Dr Shannon Marie Jones, MD | |
2069 Teron Trce Ste 300, Dacula, GA 30019-1665 | |
(404) 256-2593 | |
Not Available |
Full Name | Dr Shannon Marie Jones |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 2069 Teron Trce Ste 300, Dacula, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699069831 | NPI | - | NPPES |
1029589230001 | Medicaid | PA | |
003164335D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD451179 (Pennsylvania) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 073763 (Georgia) | Primary |
Entity Name | Children's Healthcare Of Atlanta Cardiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805 |
Mailing Address | Practice Location Address |
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Dr Shannon Marie Jones, MD 2835 Brandywine Rd Ste 400, Atlanta, GA 30341-5540 Ph: (404) 256-2593 | Dr Shannon Marie Jones, MD 2069 Teron Trce Ste 300, Dacula, GA 30019-1665 Ph: (404) 256-2593 |
Laetitia Badio, Pediatrics Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd Ste 200, Dacula, GA 30019 Phone: 707-442-1911 | |
Leah Scheier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3619 Braselton Hwy, Suite 103, Dacula, GA 30019 Phone: 770-513-8882 Fax: 770-513-3545 | |
Shree Patel I, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1862 Auburn Rd Ste 107, Dacula, GA 30019 Phone: 678-288-4142 | |
Audrey Jara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2240 Hamilton Creek Pkwy, Suite 600, Dacula, GA 30019 Phone: 404-785-5437 Fax: 404-785-8365 | |
Kiran Singh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3619 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 770-513-8882 | |
Casey Sommerfeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2240 Hamilton Creek Pkwy, Suite 600, Dacula, GA 30019 Phone: 404-785-5437 Fax: 404-785-8365 | |
Samantha Ball, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3619 Braselton Hwy Ste 103, Dacula, GA 30019 Phone: 770-513-8882 Fax: 770-513-3545 |