LIGHT GROUP SERVICES, INC (NPI# 1982920195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982920195 |
| Entity Type | Organization |
| Organization Name | LIGHT GROUP SERVICES, INC |
| Practice Address |
2625 Piedmont Rd Ne Suite 56 #440 Atlanta GA 30324-3086 |
| Practice Telephone | 6785764924 |
| Practice Fax Number | 6786661038 |
| Mailing Telephone | 6785764924 |
| Mailing Fax Number | 6786661038 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. JOSE M ARENCIBIA (PRESIDENT) |
| Authorized Official Telephone | 6785764924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2625 PIEDMONT RD NE SUITE 56 #440 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174630024 | Robert D Butterwick | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-24 |
| 1356885313 | Stephanie M Ross | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2016-12-10 |
| 1215114558 | Ryan Marc Friedrich | Dentist | 2625 Piedmont Rd Ne, Suite G35, Atlanta, GA 30324-3086 | 2008-01-29 |
| 1366544652 | David N Ross | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-09-05 |
| 1760593735 | Matthew A Mast | Optometrist | 2625 Piedmont Rd Ne, Atlanta, GA 30324-3086 | 2006-08-31 |
| 1710094503 | Michael M Bloom | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-25 |
| 1063529725 | Ross Eyecare Group, P.C. | Optometrist | 2625 Piedmont Rd Ne, Suite G36, Atlanta, GA 30324-3086 | 2006-08-25 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1427532225 | River Acupuncture Inc | Clinic/Center | 5441 Buford Hwy Ne Ste 203, Atlanta, GA 30340-1168 | 2018-09-18 |
| 1093208381 | Tonova Audiometrics, LLC | Clinic/Center | 677b Alta Pl Nw, Atlanta, GA 30318-6364 | 2018-06-11 |
| 1841708682 | Aica Orthopedics, P.C. | Clinic/Center | 2045 Peachtree Rd Ne Ste 700, Atlanta, GA 30309-1417 | 2018-01-15 |
| 1407361702 | Buckhead Cosmetic and Family Dentistry LLC | Clinic/Center | 316 Pharr Rd Ne, Atlanta, GA 30305-2304 | 2017-12-08 |
| 1366952749 | Cancer Screening of America | Clinic/Center | 1 Baltimore Pl Nw Ste 240, Atlanta, GA 30308-2116 | 2017-10-11 |
| 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.