DR. CONNIE HALL SHRAKE (NPI# 1891193082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891193082 |
Entity Type | Individual |
Full Name | DR. CONNIE HALL SHRAKE |
Credential | M.D. |
Practice Address |
3380 Moye Trl Duluth GA 30097-3780 |
Practice Telephone | 6785206750 |
Mailing Telephone | 6785206750 |
Enumeration Date | 2014-12-20 |
Last Update Date | 2018-03-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 46326 | GA | Allopathic & Osteopathic Physicians |
Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
46326 | GA | Allopathic & Osteopathic Physicians |
Street Address |
3380 MOYE TRL |
City | DULUTH |
State | GA |
Zip Code | 30097-3780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
Find all providers in zip 30097 |
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 |
---|---|---|---|---|
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 |
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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.