INMED CLINICAL SERVICES LLC (NPI# 1861754202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861754202 |
| Entity Type | Organization |
| Organization Name | INMED CLINICAL SERVICES LLC |
| Other Organization Name | NORTH SHORE HEALTHCARE ASSOCIATES - URGENT CARE |
| Practice Address |
331 Ridgecrest Cir Clayton GA 30525-4186 |
| Mailing Address |
Po Box 5013 Montgomery AL 36103-5013 |
| Practice Telephone | 7067820440 |
| Mailing Telephone | 3343860343 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | VICKI F LAWRENSON (COO) |
| Authorized Official Telephone | 3343860343 |
| Is Organization Subpart | Y |
| Parent Organization Name | INMED CLINICAL SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Healthcare Associates - Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962764308 | Inmed Clinical Services LLC | Internal Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-12 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1588925432 | Inmed Clinical Services LLC | Plastic Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-06 |
| 1033470984 | Inmed Clinical Services LLC | Family Medicine | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-06 |
| 1497016356 | Inmed Clinical Services LLC | Family Medicine | 5303 Vaughn Rd, Montgomery, AL 36116-1120 | 2012-06-06 |
| Street Address |
331 RIDGECREST CIR |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053413690 | Ambrous O Findley Jr. | General Practice | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2006-09-03 |
| 1033470984 | Inmed Clinical Services LLC | Family Medicine | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-06 |
| 1316216807 | Brittany Arnett | Physician Assistant | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2011-12-29 |
| 1093883308 | Patricia H Smith | Nurse Practitioner | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740310614 | Rabun Medical Center, LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2007-03-07 |
| 1053413690 | Ambrous O Findley Jr. | General Practice | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2006-09-03 |
| 1285677492 | Carl Louis Schopfer | General Practice | 115 S Delsea Dr, Clayton, NJ 08312-1913 | 2006-06-14 |
| 1013919034 | Mark Edward Van Wormer | General Practice | 314 N 3rd Ave, Clayton, NM 88415-3302 | 2005-08-10 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1366687774 | Robin Lee Line | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2008-12-15 |
| 1629141296 | Cameron Luther Perkins | General Practice | 11491 Us Highway 70 W, Clayton, NC 27520-2207 | 2006-11-15 |
| 1104912096 | Clayton Urgent Care and Family Clinic Pa | General Practice | 11491 Us Highway 70 W, Clayton, NC 27520 | 2006-10-05 |
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| Find all providers with the same taxonomy | ||||
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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.