CHESHIRE BRIDGE GYN (NPI# 1962740001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962740001 |
Entity Type | Organization |
Organization Name | CHESHIRE BRIDGE GYN |
Practice Address |
1874 Piedmont Rd Ne Suite 580 E Atlanta GA 30324-4869 |
Practice Telephone | 4046024495 |
Practice Fax Number | 4046070728 |
Mailing Telephone | 4046024495 |
Mailing Fax Number | 4046070728 |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-24 |
Authorized Official Name | TYRONE C MALLOY (OWNER) |
Authorized Official Telephone | 4048923239 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | 23086 | GA | Ambulatory Health Care Facilities |
Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
23086 | GA | Ambulatory Health Care Facilities |
Street Address |
1874 PIEDMONT RD NE SUITE 580 E |
City | ATLANTA |
State | GA |
Zip Code | 30324-4869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952536344 | First Hand Experience | Clinic/Center | 1874 Piedmont Rd Ne, 480d, Atlanta, GA 30324-4869 | 2009-05-28 |
1790023083 | Atlanta Center for Womens Choice, Inc | Clinic/Center | 1874 Piedmont Rd Ne, Suite 580e, Atlanta, GA 30324-4869 | 2013-01-22 |
1609112309 | Henry D Webster | Pharmacist | 1874 Piedmont Rd Ne, Suite A, Atlanta, GA 30324-4869 | 2012-12-27 |
1144455536 | Ray Blount | Massage Therapist | 1874 Piedmont Rd Ne, 480d, Atlanta, GA 30324-4869 | 2009-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
Find all providers in zip 30324 |
Taxonomy Code | 261QA0005X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Family Planning Facility |
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619023967 | Ching Tsai Chen | Clinic/Center | 2589 Chamblee Tucker Rd, Atlanta, GA 30341-3515 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689993461 | Bulloch Recovery Resources | Clinic/Center | 18 Simmons Center, Statesboro, GA 30458 | 2010-05-19 |
1780862904 | Bryant Enterprises Inc. | Clinic/Center | 339 Marshall St, Martinez, GA 30907-2585 | 2008-02-11 |
1154360626 | Preston Family Clinic | Clinic/Center | 300 Alston St, Richland, GA 31825-1406 | 2006-06-06 |
1295108652 | Medstop, LLC | Clinic/Center | 6063 Peachtree Pkwy, Suite 201 A, Peachtree Corners, GA 30092-3303 | 2015-11-07 |
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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.