MISS MEAGAN BREANNE CONNALLY (NPI# 1770024531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770024531 |
| Entity Type | Individual |
| Full Name | MISS MEAGAN BREANNE CONNALLY |
| Practice Address |
1880 Beaver Ridge Cir Norcross GA 30071-3833 |
| Practice Telephone | 7065931589 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1880 BEAVER RIDGE CIR |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314684 | Emily Anne Muscarella Sule | Chiropractor | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2006-08-14 |
| 1144756040 | Michelle Stewart | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Suite D, Norcross, GA 30071-3833 | 2017-05-11 |
| 1215477807 | Shannon Turner | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2017-03-01 |
| 1740728369 | Hillary Hester | Technician, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2017-02-02 |
| 1033560040 | Montrice Leatherwood | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-06-30 |
| 1376990309 | Steven Kyle Lucas | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-05-19 |
| 1306207105 | Marcos Rivera | Technician, Other | 1880 Beaver Ridge Cir, Suite D, Norcross, GA 30071-3833 | 2016-03-08 |
| 1306204680 | Cameron Harrison | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-02-02 |
| 1063886380 | Keri Orsie | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2015-11-24 |
| 1285008078 | William Sanderlin | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1144756040 | Michelle Stewart | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Suite D, Norcross, GA 30071-3833 | 2017-05-11 |
| 1033560040 | Montrice Leatherwood | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-06-30 |
| 1376990309 | Steven Kyle Lucas | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-05-19 |
| 1811341696 | Nicklaus Thomas | Specialist/Technologist, Other | 1880 Beaver Ridge Cir Ste D, Norcross, GA 30071-3833 | 2016-04-19 |
| 1306204680 | Cameron Harrison | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2016-02-02 |
| 1063886380 | Keri Orsie | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2015-11-24 |
| 1285008078 | William Sanderlin | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2015-11-17 |
| 1841538857 | David M Eifert | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2013-01-25 |
| 1972812485 | Marlee Davis | Specialist/Technologist, Other | 1880 Beaver Ridge Cir, Norcross, GA 30071-3833 | 2010-09-30 |
| Find all providers in NORCROSS | ||||
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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.