PIEDMONT MINOR EMERGENCY CLINIC PC (NPI# 1972777209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972777209 |
| Entity Type | Organization |
| Organization Name | PIEDMONT MINOR EMERGENCY CLINIC PC |
| Practice Address |
3108 Piedmont Rd Ne Atlanta GA 30305-2513 |
| Mailing Address |
3108 Piedmont Rd Ne Suite 101 Atlanta GA 30305-2513 |
| Practice Telephone | 4042371755 |
| Mailing Telephone | 4042371755 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DR. MARIA L WALKER (CEO) |
| Authorized Official Telephone | 4042371755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
3108 PIEDMONT RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720357 | Guruman Singh Kalra | Internal Medicine | 3108 Piedmont Rd Ne, Atlanta, GA 30305 | 2006-06-18 |
| 1265805667 | Rachel Rigdon | Speech-Language Pathologist | 3108 Piedmont Rd Ne, Suite 120, Atlanta, GA 30305-2513 | 2015-11-06 |
| 1710319124 | Amy S Hamilton | Speech-Language Pathologist | 3108 Piedmont Rd Ne, Suite 120, Atlanta, GA 30305-2513 | 2013-08-07 |
| 1215373485 | Jack Underwood | Counselor | 3108 Piedmont Rd Ne, Atlanta, GA 30305-2513 | 2013-05-15 |
| 1356488266 | Yemeserach Albabe | Physician Assistant | 3108 Piedmont Rd Ne, Atlanta, GA 30305-2513 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
| 1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
| 1487729992 | Lisa Tadayon | Emergency Medicine | 1000 John Fy Rd Ne, Atlanta, GA 30342-1606 | 2006-11-21 |
| 1598851636 | Model N/a Neway | Emergency Medicine | 3112 Pine Heights Dr Ne, Atlanta, GA 30324-2843 | 2006-10-05 |
| 1154439586 | Barbara D Nichols | Emergency Medicine | 1968 Peachtree Rd. Northeast, Atlanta, GA 30309 | 2006-08-27 |
| 1164480869 | Emerginet, LLC | Emergency Medicine | 235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 | 2006-05-02 |
| 1972154722 | Nichelle Jackson | Emergency Medicine | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-09-24 |
| 1336564236 | James Patrick O'neal | Emergency Medicine | 2 Peachtree St Nw Fl 15, Suite 15-433, Atlanta, GA 30303-3142 | 2014-02-28 |
| 1427353861 | Suwanee Physicians, LLC | Emergency Medicine | 2151 Peachford Rd, Hospitalist Service, Atlanta, GA 30338-6534 | 2011-01-16 |
| 1902098916 | Todd Taylor | Emergency Medicine | 531 Asbury Cir, Hospital Annex-suite N340, Atlanta, GA 30322-1006 | 2007-08-14 |
| Find all providers in ATLANTA | ||||
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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.