DR. GHAZALA KHALID (NPI# 1922012269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922012269 |
| Entity Type | Individual |
| Full Name | DR. GHAZALA KHALID |
| Credential | MD |
| Practice Address |
7138 Highway 212 C Covington GA 30016-8047 |
| Mailing Address |
1277 Wellbrook Cir Ne Ste B Conyers GA 30012-3973 |
| Practice Telephone | 7709225745 |
| Practice Fax Number | 6787501406 |
| Mailing Telephone | 7709225745 |
| Mailing Fax Number | 6787501406 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 046607 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000827747A | 05 | |
| GA | 000827747D | 05 |
| Street Address |
7138 HIGHWAY 212 C |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-8047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154330348 | Eastside Medspa and Family Practice Inc. | Clinic/Center | 7138 Highway 212, Suite D, Covington, GA 30016-8047 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093143810 | Decatur Pediatrics Group - Covington | Pediatrics | 10246 Industrial Blvd Ne, Covington, GA 30014-1476 | 2013-10-15 |
| 1447541321 | Nancy O'neil Carter | Pediatrics | 11 Dogwood Ln, Covington, LA 70435-9526 | 2011-04-26 |
| 1538329370 | Amar Harshad Dave | Pediatrics | 751 Mirabella Ln, Covington, LA 70433-0882 | 2008-06-16 |
| 1578743811 | Jill Aileen Fitzpatrick | Pediatrics | 101 Judge Tanner Blvd., #302, Covington, LA 70433-7506 | 2007-11-03 |
| 1417094244 | Elizabeth B White Md Inc | Pediatrics | 205 Highland Park Plz, Covington, LA 70433-7130 | 2007-01-31 |
| 1487703153 | Candra Lanette Mack | Pediatrics | 4152 Baker Street, Ne, Covington, GA 30014-1404 | 2007-01-10 |
| 1245308311 | Carlos M Vides Jr. | Pediatrics | 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 | 2006-11-30 |
| 1245275809 | Fairway Pediatrics LLC | Pediatrics | 7020 Highway 190, Suite C, Covington, LA 70433-4954 | 2006-06-18 |
| 1881645174 | Cheryl A Manning | Pediatrics | 4106 Mill St Ne, Covington, GA 30014-2539 | 2006-05-12 |
| 1487605895 | Juliana N Nahas | Pediatrics | 4181 Hospital Dr, Ste 202, Covington, GA 30014 | 2006-05-12 |
| Find all providers in COVINGTON | ||||
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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.