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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 1922453117 | 05 |
Other Name | Type Code |
---|---|
Health Medix Center Inc | Former Legal Business Name - Organization |
Street Address |
5401 BOREAL WAY SW |
City | ATLANTA |
State | GA |
Zip Code | 30331-9215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
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 |
Find all providers in zip 30331 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989549 | Bosede Omolara Babalola-adejokun | Nurse Practitioner | 160 Magnolia Walk Ln, Atlanta, GA 30349-4067 | 2020-07-16 |
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 |
1386243871 | Stacy Wideman | Nurse Practitioner | 5775 Peachtree Dunwoody Rd Ste C200, Atlanta, GA 30342-1509 | 2020-10-26 |
Find all providers in ATLANTA |
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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.