HEALTHSTAT ONSITE CLINIC/GRADY HEALTH SYSTEMS


Address: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031
Phone: 7045296161

HEALTHSTAT ONSITE CLINIC/GRADY HEALTH SYSTEMS (NPI# 1992107445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992107445
Entity Type Organization
Organization Name HEALTHSTAT ONSITE CLINIC/GRADY HEALTH SYSTEMS
Practice Address 80 Jesse Hill Jr Dr Se
Atlanta
GA 30303-3031
Mailing Address 4651 Charlotte Park Dr
Suite 300
Charlotte
NC 28217-1956
Practice Telephone 7045296161
Enumeration Date 2014-09-16
Last Update Date 2014-09-16
Authorized Official Name WARREN HUTTON (COO)
Authorized Official Telephone 7045296161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 80 JESSE HILL JR DR SE
City ATLANTA
State GA
Zip Code 30303-3031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301830 Adefisayo Oduwole Internal Medicine 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 2005-07-21
1598365421 Warren W Jarrett Nurse Practitioner 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-10-29
1245830579 Abigail Walker Murray Nurse Anesthetist, Certified Registered 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 2020-10-27
1649887118 Christie Sams Nurse Practitioner 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-09-28
1013523828 Alicia Wong Counselor 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-09-17
1538775473 Nebiyu D Muleta Nurse Anesthetist, Certified Registered 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-09-16
1952915431 Rikita D Patel Anesthesiologist Assistant 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 2020-09-02
1639782832 Chaltu Raba Nurse Anesthetist, Certified Registered 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-08-26
1790397172 Ashley A Bostic Nurse Practitioner 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 2020-08-18
1174134050 Kayla Renee Brown Physician Assistant 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 2020-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811597461 Nanoresearch, Inc Point of Service 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 2020-10-31
1952917155 Alesha Deshay Elbert Behavior Technician 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 2020-09-22
1033759386 Mark Bush Case Manager/Care Coordinator 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 2020-01-14
1053965855 Patrice Munsel Henry Nurse Practitioner 80 Jessie Hill Drive Se, Atlanta, GA 30303 2019-07-30
1356826564 United States Medical Supply, LLC Durable Medical Equipment & Medical Supplies 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 2018-10-03
1336645290 Joseph Bahng Student in an Organized Health Care Education/Training Program 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 2018-03-31
1841704707 Amber Peach LLC Family Medicine 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 2017-11-29
1447778089 Jasmine Williams Behavioral Analyst 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 2017-09-05
1982138236 Mahek Dossani Behavior Technician 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 2017-04-13
1255872420 Alexis Annick Auger Behavior Technician 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 2017-03-20
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Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194255281 Healthsite Clinic Onsite Clinic City of Atlanta Preventive Medicine 235 Central Ave Sw Ste, Atlanta, GA 30303-3642 2017-06-13
1578828893 Atlanta Medical Arts and Wellness, LLC Preventive Medicine 1800 Water Pl Se Ste 100, Atlanta, GA 30339-2041 2012-07-12
1003937509 Nana Kwaku Opare Preventive Medicine 1045 Research Center Atlanta Dr Sw, Suite A, Atlanta, GA 30331-2034 2007-04-02
1669598900 Bethel M Dimaggio Preventive Medicine 710 Peachtree St Ne, Suite 115, Atlanta, GA 30308-1200 2007-03-21
1497887731 V. Ramana Dhara Preventive Medicine 1600 Clifton Rd, Ms A-29 Rm 1105 Cdc Occupational Health Clinic, Atlanta, GA 30333 2007-03-12
1528123841 Alton Roger Greene Preventive Medicine 145 North Ave Ne, Atlanta, GA 30308-2328 2006-12-27
1194332163 Fit Wellness LLC Preventive Medicine 3232 Peachtree Rd Ne, Atlanta, GA 30305-2407 2020-09-24
1477027985 Kimberly Gehle Preventive Medicine 4770 Buford Hwy, Atlanta, GA 30341-3717 2019-01-17
1679994305 Jean Joseph Ernest Bonhomme Preventive Medicine 250 Georgia Ave Se, Suite 321, Atlanta, GA 30312-3046 2013-12-24
1881999852 Javier Valle Preventive Medicine 4500 N Shallowford Rd, Atlanta, GA 30338-6476 2011-01-21
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Competitor

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City ATLANTA
Zip Code 30303

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Dataset Information

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.

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