Dr Gregory Loy Mauldin, MD | |
1800 Tree Lane Road, Suite 200, Snellville, GA 30078 | |
(770) 979-0367 | |
(770) 979-1830 |
Full Name | Dr Gregory Loy Mauldin |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 37 Years |
Location | 1800 Tree Lane Road, Snellville, 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 |
---|---|---|---|
1871673749 | NPI | - | NPPES |
GRP2664 | Other | GA | GROUP MEDICARE # |
CD7170 | Other | GA | RAILROAD MEDICARE |
00540119A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036567 (Georgia) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 36567 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Eastside Medical Center | Snellville, GA | Hospital |
Northside Hospital Forsyth | Cumming, GA | Hospital |
Piedmont Walton Hospital | Monroe, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Georgia Diagnostic Associates And Clinic, Llc | 1951655737 | 73 |
Entity Name | Georgia Pulmonary Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912196775 PECOS PAC ID: 9335136548 Enrollment ID: O20040429000241 |
Entity Name | Northeast Georgia Diagnostic Associates And Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144719311 PECOS PAC ID: 1951655737 Enrollment ID: O20181114000949 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Loy Mauldin, MD 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 Ph: (770) 979-0367 | Dr Gregory Loy Mauldin, MD 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 Ph: (770) 979-0367 |
Sheryl C De La Motta-murray, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Centerville Hwy, Ste 100, Snellville, GA 30039 Phone: 770-985-9957 Fax: 770-985-9959 | |
Amsel Melka Siore, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 Phone: 770-979-0367 Fax: 770-979-1830 | |
Dr. Shashank Kailash, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2386 Clower St Ste C105, Snellville, GA 30078 Phone: 678-344-0334 Fax: 678-344-0343 | |
Dr. Oluronke Folashade Alafe, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 3555 Centerville Hwy, Snellville, GA 30039 Phone: 770-985-9957 Fax: 770-985-9959 | |
Dr. Chirag Shrikant Kulahalli, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Omar S Jalil, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 Ronald Reagan Pkwy, Snellville, GA 30078 Phone: 770-982-2331 Fax: 770-972-4104 | |
Sayed Mohd Aamir, M.D. Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 1800 Tree Ln Ste 190, Snellville, GA 30078 Phone: 770-545-8435 Fax: 770-545-8436 |