ALMEA M. MATANOCK (NPI# 1770727067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770727067 |
| Entity Type | Individual |
| Full Name | ALMEA M. MATANOCK |
| Credential | M.D. |
| Practice Address |
1600 Clifton Rd Ne Ms A 38 Atlanta GA 30329-4018 |
| Mailing Address |
1264 N Morningside Dr Ne Apt B Atlanta GA 30306-3335 |
| Practice Telephone | 4048199834 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0101252122 | VA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NM | Student, Health Care |
| Street Address |
1600 CLIFTON RD NE MS A 38 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693347 | Aimee E. A. Anido | Genetic Counselor, MS | 1600 Clifton Rd Ne, Mail-stop E86, Atlanta, GA 30329-4018 | 2005-10-18 |
| 1568977346 | Benedict Ignatius Truman | Preventive Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-12-03 |
| 1437675568 | Jasmine Agostino | Social Worker | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-08-21 |
| 1972039386 | Michelle Chang | Internal Medicine | 1600 Clifton Rd Ne, Mailstop A-06, Atlanta, GA 30329-4018 | 2017-05-04 |
| 1336692193 | Shua Chai | Preventive Medicine | 1600 Clifton Rd Ne, Ms E-98, Atlanta, GA 30329-4018 | 2016-07-28 |
| 1235580796 | Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd Ne, Mailstop A-19, Atlanta, GA 30329-4018 | 2016-06-27 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1053708768 | Michael Francis Melgar | Internal Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2015-04-20 |
| 1881091361 | Rajni Gunnala | Pediatrics | 1600 Clifton Rd Ne, Clifton Campus; Bldg 21; Ms A-04, Atlanta, GA 30329-4018 | 2014-11-26 |
| 1649687419 | James Alexander Jr. | Preventive Medicine | 1600 Clifton Rd Ne, Mailstop A-04, Atlanta, GA 30329-4018 | 2014-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1013532597 | Ivy Elizabeth Cook | Student in an Organized Health Care Education/Training Program | 3121 Flowers Rd S Apt I, Atlanta, GA 30341-5648 | 2020-06-10 |
| 1265055495 | Jeffrey Quinn Taylor II | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne # 2300b, Atlanta, GA 30322-1013 | 2020-05-21 |
| 1073134391 | Robert Shvarts | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr Se Unit 346, Atlanta, GA 30312-2229 | 2020-04-27 |
| 1477173920 | Ryan William Flanagan | Student in an Organized Health Care Education/Training Program | 2591 Piedmont Rd Ne Apt 1531, Atlanta, GA 30324-6280 | 2020-04-24 |
| 1467071589 | Charles Thomas Reeder | Student in an Organized Health Care Education/Training Program | 1744 Logans Knl Ne, Atlanta, GA 30329-4100 | 2020-04-09 |
| 1548899743 | Chandni Patel | Student in an Organized Health Care Education/Training Program | 700 14th St Nw, Atlanta, GA 30318-5408 | 2020-04-08 |
| 1962031625 | Rachel Reed | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne Ste H-100, Atlanta, GA 30322-1059 | 2020-04-05 |
| 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 |
| 1467080218 | Aminah Danielle Phelps | Student in an Organized Health Care Education/Training Program | 395 Saint Jacques Ct Sw, Atlanta, GA 30331-8434 | 2020-03-28 |
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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.