Queen Consultants, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

057437 Issued in GA

Legal business name

QUEEN CONSULTANTS, LLC

Practice address

132 Fairway Run
Forsyth, GA 31029-4975

Phone

(478) 742-3937

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Anika G Bradley, MD

Title

Owner

Phone

(478) 742-3937

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Anika S. Goodwin, MD

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1285672345
  NPD

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1710202114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR",
            "address_2": "STE 350",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-742-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FAIRWAY RUN",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294975",
            "telephone_number": "478-742-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-742-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "057437",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "057437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Powell, APRN, FNP-BC
• Pruitthealth - Forsyth, LLC
• Pruitthealth - Monroe, LLC
• Kristen Joyce Puzio, MA
• PWT Enterprises, Inc.
• Angela Paige Queen, NPC
• Jeffrey M. Quinn, ATC,CSCS,LAT
• Wesley Alexander Ridley, MD
• River Edge Behavioral Health Center
• River Edge Behavioral Health Center

• Ophthalmology Physician in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.