MAHLET MEKONNEN


Address: 445 Winn Way, Decatur, GA 30030-1707
Phone: 4042943700

MAHLET MEKONNEN (NPI# 1861812349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861812349
Entity Type Individual
Full Name MAHLET MEKONNEN
Practice Address 445 Winn Way
Decatur
GA 30030-1707
Practice Telephone 4042943700
Practice Fax Number 4042977203
Mailing Telephone 4042943700
Mailing Fax Number 4042977203
Enumeration Date 2014-04-23
Last Update Date 2014-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN228653 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MAHLET MEKONNEN

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1417598558 Mahlet Dawit Mekonnen Behavior Technician 865 Cole Ave, Turlock, CA 95382-0846 2019-09-30
1093369654 Mahlet Mekonnen Social Worker 1900 N Beauregard St Ste 200, Alexandria, VA 22311-1727 2019-07-31

Office Location

Street Address 445 WINN WAY
City DECATUR
State GA
Zip Code 30030-1707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770588691 Nancy S Koughan Preventive Medicine 445 Winn Way, Decatur, GA 30030-1707 2005-06-16
1699372342 Marteia Wells Social Worker 445 Winn Way, Decatur, GA 30030-1707 2020-10-06
1205440831 Trikella T Jones Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-09-01
1376166611 Rashanna Ratliff Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-05-21
1710513783 Mary L Locke Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-03-20
1306477138 Obiageri Ohayagha Nurse Practitioner 445 Winn Way, Decatur, GA 30030-1707 2020-01-30
1053959254 John Francis Beltrami Preventive Medicine 445 Winn Way, Decatur, GA 30030-1707 2019-12-18
1609411172 Jean Lehmann Dietitian, Registered 445 Winn Way, Decatur, GA 30030-1707 2019-11-08
1437709086 Joseph Pfeffer Counselor 445 Winn Way, Decatur, GA 30030-1707 2019-09-16
1760047013 Karen Brown Taylor Counselor 445 Winn Way, Decatur, GA 30030-1707 2019-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729965 Jamie Mclemore Nurse Practitioner 17619 Hwy 58 North, Decatur, TN 37322-3732 2020-10-30
1790383776 Angela Tope Adeleke Nurse Practitioner 3185 Georgian Woods Cir, Decatur, GA 30034-5105 2020-10-13
1417564147 Jigna Patel Nurse Practitioner 1963 Don Juan Ln, Decatur, GA 30032-4218 2020-09-27
1659983856 Emilie Carsell Mathias Nurse Practitioner 2208 N Crossing Way, Decatur, GA 30033-4175 2020-08-19
1275151078 Tiffanie Marshall Mcguire Nurse Practitioner 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 2020-07-08
1922623610 Anastasiya A Drogoul Nurse Practitioner 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 2020-06-09
1174156244 Anne Marie Strickland Nurse Practitioner 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 2020-02-18
1174161822 Allison Leanne Hall Nurse Practitioner 304 W Hay St Ste 312, Decatur, IL 62526-4170 2019-12-12
1396387866 Elizabeth Nichole Mathews Nurse Practitioner 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 2019-10-16
1861040479 Oladunni Funmi Faminu Nurse Practitioner 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 2019-08-27
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Competitor

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City DECATUR
Zip Code 30030

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Dataset Information

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.

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