DR. FRED LOUIS STALLINGS (NPI# 1790011823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790011823 |
| Entity Type | Individual |
| Full Name | DR. FRED LOUIS STALLINGS |
| Practice Address |
4289 Wyndham Park Dr Decatur GA 30034-5463 |
| Practice Telephone | 7705938451 |
| Mailing Telephone | 7705938451 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 019780 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4289 WYNDHAM PARK DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032076 | Martha F Rogers | General Practice | 411 S Mcdonough St, Decatur, GA 30030-3721 | 2017-06-12 |
| 1982910089 | American Family Care, Inc. | General Practice | 2604 Highway 31 S, Decatur, AL 35603-1506 | 2010-08-26 |
| 1780990200 | James E Posey Jr. | General Practice | 801 Church St Ne, 14, Decatur, AL 35601-2472 | 2010-08-21 |
| 1689867814 | Pamela Gross | General Practice | 219 Missionary Dr, Decatur, GA 30030-3842 | 2007-08-21 |
| 1760673537 | Alpha Medical Center LLC | General Practice | 619 E College Ave Ste C1, Decatur, GA 30030-5326 | 2007-08-07 |
| 1073739579 | Nevorn Askari | General Practice | 1836 Second Ave, Decatur, GA 30032-3970 | 2007-04-17 |
| 1073667127 | Sue Kim Lee | General Practice | 2199 N Decatur Road, Ste 3, Decatur, GA 30033 | 2007-01-23 |
| 1124013495 | Amina Hassanali | General Practice | 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 | 2005-09-13 |
| 1366927741 | Song Kang | General Practice | 320 E Central Ave, Decatur, IL 62521-4665 | 2018-10-01 |
| 1750787438 | Decatur Weightloss & Pain Center LLC | General Practice | 1685 Church St, Suite 207, Decatur, GA 30033-5901 | 2014-11-07 |
| Find all providers in DECATUR | ||||
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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.