MRS. HEATHER J HALL (NPI# 1760528434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760528434 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER J HALL |
| Credential | PA-C |
| Practice Address |
470 Northside Cherokee Blvd Ste 490 Canton GA 30115 |
| Mailing Address |
6600 Peachtree Dunwoody Rd Ste 325 Atlanta GA 30328-6773 |
| Practice Telephone | 6785382167 |
| Practice Fax Number | 6785382165 |
| Mailing Telephone | 4048761906 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
007729 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Old Milton Pkwy Ste C425, Alpharetta, GA 300053746 | 7703438760 | 7706642101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265090682 | Heather Hall | Pharmacist | 207 E Mcpherson Ave, Nashville, GA 31639-2249 | 2019-05-31 |
| 1841772084 | Heather L Hall | Behavior Technician | 205 W Deming St, Roswell, NM 88203-5714 | 2018-09-04 |
| 1831699743 | Heather Hall | Behavior Technician | 1330 Oakridge Dr Unit 105, Fort Collins, CO 80525-9651 | 2018-02-16 |
| 1538697040 | Heather D Hall | Behavior Technician | 1219 N 17th Ave Apt W, Hollywood, FL 33020-3613 | 2017-05-28 |
| 1306215066 | Heather Hall | Occupational Therapy Assistant | 6301 N Canoe Creek Rd, Kenansville, FL 34739-9625 | 2015-09-23 |
| 1669752630 | Heather Hall | Occupational Therapy Assistant | 4413 8th Ave N, Great Falls, MT 59405-1160 | 2011-08-23 |
| 1639487978 | Heather Renee Hall | Registered Nurse | 5080 Langcroft Dr, Hilliard, OH 43026-7158 | 2010-09-21 |
| 1578737011 | Heather Ann Hall | Audiologist | 3000 Medical Park Dr Ste 200, Tampa, FL 33613 | 2008-04-16 |
| 1477752772 | Heather Jon Hall | Psychologist | 4650 W Sunset Blvd Ms#53, Los Angeles, CA 90027-6062 | 2007-07-16 |
| 1932326931 | Heather Hall | Occupational Therapist | 1130 Ruddell Dr, Kokomo, IN 46901-1938 | 2007-04-19 |
| Street Address |
470 NORTHSIDE CHEROKEE BLVD STE 490 |
| City | CANTON |
| State | GA |
| Zip Code | 30115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
| 1508155854 | Radhika Sampat | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2011-04-06 |
| 1710164975 | Gavin Fleming Brown | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8015 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740599182 | Terri Rybak | Physician Assistant | 3493 Lower Burris Rd, Canton, GA 30114-4755 | 2010-10-04 |
| 1427297811 | Darrick Lamont Clark | Physician Assistant | 111 Holly Mill Village Dr, Canton, GA 30114-7175 | 2009-02-09 |
| 1083834691 | Debra H Bureau | Physician Assistant | 1460 Ledgewood Dr, Canton, MI 48188-1135 | 2007-04-26 |
| 1407371768 | Prologue Surgical Assisting, LLC | Physician Assistant | 3493 Lower Burris Rd, Canton, GA 30114 | 2017-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| 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.