Donish Siddiqi, MD | |
1120 Wellstar Way Ste 204, Holly Springs, GA 30114 | |
(470) 267-0110 | |
(770) 999-2229 |
Full Name | Donish Siddiqi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1120 Wellstar Way Ste 204, Holly Springs, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194168252 | NPI | - | NPPES |
04632711 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 287070 (New York) | Secondary |
207Q00000X | Family Medicine | 80152 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Donish Siddiqi, MD 1120 Wellstar Way Ste 204, Holly Springs, GA 30114-8929 Ph: (470) 267-0110 | Donish Siddiqi, MD 1120 Wellstar Way Ste 204, Holly Springs, GA 30114 Ph: (470) 267-0110 |
Dr. Matthew Kyle Austin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 Phone: 678-494-2500 Fax: 678-494-2629 | |
Jennifer Yam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 275, Holly Springs, GA 30115 Phone: 404-365-0966 | |
Dr. Daquesha Capre Chever, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 Phone: 678-494-2500 Fax: 678-494-2629 | |
Dr. Andrew Holding Thornton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Wellstar Way Ste 105, Holly Springs, GA 30114 Phone: 678-494-2500 Fax: 678-494-2629 | |
Dr. Daniel Mcmahon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd Ste 105, Holly Springs, GA 30115 Phone: 678-388-5170 | |
Dr. Matthew T Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 684 Sixes Rd, Suite 130, Holly Springs, GA 30115 Phone: 770-517-6636 Fax: 770-517-6568 |