HEALTH MEDIX CENTER INC


Address: 5401 Boreal Way Sw, Atlanta, GA 30331-9215
Phone: 4704291431

HEALTH MEDIX CENTER INC (NPI# 1891313276) 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) 1891313276
Entity Type Organization
Organization Name HEALTH MEDIX CENTER INC
Practice Address 5401 Boreal Way Sw
Atlanta
GA 30331-9215
Practice Telephone 4704291431
Mailing Telephone 4704291431
Enumeration Date 2020-07-11
Last Update Date 2020-10-21
Authorized Official Name DR. BENEDICTA N OKOYE (CHIEF EXECUTIVE OFFICE)
Authorized Official Telephone 4704291431
Authorized Official Credential DNP. FNP-C. PMHN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 1922453117 05

Other Provider/Organization Names

Other Name Type Code
Health Medix Center Inc Former Legal Business Name - Organization

Office Location

Street Address 5401 BOREAL WAY SW
City ATLANTA
State GA
Zip Code 30331-9215

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NPI Name Taxonomy Address Enumeration
1861001174 Whitney Flemister Social Worker 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 2020-07-23
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1295375558 Drusilla Precious Cudjoe Behavior Technician 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 2020-01-14
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1033629779 Carmen Ardoin Counselor 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 2017-10-09
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
1700304268 Tyrone Pipkin Contractor 415 Kendrick Terrace Sw, Atlanta, GA 30331 2017-09-05
1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
1548704687 Advance Pain Management Health Maintenance Organization 2950 Stone Hogan Road Connector, Atlanta, GA 30331 2016-12-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1831736826 Carol Lorraine Borchers Nurse Practitioner 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 2019-12-09
1033606165 Jane Wanjiru Waweru Nurse Practitioner 635 Windy Ridge Ln Se, Atlanta, GA 30339-2438 2018-04-14
1780198820 Joanne Patrice Parks Nurse Practitioner 3110 Henderson Walk, Atlanta, GA 30340-4329 2017-11-28
1013467570 Jill Morich Webb Nurse Practitioner 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 2016-10-09
1518413897 Terre Cheely Nurse Practitioner 2 Ravinia Drive Suite 500, Atlanta, GA 30346 2016-08-28
1407211964 Donna D. Wilson Nurse Practitioner 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 2015-12-28
1265785596 Shikira Mone' Woods Nurse Practitioner 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 2012-10-24
1104846385 Elizabeth L Robinson Nurse Practitioner 289 Little St Se, Atlanta, GA 30315-1364 2006-07-20
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Competitor

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City ATLANTA
Zip Code 30331

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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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