DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADISON ELISE SPLIT

MEDICARE: MADISON ELISE SPLIT
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
1225100000XPhysical TherapistPT018338GA

General Provider Information

NPI Number : 1649104993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON ELISE SPLIT
Provider Business Mailing Address
First Line : 1579 MONROE DR NE STE 819
Second Line :
City : ATLANTA
State : GA
Zip : 30324-5039
Country : US
Telephone Number : 404-600-4627
Fax Number : 470-270-8130
Provider Business Practice Location Address
First Line : 867 GREENWOOD AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3722
Country : US
Telephone Number : 404-600-4627
Fax Number : 470-270-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

Similar Medicare Providers

1093649048 — MARY WESTON CUMMINGS
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-600-4627
Practice Fax: 470-270-8130
1992833230 — MS. ALETA AARON MSW
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-870-0630
Practice Fax:
1619114949 — DESIREE THANDI CHASE LCSW
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-727-5762
Practice Fax:
1417245812 — ERIN MCFARLING EGGEBRECHT DPT
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-600-4627
Practice Fax:
1093183899 — JESSICA NOELLE RAMIREZ PT, DPT
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-600-4627
Practice Fax: 470-270-8130
1770262487 — HANNAH CHRISTIANSON PT
Practice Location Address:
867 GREENWOOD AVE NE
ATLANTA, GA
30306-3722
Practice Phone: 404-600-4627
Practice Fax:

Directions to “ MADISON ELISE SPLIT ” 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 © 2007-2026 (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.