12-27 |
| 1790250728 | Laura Poulsen | Student in an Organized Health Care Education/Training Program | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-10-05 |
| 1760981484 | Jordan F Vaughn | Nurse Practitioner | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2018-02-08 |
| 1265944094 | Charissa Faith Baker | Nurse Practitioner | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2017-11-02 |
| 1487198768 | Sheridan Anesthesia Services of North Georgia, P.c | Anesthesiology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-12-06 |
| 1376904292 | Faizan Shaikh | Internal Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-03-19 |
| 1497112783 | Apollo Emergency Physicians, LLC | Physician Assistant | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-01-19 |
| 1942667233 | Constellation Emergency Physicians, LLC | Physician Assistant | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790979086 | Kim Bondurant Md PC | Internal Medicine | 962 Joe Frank Harris Pkwy Se Ste 104, Cartersville, GA 30120-2154 | 2007-08-30 |
| 1508959750 | David E Kim | Internal Medicine | 179 Pine Grove Rd Ste A, Cartersville, GA 30120-8490 | 2006-10-02 |
| 1699880740 | Kenneth W Byers | Internal Medicine | 650 Henderson Dr Ste 409, Cartersville, GA 30120-3723 | 2006-08-20 |
| 1255321428 | Jeffrey David Esslinger | Internal Medicine | 300 Courtyard Dr., Ste A, Cartersville, GA 30120-8535 | 2005-10-27 |
| 1629061395 | Antonio V Baute | Internal Medicine | 40 Fox Chase, Cartersville, GA 30120-2491 | 2005-08-26 |
| 1841857794 | Sf Georgia Medical Services PC | Internal Medicine | 22 Maple Ridge Dr, Cartersville, GA 30121-2228 | 2019-05-28 |
| 1376904292 | Faizan Shaikh | Internal Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2016-03-19 |
| 1902215767 | Lavender Inpatient Services LLC | Internal Medicine | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2014-08-06 |
| 1093155897 | Christen Suzanne Pirkle | Internal Medicine | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2013-06-26 |
| 1891065546 | Monal Bharat Patel | Internal Medicine | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2012-01-11 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.