DR. AHMED M DAMTEW (NPI# 1770867210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770867210 |
| Entity Type | Individual |
| Full Name | DR. AHMED M DAMTEW |
| Credential | M.D |
| Practice Address |
1107 Memorial Dr Suite 302 Dalton GA 30720-8668 |
| Mailing Address |
Po Box 1587 Dalton GA 30722-1587 |
| Practice Telephone | 7065298710 |
| Mailing Telephone | 7065297440 |
| Mailing Fax Number | 7065297437 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
067552 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003149501A | 05 | |
| GA | AMERIGROUP | 02392001 | 01 |
| GA | WELLCARE | 1013698 | 01 |
| Street Address |
1107 MEMORIAL DR SUITE 302 |
| City | DALTON |
| State | GA |
| Zip Code | 30720-8668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671323 | Wallace R Weeks | Family Medicine | 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 | 2005-07-07 |
| 1649677709 | Kenneth Jeremy Micheff | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-12-04 |
| 1568865947 | Shirin Noorani | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-09-30 |
| 1053720441 | Susan Marina Yates | Nurse Practitioner | 1107 Memorial Dr, Suite 100, Dalton, GA 30720-8668 | 2014-08-11 |
| 1679992341 | Jennifer Wright | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 |
| 1699199497 | Natasha Micheff | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-02-13 |
| 1215366844 | Ashley Miller | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 |
| 1639418874 | Shanna E. Avila | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-02-07 |
| 1235482001 | Lyndsey Renee Randolph | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-10-18 |
| 1356699169 | Amanda L Smidt | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508918095 | Martha E Bidiuc | Psychiatry & Neurology | 1421 Ross Dr, Ste 4, Dalton, GA 30720-3095 | 2007-01-17 |
| 1104988997 | Rhonda Vought | Psychiatry & Neurology | 1414 Dug Gap Rd, Dalton, GA 30720-5007 | 2006-12-15 |
| 1952463747 | Ujwal Siddamreddy | Psychiatry & Neurology | 1506 Thornton Avenue, Dalton, GA 30720-8515 | 2006-12-15 |
| 1699847616 | Madhubala A Patel | Psychiatry & Neurology | 900 Shugart Rd, Dalton, GA 30720-2467 | 2006-11-14 |
| 1275968281 | Harleen Singh | Psychiatry & Neurology | 475 Reed Rd Ste 104, Dalton, GA 30720-6307 | 2013-09-09 |
| 1255770780 | Ashim Mehta | Psychiatry & Neurology | 475 Reed Rd Ste 104, Dalton, GA 30720-6307 | 2013-06-18 |
| 1841545183 | Sarah Swafford | Psychiatry & Neurology | 475 Reed Rd Ste 104, Dalton, GA 30720-6307 | 2012-07-23 |
| 1023145919 | Linda Kay Norman | Psychiatry & Neurology | 203 N Thornton Ave, Dalton, GA 30720-4273 | 2007-02-27 |
| 1194861971 | Muhammad Aslam Sandvi | Psychiatry & Neurology | 1421 Ross Dr, Suite1, Dalton, GA 30720-3095 | 2007-01-29 |
| 1538212519 | John William Beckner Jr. | Psychiatry & Neurology | 475 Reed Rd Ste 104, Dalton, GA 30720-6307 | 2007-01-21 |
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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.