GEORGIA DIAGNOSTICS, LLC (NPI# 1861026767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861026767 |
| Entity Type | Organization |
| Organization Name | GEORGIA DIAGNOSTICS, LLC |
| Practice Address |
2162 Bakers Mill Rd Dacula GA 30019-4622 |
| Mailing Address |
Po Box 103 Dacula GA 30019-0002 |
| Practice Telephone | 4046251140 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | ERIC BYLES (PHYSICAL THERAPY) |
| Authorized Official Telephone | 4036251140 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Eric Byles | Other Name - Individual/Organization |
| Street Address |
2162 BAKERS MILL RD |
| City | DACULA |
| State | GA |
| Zip Code | 30019-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255636478 | Emily Christina Kell | Physical Therapist | 771 Windsor Rd, Macon, GA 31204-1243 | 2011-01-19 |
| 1487824918 | Dannie Carroll Smith | Physical Therapist | 42 Dogwood Trl, Thomaston, GA 30286-4911 | 2008-03-12 |
| 1104902998 | Ephriam Paul Hamm | Physical Therapist | 6555 Standing Boy Rd, Columbus, GA 31904-2219 | 2006-10-27 |
| 1356398622 | Jeffrey Robert Fraser | Physical Therapist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2006-05-30 |
| 1790776201 | Linda Ann King | Physical Therapist | 2109 N Patterson St, Suite A, Valdosta, GA 31602-2946 | 2005-11-03 |
| 1578775771 | Valdosta Physical Therapy, Inc | Physical Therapist | 2109 N Patterson St, Suite A, Valdosta, GA 31602-2946 | 2007-05-03 |
| 1053412486 | Darin Michael White | Physical Therapist | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-09-26 |
Please comment or provide details below to improve the information on GEORGIA DIAGNOSTICS, 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.