DR. SUSAN WILLIAMS (NPI# 1932145612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932145612 |
| Entity Type | Individual |
| Full Name | DR. SUSAN WILLIAMS |
| Credential | DC |
| Practice Address |
12060 Etris Rd Ste 210 Roswell GA 30075-1463 |
| Practice Telephone | 7706409145 |
| Mailing Telephone | 7064091457 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6352 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | GRP7026 | 01 |
| GA | 000898136A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3750 Palladian Village Dr, Suite 110, Marietta, GA 300668200 | 7705927995 | 7705927987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1609413954 | Susan Williams | Social Worker | 18 Suominen Rd, Ulster Park, NY 12487 | 2019-12-05 |
| 1336795780 | Susan J Williams | Physical Medicine & Rehabilitation | 1721 1/2 E University Ave, Las Cruces, NM 88001-5780 | 2019-08-12 |
| 1831673227 | Susan Ann Williams | Social Worker | 2496 Interlochen Ct # 2a, Grand Junction, CO 81505-8706 | 2018-09-20 |
| 1619468998 | Susan Williams | Technician | 1447 N Forest Park Ave, Gwynn Oak, MD 21207-4851 | 2018-05-23 |
| 1083113617 | Susan Williams | Licensed Practical Nurse | 22500 Metro Pkwy Ste 403, Clinton Township, MI 48035-1904 | 2018-02-09 |
| 1982149712 | Susan Williams | Social Worker | 30450 Orchard Lake Rd Unit 73, Farmington Hills, MI 48334-1366 | 2017-01-03 |
| 1427417682 | Susan Gail Williams | Internal Medicine | 3551 Roger Brooke Dr # M, San Antonio, TX 78234-4504 | 2016-02-16 |
| 1386018588 | Susan Williams | Registered Nurse | 1754 Texas Ave, Knoxville, TN 37921-2513 | 2015-11-25 |
| Street Address |
12060 ETRIS RD STE 210 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| 1164045233 | Pars Health Clinic LLC | Chiropractor | 11205 Alpharetta Hwy Ste D4, Roswell, GA 30076-5645 | 2020-05-24 |
| 1043851058 | Sonam Dolma | Chiropractor | 115 Vickery St Ste 103, Roswell, GA 30075-4980 | 2019-10-01 |
| 1790203610 | Naeema Olatunji | Chiropractor | 580 E Crossville Rd Ste 340, Roswell, GA 30075-5852 | 2017-08-30 |
| 1942722947 | Samantha Potrzebowski | Chiropractor | 12040 Etris Rd Ste D120, Roswell, GA 30075-8016 | 2017-07-11 |
| 1780111385 | Andrea Esau | Chiropractor | 10886 Crabapple Rd Ste 400-a, Roswell, GA 30075-3026 | 2017-05-15 |
| 1073049490 | Steven Lako | Chiropractor | 912 Holcomb Bridge Rd, Suite 203, Roswell, GA 30076-1907 | 2017-05-04 |
| 1437604303 | Bryan Stotz | Chiropractor | 325 S Atlanta St, Roswell, GA 30075-4934 | 2016-08-22 |
| 1609267111 | Mark Lowell Lewis | Chiropractor | 116 W Alameda St, Roswell, NM 88203-5702 | 2015-02-05 |
| 1306234430 | Creekview Family Chiropractic LLC | Chiropractor | 4905 Alabama Rd Ne, Suite 360, Roswell, GA 30075-1699 | 2014-12-23 |
| Find all providers in ROSWELL | ||||
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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.