Dr Arvind Jayaraj Ponnambalam, MD | |
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
(404) 367-3014 | |
Not Available |
Full Name | Dr Arvind Jayaraj Ponnambalam |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 19 Years |
Location | 1255 Highway 54 W, Fayetteville, 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 |
---|---|---|---|
1073704581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 076655 (Georgia) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | 076655 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Specialty Hospital Billing Llc | 4183986490 | 184 |
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Entity Name | Piedmont Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376624940 PECOS PAC ID: 3274529524 Enrollment ID: O20040423000767 |
Entity Name | Piedmont Specialty Hospital Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
Mailing Address | Practice Location Address |
---|---|
Dr Arvind Jayaraj Ponnambalam, MD 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014 | Dr Arvind Jayaraj Ponnambalam, MD 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014 |
Carzadean Bernadette Hall, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214 Phone: 404-216-0132 | |
Vipin Ramprasad Lohiya, M.D. Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214 Phone: 678-829-1060 Fax: 678-829-1099 | |
Connie Dupre, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214 Phone: 770-719-5601 | |
Poonam Ramani, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 Phone: 770-716-7999 Fax: 770-716-8444 | |
Sushee C Gadde, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-716-0051 Fax: 770-716-0087 | |
Dr. John E Burney, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 678-817-6550 Fax: 404-350-8795 | |
Dr. Bryan L Woods, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 770-719-3240 Fax: 770-719-3241 |