The Clinic for All / la Clinica de Todos, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

025399 Issued in GA

Legal business name

THE CLINIC FOR ALL / LA CLINICA DE TODOS, LLC

Practice address

1795 Washington Rd
East Point, GA 30344-4149

Phone

(404) 559-5190

Fax

(404) 559-5189

NPI assigned

Jan 30, 2008

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia P Ferguson

Title

Agent

Phone

(404) 559-5190

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parrin Tareyl Barton, M.D.

  • Family Medicine Physician
  • Sandersville, GA
  • NPI 1093757239
  Medicare reassignment NPD
• Jaylisa Jasminique Collins, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1568267441
  Medicare reassignment NPD
• Ericka Nobles, FNP-C

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1164738357
  Medicare reassignment NPD
• Aminah Danielle Phelps, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1467080218
  Medicare reassignment NPD
• Otis Samuel Powell Jr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285654301
  Medicare reassignment NPD
• Luis Rafael Vizcarra-Falla, MD

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1497029565
  Medicare reassignment NPD
• Rebekah Reese, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Tuskegee, AL
  • NPI 1508351149

  GA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1053598284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 LANCASTER DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442329",
            "telephone_number": "404-559-5190",
            "fax_number": "404-559-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444149",
            "telephone_number": "404-559-5190",
            "fax_number": "404-559-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC FOR ALL / LA CLINICA DE TODOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "404-559-5190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "GA",
            "license": "25399",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "GA",
            "license": "25399",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "25399",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "025399",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "25399",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "25399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalind R Tarver
• Beverly D Taylor, MD
• Coreynn A Teamer
• Tender Caring Home Services, LLC
• Wallenda Brooke Terrell, M.ED.,CCC-SLP
• The Complete Women's Group, PC
• The Jenkins Center for Evaluation/Counseling/Advocacy P.C. (The Jenkins Group)
• The Jones Legacy Group, LLC
• The Morehouse School of Medicine
• Theradox

• Primary Care Clinic/Center in East Point, GA
• Providers in East Point, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.