MEDICARE: NIA STARKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1306700794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIA STARKS

Provider Business Mailing Address
First Line	:	196 ALPS RD STE 2
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-4098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3133 MAPLE DR NE STE 240
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2509
Country	:	US
Telephone Number	:	504-319-6760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

Similar Medicare Providers

1548855067 — SHANORVER WILLIAMS LMT
Practice Location Address:

3133 MAPLE DR NE STE 120
ATLANTA, GA
30305-2509

Practice Phone: 404-220-7770
Practice Fax:

1154087179 — MISS DESTINY WOOD LMT
Practice Location Address:

3133 MAPLE DR NE STE 120
ATLANTA, GA
30305-2509

Practice Phone: 770-330-7903
Practice Fax:

1396565818 — GOOD SPINES ONLY LLC
Practice Location Address:

3133 MAPLE DR. STE 240
ATLANTA, GA
30305-2509

Practice Phone: 678-435-7149
Practice Fax:

1285443978 — ALMAT KAIBZHANOV
Practice Location Address:

3133 MAPLE DR NE STE 240
ATLANTA, GA
30305-2509

Practice Phone: 404-974-3660
Practice Fax:

1467267351 — GERARDO ENRIQUE NADER JASPE LMT
Practice Location Address:

3133 MAPLE DR NE STE 120
ATLANTA, GA
30305-2509

Practice Phone: 404-220-7770
Practice Fax:

1447065024 — VANESSA MCGLOTHEN LMT
Practice Location Address:

3133 MAPLE DR NE STE 120
ATLANTA, GA
30305-2509

Practice Phone: 404-220-7770
Practice Fax:

Directions to “ NIA STARKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.