PHYLLIS MANSOUR (NPI# 1760501555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760501555 |
| Entity Type | Individual |
| Full Name | PHYLLIS MANSOUR |
| Credential | MD |
| Practice Address |
2770 Lenox Rd Atlanta GA 30324 |
| Practice Telephone | 4042649553 |
| Practice Fax Number | 4042662294 |
| Mailing Telephone | 4042649553 |
| Mailing Fax Number | 4042662294 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 024462 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2770 LENOX RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124147970 | Jeffrey Semel | Chiropractor | 2770 Lenox Rd, Atlanta, GA 30324 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523574 | Denise M Leslie-willams | Neuromusculoskeletal Medicine, Sports Medicine | 220 Sandy Springs Cir Ste 157b, Atlanta, GA 30328-3861 | 2020-03-13 |
| 1265597843 | Michelle Murray Kaplita | Neuromusculoskeletal Medicine, Sports Medicine | 3668 Castlegate Dr Nw, Atlanta, GA 30327-2604 | 2006-12-26 |
| 1730209446 | Arcade Kings,llc | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd Ne, Atlanta, GA 30324-6006 | 2007-03-29 |
| 1740317999 | Scott Frieder | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd Ne, Build 2 Ste 8, Atlanta, GA 30324-6006 | 2007-02-27 |
| 1720193618 | Thomas Lawley | Neuromusculoskeletal Medicine, Sports Medicine | 1365 Clifton Rd Ne, B1400, Atlanta, GA 30322-1013 | 2006-08-20 |
| 1821083304 | Alton G Davidson | Neuromusculoskeletal Medicine, Sports Medicine | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660663 | Stephanie Lynn Prenzlin | Neuromusculoskeletal Medicine, Sports Medicine | 1095 Berkley Dr Se, Smyrna, GA 30082-3105 | 2020-05-08 |
| 1700350121 | Hope Price | Neuromusculoskeletal Medicine, Sports Medicine | 154 Wedgefield Way, Statesboro, GA 30458-2464 | 2019-01-18 |
| 1699834697 | Medipractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 3955 Harrison Rd, Ste. 400, Loganville, GA 30052-8501 | 2006-12-06 |
| 1013096015 | Margaret Lucinda Brantley | Neuromusculoskeletal Medicine, Sports Medicine | 100 West College Park Drive, Douglas, GA 31533 | 2006-11-02 |
| 1891788741 | Chadalavada N Kishore | Neuromusculoskeletal Medicine, Sports Medicine | 425 Third Ave, Ste 340, Albany, GA 31701 | 2005-08-25 |
| 1033522420 | Cmg1, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 6487 Pierce Chapel Rd Unit 5, Midland, GA 31820-3554 | 2014-06-04 |
| 1720358401 | Pain & Wellness Center of North Fulton | Neuromusculoskeletal Medicine, Sports Medicine | 4180 Old Milton Pkwy, 1c, Alpharetta, GA 30005-2408 | 2012-01-11 |
| 1487797049 | Georgetown Healthcare Center | Neuromusculoskeletal Medicine, Sports Medicine | 236 Johnson Ferry Rd Ne, Suite 200, Sandy Springs, GA 30328-3869 | 2007-02-14 |
| 1740321579 | Brian Stephen Vanderhoof | Neuromusculoskeletal Medicine, Sports Medicine | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2007-02-12 |
| 1689673865 | Paul H. Leitschuh | Neuromusculoskeletal Medicine, Sports Medicine | 1061 Harmon Avenue, Ste 1d03, Ft. Stewart, GA 31314-5674 | 2005-07-19 |
| 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.