MARIAM GEORGE (NPI# 1972590982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972590982 |
| Entity Type | Individual |
| Full Name | MARIAM GEORGE |
| Credential | M.D. |
| Practice Address |
3872 Highway 5 Douglasville GA 30135-3366 |
| Practice Telephone | 7709495535 |
| Practice Fax Number | 7709499022 |
| Mailing Telephone | 7709495535 |
| Mailing Fax Number | 7709499022 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23734 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00312826C | 05 | |
| GA | GEORGIA BETTER HEALTH | 085001111G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526538 | Mariam George | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-31 |
| Street Address |
3872 HIGHWAY 5 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918671 | Douglas County Family Practice, P.C. | Clinic/Center | 3872 Highway 5, Douglasville, GA 30135-3366 | 2005-08-04 |
| 1710517388 | Kelly Dimeo | Nurse Practitioner | 3872 Highway 5, Douglasville, GA 30135-3366 | 2020-01-22 |
| 1396171708 | Bhumika Banugaria | Nurse Practitioner | 3872 Highway 5, Douglasville, GA 30135-3366 | 2013-09-17 |
| 1801068531 | Thaedra Denice Mercadel | Internal Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2008-04-02 |
| 1821268319 | Binu J George | Internal Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2008-03-11 |
| 1083769376 | Douglas County Family Practice, P.C. | Internal Medicine | 3872 Highway 5, Douglasville, GA 30135-3366 | 2007-01-24 |
| 1992792972 | Syed A Jafri | Specialist | 3872 Highway 5, Douglasville, GA 30135-3366 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427201797 | Atlantic Health Solutions, Inc. | Family Medicine | 6128 Prestley Mill Rd Ste G, Douglasville, GA 30134-5622 | 2008-10-30 |
| 1609031657 | Nakato B. Kibuyaga-travis | Family Medicine | 6043 Prestley Mill Rd Ste B, Douglasville, GA 30134-2280 | 2008-07-18 |
| 1437343563 | Physicians Immediate Med of Douglasville, P.C. | Family Medicine | 9390 The Landing Drive, Douglasville, GA 30135 | 2007-08-31 |
| 1750422242 | Clark Robinson, M.d.,p.c. | Family Medicine | 6671 Church St, Douglasville, GA 30134-1715 | 2007-02-09 |
| 1952466583 | Michael Shannon Moody | Family Medicine | 8464 Adair Sreet, Douglasville, GA 30134-1877 | 2006-12-26 |
| 1528128162 | Vance W Boddy | Family Medicine | 6084 Professional Pkwy Ste C, Douglasville, GA 30134-5612 | 2006-12-12 |
| 1164592846 | Veeni S Kumar | Family Medicine | 3327 Highway 5, Douglasville, GA 30135-2307 | 2006-11-09 |
| 1215945969 | Dingane Baruti | Family Medicine | 6842 Douglas Blvd Ste K, Douglasville, GA 30135 | 2006-08-04 |
| 1326053042 | Tmc Total Care Family Medicine Inc | Family Medicine | 8464 Adair St, Suite B, Douglasville, GA 30134-1877 | 2006-07-30 |
| 1578583035 | Hope Hamlin Mcdaniel-desarmes | Family Medicine | 6875 Douglas Blvd, Suite, Kaiser Permanente Douglasville Medical Office, Douglasville, GA 30135 | 2006-07-20 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.