TAMMY ANITA LYLES-ARNOLD (NPI# 1801861562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801861562 |
| Entity Type | Individual |
| Full Name | TAMMY ANITA LYLES-ARNOLD |
| Credential | M.D. |
| Practice Address |
205 Bankhead Hwy Carrollton GA 30117-3427 |
| Mailing Address |
75 Old Mill Ct Carrollton GA 30117-4247 |
| Practice Telephone | 7708322005 |
| Practice Fax Number | 7708322705 |
| Mailing Telephone | 7705161029 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 049308 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | BL7789716 | 01 |
| TAX ID | 260699313 | 01 | |
| GA | WELLCARE | 358304 | 01 |
| GA | 625492081C | 05 | |
| GA | 625492081A | 05 | |
| GA | AMERIGROUP | 10052786 | 01 |
| Street Address |
205 BANKHEAD HWY |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104248095 | Heather Hendon Howard | Nurse Practitioner | 205 Bankhead Hwy, Carrollton, GA 30117-3427 | 2014-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124480348 | Neha Rao Manikonda | Pediatrics | 3044 Old Denton Rd Ste 138, Carrollton, TX 75007-5099 | 2016-03-26 |
| 1093993404 | Michelle S Tucker | Pediatrics | 1821 Golden Trail Ct Ste 200, Carrollton, TX 75010-4675 | 2008-02-07 |
| 1013112341 | Jyoti Sridhar Murthy | Pediatrics | 3044 Old Denton Road, Suite 138, Carrollton, TX 75007-5099 | 2007-06-18 |
| 1124245634 | D.b.a. Sand Hill Pediatrics | Pediatrics | 305 Prizm Dr, Carrollton, GA 30116-5596 | 2007-04-19 |
| 1245329135 | Margarita Maria Miller | Pediatrics | 2801 North I35 East, Suite #110, Carrollton, TX 75007 | 2006-10-11 |
| 1457458259 | Farah Naz | Pediatrics | 2459 E Hebron Pkwy, Suite 100, Carrollton, TX 75010-4482 | 2006-09-20 |
| 1003826496 | Thomas E. Grubb | Pediatrics | 4443 N Josey Ln Ste 160, Carrollton, TX 75010-4676 | 2006-08-08 |
| 1497785554 | Monica J Beamer | Pediatrics | 4443 N Josey Ln Ste 150, Carrollton, TX 75010-4680 | 2006-07-04 |
| 1306820477 | Eric H Baret | Pediatrics | 410 Newnan St, Carrollton, GA 30117-3111 | 2005-12-02 |
| 1548269822 | Muhammad A Mirza | Pediatrics | 4300 N.josey Ln., Suite 110, Carrollton, TX 75010-5338 | 2005-07-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.