ABSOLUTE HEALTH FAMILY & URGENT CARE CLINIC (NPI# 1851894588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851894588 |
| Entity Type | Organization |
| Organization Name | ABSOLUTE HEALTH FAMILY & URGENT CARE CLINIC |
| Practice Address |
7574 Ga 85 Riverdale GA 30274 |
| Mailing Address |
7574 Ga 85 Riverdale GA 30274-3447 |
| Practice Telephone | 0000000000 |
| Practice Fax Number | 4043937144 |
| Mailing Fax Number | 4043937144 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | ERNEST AMUKAMARA (PRESIDENT) |
| Authorized Official Telephone | 6782323191 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
RN201832 | GA | Ambulatory Health Care Facilities |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN201832 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 817526188G | 05 | |
| GA | NPI | 1356529101 | 01 |
| Street Address |
7574 GA 85 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| 1407131097 | Global Matrix International Inc. | Community/Behavioral Health | 6030 Hwy 85 Ste 202-4, Riverdale, GA 30274 | 2011-10-15 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908816 | Katherine Dover-payne | Nurse Practitioner | 661 W 138th St, Riverdale, IL 60827-1660 | 2020-10-05 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| 1255949574 | Hawana Lewis | Nurse Practitioner | 1527 Wynthrope Cv, Riverdale, GA 30274-5148 | 2020-07-22 |
| 1619506532 | Tanyetta Michelle Brown | Nurse Practitioner | 2802 Topaz Rd, Riverdale, GA 30296-1699 | 2020-04-02 |
| 1821622770 | Risa Rowley | Nurse Practitioner | 4260 S 950 W, Riverdale, UT 84405-3454 | 2020-03-01 |
| 1356992796 | Lindsay Patricia Peluso | Nurse Practitioner | 253 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-4945 | 2019-09-26 |
| 1205308285 | Saritha Sudharsun | Nurse Practitioner | 6516 Rosalie Ln, Riverdale, MD 20737-1785 | 2019-01-01 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1861991408 | Gexin Wang | Nurse Practitioner | 5506 Kenilworth Ave Ste A, Riverdale, MD 20737-3115 | 2018-02-09 |
| 1063947091 | Shibana Elder Cutter | Nurse Practitioner | 2798 Topaz Rd, Riverdale, GA 30296-6015 | 2017-04-27 |
| Find all providers in RIVERDALE | ||||
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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.