Annette Mary Bernard MD P.a.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ANNETTE MARY BERNARD MD P.A.

Practice address

2470 Windy Hill Rd SE
Num 366C
Marietta, GA 30067-8613

Phone

(404) 414-2523

Fax

(404) 393-8880

NPI assigned

Jun 4, 2015

Last updated

Aug 7, 2015By 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

Annette Mary Bernard, M.D.

Title

Medical Director

Phone

(404) 414-2523

Specialties & licenses 1

Addresses

Tax ID family

Annette Mary Bernard MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Premium Services Inc

  • Health Service Clinic/Center
  • Marietta, GA
  • NPI 1366821365
  NPD tax ID

Locations

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1073993150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE",
            "address_2": "NUM 366C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678613",
            "telephone_number": "404-414-2523",
            "fax_number": "404-393-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE",
            "address_2": "NUM 366C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678613",
            "telephone_number": "404-414-2523",
            "fax_number": "404-393-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE MARY BERNARD MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-414-2523",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marygrace Reyes Ani, MD
• Ankle and Foot Centers Inc
• Ankle and Foot Centers of Georgia, LLC
• Ann Drake Thomas M.D.,P.C.
• Anna Chos LLC (Anna Chos Wellness And Aesthetics)
• Margaret Anochie
• Anodyne Pain Group of North Georgia LLC (Anodyne Pain and Wellness Solutions)
• Adil M Ansari, MD
• Lacey Ante, PA-C
• Roxanne Camille Edwards Anthony, PA-C

• Health Service Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.