MANOUCHKA TULIA JOSEPH


Address: 4040 Hospital West Dr, Austell, GA 30106
Phone: 7707326798

MANOUCHKA TULIA JOSEPH (NPI# 1770803942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770803942
Entity Type Individual
Full Name MANOUCHKA TULIA JOSEPH
Credential M.D.
Practice Address 4040 Hospital West Dr
Austell
GA 30106
Mailing Address 805 Sandy Plains Road
Medical Staff Services
Marietta
GA 30066-6340
Practice Telephone 7707326798
Practice Fax Number 7707326732
Enumeration Date 2010-06-10
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 260440 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
66512 GA Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
260440 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
310 Kennestone Hospital Blvd, Marietta, GA 300601120 7707937899 7707937856

Office Location

Street Address 4040 HOSPITAL WEST DR
City AUSTELL
State GA
Zip Code 30106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407811060 Wellstar Community Hospice, LLC Hospice Care, Community Based 4040 Hospital West Dr, Austell, GA 30106-8117 2006-04-18
1528322534 Kristian Holmes Stodghill Internal Medicine 4040 Hospital West Dr, Austell, GA 30106 2012-06-25
1942593959 Wellstar Medical Group, LLC Family Medicine 4040 Hospital West Dr, Austell, GA 30106-8117 2011-05-24
1164725776 Denise J. Wright Nurse Practitioner 4040 Hospital West Dr, Austell, GA 30106-8117 2010-12-21
1093042822 Lashonte Thomas-shaw Nurse Practitioner 4040 Hospital West Dr, Austell, GA 30106-8117 2009-11-16
1811135056 Pamela Gordon Internal Medicine 4040 Hospital West Dr, Austell, GA 30106 2009-01-27
1063680049 Wellstar Palliative Medicine, LLC Internal Medicine 4040 Hospital West Dr, Austell, GA 30106-8117 2008-02-13
1396966016 Anjali Parmar Grandhige Internal Medicine 4040 Hospital West Dr, Austell, GA 30106 2007-05-01
1376767731 Glenora Mccoy Internal Medicine 4040 Hospital West Dr, Austell, GA 30106-8117 2007-04-13
1609906973 Walisa K Maynard Internal Medicine 4040 Hospital West Dr, Austell, GA 30106-8117 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073126231 Courtney Lashune Dorsett Nurse Practitioner 1005 Cureton Drive, Austell, Austell, GA 30106 2020-08-27
1184240491 Brian H Eves Dietitian, Registered 3972 Brantley Drive, Austell, GA 30106 2020-06-23
1669014486 Jesse Mccoy Registered Nurse 3950 Austell Rd., Austell, GA 30106 2019-10-14
1427522820 Envision Optics LLC Optometrist 1680 E West Connector, Austell, GA 30106 2019-01-18
1972042380 Thomas Dental Group Clinic/Center 1133 East West Connector, Suite 120, Austell, GA 30106 2017-02-17
1245779792 Colton Dental Group Clinic/Center 2495 East-west Connector, Ste 60, Austell, GA 30106 2017-02-16
1144691684 Georgia Dental Professionals, PC Dentist 780 East West Connector Sw, Suite 108, Austell, GA 30106 2015-10-09
1285013714 Ikeade Bello Alamu Nurse Practitioner 2870 Betula Drive, Austell, GA 30106 2015-05-29
1376922211 Jessica Williams Obstetrics & Gynecology 1700 Hospital South Dr Ste 500, Austell, GA 30106 2015-05-26
1558799593 Tonya Renee Baldwin Speech-Language Pathologist 4229 Brass Trl., Austell, GA 30106 2013-10-30
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548657398 Gary Derusso II Internal Medicine 3950 Austell Rd, Austell, GA 30106 2015-04-20
1063680049 Wellstar Palliative Medicine, LLC Internal Medicine 4040 Hospital West Dr, Austell, GA 30106-8117 2008-02-13
1396966016 Anjali Parmar Grandhige Internal Medicine 4040 Hospital West Dr, Austell, GA 30106 2007-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689221749 Family First Palliative Care LLC Internal Medicine 2299 Saint Kennedy Lane, Buford, GA 30518 2019-08-23
1396205696 Hospice Advantage, LLC Internal Medicine 107 Southern Blvd Ste 203, Savannah, GA 31405-7435 2019-03-22
1053877993 Compassus Op of Georgia II LLC Internal Medicine 1000 Northside Xing, Macon, GA 31210-2278 2019-02-15
1285190116 Hospice Advantage, LLC. Internal Medicine 2470 Daniels Bridge Rd Ste 171, Athens, GA 30606-6188 2019-02-15
1215245634 Ginpen, LLC Internal Medicine 238 Old Norton Rd, Fayetteville, GA 30215-4921 2010-09-20
1518525112 Veneranda Ngulefac Internal Medicine 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 2019-05-30
1366902058 Pruitthealth Hospice, Inc. Internal Medicine 6060 Lakeside Commons Dr, Macon, GA 31210-5778 2019-03-20
1932672300 St. Mary's Medical Group, Inc. Internal Medicine 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 2019-01-08
1235669045 Sb Healthcare, LLC Internal Medicine 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 2017-06-14
1568999779 Umg Palliative Care LLC Internal Medicine 1350 Walton Way, Augusta, GA 30901-2612 2017-05-18
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Competitor

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City AUSTELL
Zip Code 30106

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Dataset Information

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.

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