Temple Medhealth

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TEMPLE MEDHEALTH

Practice address

503 Main St
Villa Rica, GA 30180-1931

Phone

(770) 462-1170

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Branderly Maliwa, NPNPI 1447790530

Title

Owner

Phone

(765) 326-0148

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26671/brand/1/csg/1/fhir/r4

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Branderly Maliwa

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1447790530
  Medicare reassignment Care Compare group NPD Authorized official
• Faith Alce, CRNP

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1871119040
  Medicare reassignment Care Compare group NPD
• Sharon M Haynes, MD

  • Family Medicine Physician
  • Rainbow City, AL
  • NPI 1467413013

  GA

  Medicare reassignment NPD
• Rahab Mona Muthoni, FNP-C

  • Nurse Practitioner
  • Austell, GA
  • NPI 1134954142
  NPD
• Latoya Pulliam Bexley, N.P.

  • Family Nurse Practitioner
  • Carrollton, GA
  • NPI 1003190455
  NPD (past)
• Tamika A Jones

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1649735796
  NPD (past)
• Sandra Elizabeth McIntosh-Takori, FNP-C

  • Nurse Practitioner
  • Calhoun, GA
  • NPI 1346724812
  NPD (past)
• Celisa Johns Paine, FNP-C

  • Nurse Practitioner
  • Rome, GA
  • NPI 1629644190
  NPD (past)
• Beverly Jean Myers, MA, PHD, AHNP-C

  • Mental Health Counselor
  • Birmingham, AL
  • NPI 1679885925

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1346893799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MAIN ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801931",
            "telephone_number": "770-462-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MAIN ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801931",
            "telephone_number": "770-462-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE MEDHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MALIWA",
        "authorized_official_first_name": "BRANDERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-326-0148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447790530",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yonas Tamene, MD
• Tanner Medical Center, Inc.
• Myka Taylor, MD
• Tanita M Teagle, LCSW
• Logan Teal, NRP
• Temple Medical LLC
• Yesha Mukesh Thakkar, D.O
• The Eyedeal Site
• The Neuropsychiatric Clinic of Atlantis-Villa Rica, P.C.
• Therapy Excellence

• Nurse Practitioner in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.