DR. OLAN WYTCH STUBBS JR. (NPI# 1790119196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119196 |
| Entity Type | Individual |
| Full Name | DR. OLAN WYTCH STUBBS JR. |
| Credential | M.D. |
| Practice Address |
270 Ivy Glen Cir Avondale Estates GA 30002-1766 |
| Practice Telephone | 4045083825 |
| Practice Fax Number | 4045083825 |
| Mailing Telephone | 4045083825 |
| Mailing Fax Number | 4045083825 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11488 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
270 IVY GLEN CIR |
| City | AVONDALE ESTATES |
| State | GA |
| Zip Code | 30002-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891273561 | Barbara S. Fisher | Psychologist | 541 Stratford Green, Auordale Est, GA 30002 | 2018-08-03 |
| 1992210587 | Firefly Wellness Counseling, LLC | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2017-12-05 |
| 1528310455 | Katherine Alberta Brown | Social Worker | 151 Locust St, Avondale Estates, GA 30002 | 2012-10-02 |
| 1194009811 | Anne Rice | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2011-09-29 |
| 1033499884 | Lauren Shemain | Social Worker | 151 Locust St, Avondale Estates, GA 30002-1050 | 2011-08-25 |
| 1063034643 | Generational Resources LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-05-17 |
| 1508492893 | Charles Joseph Westbrook | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-03-18 |
| 1477193068 | Bee Good Wellness and Consulting Services | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1477193050 | Vivian Daniel Counseling LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1003455338 | Vivian Daniel | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-03 |
| Find all providers in zip 30002 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
| City | AVONDALE ESTATES |
| Zip Code | 30002 |
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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.