PRIME BY ASERACARE LLC (NPI# 1871968511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871968511 |
| Entity Type | Organization |
| Organization Name | PRIME BY ASERACARE LLC |
| Practice Address |
1117 Perimeter Ctr N500 Atlanta GA 30338-5451 |
| Practice Telephone | 7706988785 |
| Mailing Telephone | 7706988785 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | HOLLY RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770944357 | Prime By Aseracare LLC | Emergency Medicine | 1201 Montlimar Dr, Ste 100, Mobile, AL 36609-1704 | 2016-03-10 |
| 1215396312 | Prime By Aseracare LLC | Internal Medicine | 1212 S Abington Rd, Clarks Summit, PA 18411-2234 | 2016-02-17 |
| 1720447824 | Prime By Aseracare LLC | Internal Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2016-02-17 |
| 1194184291 | Prime By Aseracare LLC | Emergency Medicine | 1600 Peninsula Dr, Ste 14, Erie, PA 16505-4261 | 2016-02-17 |
| 1508223355 | Prime By Aseracare LLC | Internal Medicine | 411 E Broadway, Council Bluffs, IA 51503-4417 | 2016-01-25 |
| 1447617295 | Prime By Aseracare LLC | Internal Medicine | 300 Penn Center Blvd, Ste 602, Pittsburgh, PA 15235-5511 | 2016-01-25 |
| 1689049223 | Prime By Aseracare LLC | Internal Medicine | 1401 Professional Blvd, Ste 201, Evansville, IN 47714-8014 | 2015-12-08 |
| 1720453376 | Prime By Aseracare LLC | Internal Medicine | 8710 Frederick St, Ste 100, Omaha, NE 68124-3061 | 2015-12-08 |
| 1548522923 | Prime By Aseracare LLC | Emergency Medicine | 1000 Fianna Way, Fort Smith, AR 72919-9008 | 2012-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PRIME BY ASERACARE LLC | 2601 Network Blvd, Ste 102, Frisco, TX 75034 |
| North Carolina Corporations | Prime by Aseracare LLC | 2 South Salisbury Street, Raleigh, NC 27601 |
| Street Address |
1117 PERIMETER CTR N500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720067093 | Jennifer Boswell Snowden | Psychiatry & Neurology | 1117 Perimeter Ctr, N404, Atlanta, GA 30338-5451 | 2006-01-13 |
| 1992826689 | Digitrace Care Services Inc | Clinic/Center | 1117 Perimeter Ctr, Suite W503, Atlanta, GA 30338 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441870 | Joshua Jackson | Internal Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2015-07-06 |
| 1467794057 | Julie Mitchell | Internal Medicine | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2013-03-21 |
| 1295984979 | Sonja Doughlin | Internal Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2008-09-17 |
| 1134390453 | Daniele Sara | Internal Medicine | 3150 Howell Mill Rd Nw, Atlanta, GA 30327-2108 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1396205696 | Hospice Advantage, LLC | Internal Medicine | 107 Southern Blvd Ste 203, Savannah, GA 31405-7435 | 2019-03-22 |
| 1053877993 | Compassus Op of Georgia II LLC | Internal Medicine | 1000 Northside Xing, Macon, GA 31210-2278 | 2019-02-15 |
| 1285190116 | Hospice Advantage, LLC. | Internal Medicine | 2470 Daniels Bridge Rd Ste 171, Athens, GA 30606-6188 | 2019-02-15 |
| 1215245634 | Ginpen, LLC | Internal Medicine | 238 Old Norton Rd, Fayetteville, GA 30215-4921 | 2010-09-20 |
| 1518525112 | Veneranda Ngulefac | Internal Medicine | 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 | 2019-05-30 |
| 1366902058 | Pruitthealth Hospice, Inc. | Internal Medicine | 6060 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-03-20 |
| 1932672300 | St. Mary's Medical Group, Inc. | Internal Medicine | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-08 |
| 1235669045 | Sb Healthcare, LLC | Internal Medicine | 2000 Riverside Pkwy Ste 107, Lawrenceville, GA 30043-5926 | 2017-06-14 |
| 1568999779 | Umg Palliative Care LLC | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2017-05-18 |
| 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.