DR. NEIL COLVARD BERRY (NPI# 1821082025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082025 |
| Entity Type | Individual |
| Full Name | DR. NEIL COLVARD BERRY |
| Credential | MD |
| Practice Address |
1050 Eagles Landing Pkwy Ste 103 Stockbridge GA 30281 |
| Mailing Address |
1050 Eagles Landing Pkwy Ste 103 Stockbridge GA 30281-9018 |
| Practice Telephone | 6782895040 |
| Practice Fax Number | 6782892040 |
| Mailing Telephone | 6782895040 |
| Mailing Fax Number | 6782892040 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 013727 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00599068A | 05 | |
| GA | DME | 0807410001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063512887 | Neil M Berry | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2006-09-22 |
| Street Address |
1050 EAGLES LANDING PKWY STE 103 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591284 | Daniel Roberts Vieira | Physician Assistant | 1050 Eagles Landing Pkwy, Stockbridge, GA 30281-9018 | 2019-04-25 |
| 1609312909 | Carlyn Sainvil | Family Medicine | 1050 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2017-01-10 |
| 1447793344 | Katrina M Mansmann | Nurse Practitioner | 1050 Eagles Landing Pkwy, Stockbridge, GA 30281-9018 | 2016-11-23 |
| 1730545674 | Pain Center At Piedmont LLC. Asc | Clinic/Center | 1050 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-9018 | 2016-01-07 |
| 1619343100 | Pain Consultants At Piedmont LLC, Asc | Clinic/Center | 1050 Eagles Landing Pkwy, Ste 300, Stockbridge, GA 30281-9018 | 2015-08-19 |
| 1568753754 | Tina Baker Paulk | Nurse Practitioner | 1050 Eagles Landing Pkwy, Stockbridge, GA 30281-9018 | 2011-04-22 |
| 1376725978 | Eagles Landing Diabetes and Endocrinology | Specialist | 1050 Eagles Landing Pkwy, Suite 302, Stockbridge, GA 30281-9018 | 2007-12-05 |
| 1700075231 | Clayton Orthopedic Clinic | Orthopaedic Surgery | 1050 Eagles Landing Pkwy, Suite 103, Stockbridge, GA 30281-9020 | 2007-10-22 |
| 1962527333 | Jeffrey Scott Coleman | Dentist | 1050 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281-9018 | 2007-03-21 |
| 1932239993 | Kianna Lawson | Physician Assistant | 1050 Eagles Landing Pkwy, Ste 302, Stockbridge, GA 30281-9250 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487099313 | Qasim Hasan Zaidi | Orthopaedic Surgery | 135 N. Park Place, Suite 101, Stockbridge, GA 30281 | 2013-05-06 |
| 1497704274 | Michael A Burke | Orthopaedic Surgery | 145 Medical Blvd, Stockbridge, GA 30281-5083 | 2006-05-09 |
| 1356338313 | Philip G. Ploska | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2005-10-04 |
| 1457352601 | Charles H Kenny | Orthopaedic Surgery | 5 Meadow Road, Stockbridge, MA 01262 | 2005-08-09 |
| 1609429935 | Southside Surgical Assistants, LLC | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2019-07-16 |
| 1770937047 | Joseph Carl Sutton IIi | Orthopaedic Surgery | 145 Medical Blvd, Stockbridge, GA 30281-5083 | 2016-04-22 |
| 1568858231 | Regenerative Orthopaedics and Spine Institute, PC | Orthopaedic Surgery | 203 Medical Blvd, Stockbridge, GA 30281-7218 | 2015-04-09 |
| 1861807414 | Tobias Nikolaus Von Bergen | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2014-06-23 |
| 1700075231 | Clayton Orthopedic Clinic | Orthopaedic Surgery | 1050 Eagles Landing Pkwy, Suite 103, Stockbridge, GA 30281-9020 | 2007-10-22 |
| 1881890820 | Gregory H. Lee | Orthopaedic Surgery | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281-6118 | 2007-06-26 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.