DORIAN ELLIS (NPI# 1912522582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912522582 |
Entity Type | Individual |
Full Name | DORIAN ELLIS |
Practice Address |
5470 Lemoyne Dr Sw Atlanta GA 30331-9206 |
Mailing Address |
3645 Marketplace Blvd Ste 130-171 Atlanta GA 30344-5747 |
Practice Telephone | 6173316966 |
Mailing Telephone | 4702225354 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
007688 | GA | Behavioral Health & Social Service Providers |
Street Address |
5470 LEMOYNE DR SW |
City | ATLANTA |
State | GA |
Zip Code | 30331-9206 |
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 | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
1568083202 | Charlene Marie Smith | Counselor | 2323 Piedmont Rd Ne Apt 2124, Atlanta, GA 30324-3419 | 2020-05-05 |
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.