Dr Neil Kingsley Groff, MD | |
115 Lee Byrd Rd, Loganville, GA 30052-2310 | |
(770) 554-4717 | |
(770) 554-4681 |
Full Name | Dr Neil Kingsley Groff |
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Gender | Male |
Speciality | Family Medicine |
Location | 115 Lee Byrd Rd, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114949682 | NPI | - | NPPES |
000638261C | Medicaid | GA | |
080180711 | Other | GA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 038504 (Georgia) | Primary |
Entity Name | Gwinnett Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780747469 PECOS PAC ID: 4284524166 Enrollment ID: O20040316000602 |
Mailing Address | Practice Location Address |
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Dr Neil Kingsley Groff, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717 | Dr Neil Kingsley Groff, MD 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (770) 554-4717 |
David Albert Fields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Tara Commons Dr, Loganville, GA 30052 Phone: 770-554-0399 Fax: 770-554-0058 | |
Mrs. Michelle Renee Crumbley, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Tolulope Arowosegbe, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Karene Gaile Boone, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3435 Highway 81 Ste 100, Loganville, GA 30052 Phone: 678-376-9309 | |
Bhavani Merugu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 | |
Sanjeev S Tendolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 Fax: 770-466-2082 |