Dr Joseph Jellicorse, MD | |
100 Professional Park, Suite 204, Carrollton, GA 30117-3874 | |
(770) 834-3351 | |
Not Available |
Full Name | Dr Joseph Jellicorse |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 100 Professional Park, Carrollton, 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 |
---|---|---|---|
1932190535 | NPI | - | NPPES |
00823028A | Medicaid | GA | |
080157122 | Other | GA | RAIL ROAD MEDICARE |
728652 | Other | GA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 046974 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
Kindred At Home | Peachtree city, GA | Home health agency |
Tanner Home Health Services | Carrollton, GA | Home health agency |
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Care Group Of West Georgia | 6709772197 | 8 |
Entity Name | Primary Care Group Of West Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386635852 PECOS PAC ID: 6709772197 Enrollment ID: O20040224000098 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Jellicorse, MD 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 Ph: (770) 834-3351 | Dr Joseph Jellicorse, MD 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 Ph: (770) 834-3351 |
Andrew Chanyang Rho, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153 | |
Dr. Hermogenes Pagsisihan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Park, Suite 204, Carrollton, GA 30117 Phone: 770-834-3351 Fax: 770-830-1518 | |
Erin Michelle Smith, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 | |
Kisha Lafleur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Gregory Benjamin Floyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 | |
Jefferson Taylor Gordon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 |