CLARKE OCONEE FAMILY PRACTICE LLC (NPI# 1801803820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801803820 |
| Entity Type | Organization |
| Organization Name | CLARKE OCONEE FAMILY PRACTICE LLC |
| Practice Address |
1010 Prince Ave Suite 182 Athens GA 30606-5805 |
| Mailing Address |
Po Box 7336 Athens GA 30604-7336 |
| Practice Telephone | 7063537747 |
| Practice Fax Number | 7063537756 |
| Mailing Telephone | 7063537747 |
| Mailing Fax Number | 7063537756 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | DR. JONATHAN MITCHELL COOK (OWNER/MANAGER) |
| Authorized Official Telephone | 7063537747 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 042549 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI PHYSICIAN | 1467443713 | 01 |
| GA | 169764070A | 05 |
| Street Address |
1010 PRINCE AVE SUITE 182 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434664 | George D. Miller | Specialist | 1010 Prince Ave, Suite 186, Athens, GA 30606-5811 | 2005-08-22 |
| 1174836753 | Athens Immediate Care #1, LLC | Nurse Practitioner | 1010 Prince Ave, South Building, Athens, GA 30606-5805 | 2010-07-23 |
| 1063642296 | Natalie Kessler Moseley | Physician Assistant | 1010 Prince Ave, Suite 115 South, Athens, GA 30606-5805 | 2009-07-22 |
| 1427296094 | James J. Mcdonald Jr. | Dentist | 1010 Prince Ave, Suite 103 South, Athens, GA 30606-5805 | 2009-02-04 |
| 1609021260 | Athens Regional Health Center LLC | Pain Medicine | 1010 Prince Ave, #184n, Athens, GA 30606-5805 | 2008-11-24 |
| 1215198221 | Mcdonald and Manus LLP | Dentist | 1010 Prince Ave, Suite 103 South, Athens, GA 30606-5805 | 2008-06-23 |
| 1558538900 | Mohammed Obeidin, Md. | Surgery | 1010 Prince Ave, Suite 186n, Athens, GA 30606-5805 | 2008-05-14 |
| 1902077019 | Dr.m.niknafs Podiatrist PC | Podiatrist | 1010 Prince Ave, Suite 180, Athens, GA 30606-5805 | 2008-03-17 |
| 1518160936 | Nation Wide Foot & Ankle Surgeons LLC | Podiatrist | 1010 Prince Ave, Suite 180, Athens, GA 30606-5805 | 2007-06-06 |
| 1467673020 | Carlos Stanford Wilbanks Jr. | Dentist | 1010 Prince Ave, Athens, GA 30606 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1821558305 | Physician Management Services of Georgia II, LLC | Family Medicine | 1010 Prince Ave Ste 183, Athens, GA 30606-5805 | 2019-03-21 |
| 1649777152 | Ohio University | Family Medicine | 1 Ohio University Fl 5, Athens, OH 45701-2942 | 2018-04-11 |
| 1508392267 | Boulevard Family Practice | Family Medicine | 1010 Prince Ave Ste 184, Athens, GA 30606-5815 | 2017-05-02 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1538580121 | Oconee Weight and Wellness, LLC | Family Medicine | 455 Epps Bridge Pkwy Ste 102, Athens, GA 30606-3347 | 2013-12-27 |
| 1306110150 | Charles Russell Fisher | Family Medicine | 86 Columbus Cir Ste 203, Athens, OH 45701-1371 | 2012-02-25 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on CLARKE OCONEE FAMILY PRACTICE LLC.
| 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.