WITHINME MD, ATLANTA (NPI# 1972929685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972929685 |
| Entity Type | Organization |
| Organization Name | WITHINME MD, ATLANTA |
| Practice Address |
604 Glen Iris Dr Ne Atlanta GA 30308-2717 |
| Mailing Address |
604 Glen Iris Dr Ne 5275 Lee Highway #201, Arlington, Virginia 22207 Atlanta GA 30308-2717 |
| Practice Telephone | 4044648169 |
| Practice Fax Number | 4049219577 |
| Mailing Telephone | 4044648169 |
| Mailing Fax Number | 4049219577 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | DERRON SIMON (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8044415040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1366405037 | GA | Ambulatory Health Care Facilities |
| Street Address |
604 GLEN IRIS DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255646816 | William 'bill' Freeman Foundation Inc. | Counselor | 604 Glen Iris Dr Ne, Atlanta, GA 30308-2717 | 2010-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780947978 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2255 Peachtree Rd Ne, Ste G, Atlanta, GA 30309-1101 | 2012-06-21 |
| 1467719849 | Mina Jacob, Md, PC | Clinic/Center | 1300 Peachtree Battle Ave Nw, Atlanta, GA 30327-1424 | 2012-04-23 |
| 1558525071 | Charlene Johnson Md LLC | Clinic/Center | 2945 Stone Hogan Rd, Suite 201, Atlanta, GA 30331-2835 | 2008-07-14 |
| 1497954093 | Orthopaedic & Spine Surgery of Atlanta | Clinic/Center | 3161 Howell Mill Road, Suite 400, Atlanta, GA 30327 | 2007-07-13 |
| 1336345982 | Emory Healthcare | Clinic/Center | The Emory Clinic 1525 Clifton Rd, Atlanta, GA 30322-0001 | 2007-06-21 |
| 1568822195 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-02-24 |
| 1780043547 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, 150, Atlanta, GA 30329-2288 | 2016-02-22 |
| 1467825281 | J Dewayne Colquitt Md LLC | Clinic/Center | 35 Collier Rd Nw Ste 675, Atlanta, GA 30309-1612 | 2015-11-02 |
| 1003247859 | Legacy Women's Healthcare, PC | Clinic/Center | 960 Johnson Fy Rd Ne, Suite 215, Atlanta, GA 30342-1631 | 2013-12-04 |
| 1649518432 | Wiley A. Parker, M.d.,p.c. | Clinic/Center | 5669 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1786 | 2013-01-29 |
| 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.