Dr Jacob Varghese, MD | |
1400 Northside Forsyth Dr Ofc, Suite 350, Cumming, GA 30041-7668 | |
(404) 365-0966 | |
(770) 650-5589 |
Full Name | Dr Jacob Varghese |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1400 Northside Forsyth Dr Ofc, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093877961 | NPI | - | NPPES |
987062284B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 056933 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Varghese, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Dr Jacob Varghese, MD 1400 Northside Forsyth Dr Ofc, Suite 350, Cumming, GA 30041-7668 Ph: (404) 365-0966 |
Sarah Ashley Mun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3970 Deputy Bill Cantrell Mem Ste 220, Cumming, GA 30040 Phone: 770-709-6922 | |
Rishita Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Keith Bridge Rd Ste 100, Cumming, GA 30041 Phone: 770-848-9200 | |
David K. Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041 Phone: 770-844-7494 Fax: 770-844-7445 | |
Navneet Johal, NURSE PRACTITIONER Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Northside Forsyth Dr Ste 200, Cumming, GA 30041 Phone: 770-898-8388 Fax: 770-898-8389 | |
Sheba Naqvi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Bald Ridge Marina Rd Ste 400, Cumming, GA 30041 Phone: 470-826-1905 Fax: 470-826-3334 | |
Shany Cohen-sadan, Family Medicine Medicare: Medicare Enrolled Practice Location: 610 Peachtree Pkwy Ste 130, Cumming, GA 30041 Phone: 770-205-2804 Fax: 770-205-2854 |