INMED CLINICAL SERVICES LLC (NPI# 1962764308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962764308 |
| Entity Type | Organization |
| Organization Name | INMED CLINICAL SERVICES LLC |
| Other Organization Name | NORTH SHORE HEALTHCARE ASSOCIATES - GASTROENTEROLOGY SERVICES |
| Practice Address |
196 Ridgecrest Cir Clayton GA 30525-4111 |
| Mailing Address |
Po Box 5013 Montgomery AL 36103-5013 |
| Practice Telephone | 7067824233 |
| Mailing Telephone | 3343860343 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | VICKI F LAWRENSON (COO) |
| Authorized Official Telephone | 3343860343 |
| Is Organization Subpart | Y |
| Parent Organization Name | INMED CLINICAL SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Healthcare Associates - Gastroenterology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754202 | Inmed Clinical Services LLC | Hospitalist | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-12 |
| 1356602205 | Inmed Clinical Services LLC | General Practice | 773 N Main St, Clayton, GA 30525-4257 | 2012-06-06 |
| 1588925432 | Inmed Clinical Services LLC | Plastic Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-06 |
| 1033470984 | Inmed Clinical Services LLC | Family Medicine | 331 Ridgecrest Cir, Clayton, GA 30525-4186 | 2012-06-06 |
| 1497016356 | Inmed Clinical Services LLC | Family Medicine | 5303 Vaughn Rd, Montgomery, AL 36116-1120 | 2012-06-06 |
| Street Address |
196 RIDGECREST CIR |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057363 | Professional Resource Mgmt of Rabun, LLC | General Acute Care Hospital | 196 Ridgecrest Cir, Surgical Service, Clayton, GA 30525-4111 | 2005-07-20 |
| 1619381845 | Timothy J Gooding | Chiropractor | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2014-06-16 |
| 1306107149 | Ermds LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-07 |
| 1588925432 | Inmed Clinical Services LLC | Plastic Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2012-06-06 |
| 1841569993 | Kimberly V Terrell | Dietitian, Registered | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-12-19 |
| 1316236961 | Amara Center | Health Educator | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-04-05 |
| 1134435282 | Kramer Anesthesia Consulting Service | Anesthesiology | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2010-08-27 |
| 1497913180 | Foothills Emergency Services, LLC | Emergency Medicine | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-05-29 |
| 1144491663 | Hon Medical Group, PC | Surgery | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2008-03-13 |
| 1265560726 | Professional Resources Management of Rabun,llc | Medicare Defined Swing Bed Unit | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735458 | Viyan Udawatta | Internal Medicine | 166 Springbrook Ave Ste 105, Clayton, NC 27520-8520 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
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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.