JOHN MCKINLEY SHOFFNER (NPI# 1770547366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770547366 |
| Entity Type | Individual |
| Full Name | JOHN MCKINLEY SHOFFNER |
| Credential | MD |
| Practice Address |
1 Dunwoody Park Suite 250 Atlanta GA 30338-7404 |
| Practice Telephone | 6782250222 |
| Mailing Telephone | 6782250222 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
032655 | GA | Allopathic & Osteopathic Physicians |
| X | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
032655 | GA | Allopathic & Osteopathic Physicians |
| X | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
032655 | GA | Allopathic & Osteopathic Physicians |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
032655 | GA | Allopathic & Osteopathic Physicians |
| X | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
032655 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003949413 | John Stuart Shoffner | Physical Therapy Assistant | 1225 Havendale Blvd Nw, Winter Haven, FL 33881-1349 | 2007-03-14 |
| Street Address |
1 DUNWOODY PARK SUITE 250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1346893088 | Florida Autism Center | Behavior Technician | 1 Dunwoody Park, Atlanta, GA 30338-7404 | 2019-07-22 |
| 1770605818 | Virginia Van Allen | Social Worker | 1 Dunwoody Park, Suite 140, Atlanta, GA 30338-7404 | 2007-04-06 |
| 1942327556 | Tommy A. Boone, PC | Counselor | 1 Dunwoody Park, Suite 140, Atlanta, GA 30338-7404 | 2007-03-26 |
| 1952430761 | Karen S. Werner | Counselor | 1 Dunwoody Park, Suite 140, Atlanta, GA 30338-7404 | 2007-03-05 |
| 1164526117 | Joseph Berger | Psychiatry & Neurology | 1 Dunwoody Park, Suite # 140, Atlanta, GA 30338-7404 | 2006-09-12 |
| 1437118205 | Horizon Molecular Medicine | Clinical Medical Laboratory | 1 Dunwoody Park, Suite 250, Atlanta, GA 30338-7404 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902147093 | Stuart K. Shapira | Medical Genetics | 1600 Clifton Rd., Mailstop E-87, Atlanta, GA 30333 | 2013-03-14 |
| 1255345435 | Stephanie Burns Wechsler | Medical Genetics | 1365 Clifton Rd Ne Bldg B Ste B 2200, Atlanta, GA 30322-1013 | 2006-07-27 |
| 1053730838 | Emily Black | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322 | 2014-04-09 |
| 1083030548 | Juanita Neira Fresneda | Medical Genetics | 1365 Clifton Rd Ne, Building B Suite 2200, Atlanta, GA 30322 | 2014-03-08 |
| 1093078305 | Rossana Lucia Sanchez Russo | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-5307 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410867 | Reem Hudaib | Medical Genetics | 1470 Bramlett Forest Trl, Lawrenceville, GA 30045-7281 | 2020-02-27 |
| 1225229693 | Pediatrics & Genetics, LLC | Medical Genetics | 3586 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2007-08-09 |
| 1497702872 | Vidya Krishnamurthy | Medical Genetics | 3510 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-05-30 |
| 1427513266 | Cynthia Ann Moore | Medical Genetics | 440 Prior St Se, Gainesville, GA 30501-3402 | 2019-02-06 |
| 1811160609 | Hong Li | Medical Genetics | 2165 N Decatur Rd, Decatur, GA 30033-5307 | 2008-04-11 |
| 1992985741 | Georgia Genetics, LLC | Medical Genetics | 3180 N Point Pkwy, Suite202, Alpharetta, GA 30005-4248 | 2007-11-09 |
| 1427266055 | Suma P Shankar | Medical Genetics | 2165 N Decatur Rd, Department of Human Genetics, Decatur, GA 30033-5307 | 2007-05-18 |
| 1417174186 | Muhammad Ali Pervaiz | Medical Genetics | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2007-04-20 |
| 1851516769 | Richard Olney | Medical Genetics | 2165 N Decatur Rd, Emory Division of Medical Genetics, Decatur, GA 30033-5307 | 2007-04-16 |
| 1003926569 | David B. Flannery | Medical Genetics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 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.