Dr Sophia D Goodridge, MD | |
2500 Hospital Blvd Ste 290, Roswell, GA 30076 | |
(470) 956-4230 | |
Not Available |
Full Name | Dr Sophia D Goodridge |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 12 Years |
Location | 2500 Hospital Blvd Ste 290, Roswell, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255690905 | NPI | - | NPPES |
7100580160 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 52077 (Kentucky) | Secondary |
208800000X | Urology | 82831 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Augusta Primary Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952565210 PECOS PAC ID: 2466513874 Enrollment ID: O20090126000519 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Sophia D Goodridge, MD 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 Ph: (470) 956-4230 | Dr Sophia D Goodridge, MD 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Ph: (470) 956-4230 |
Dr. Bryce Thompson Wyatt, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550 | |
Lewis S Kriteman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd, Suite 250, Roswell, GA 30076 Phone: 770-475-7550 Fax: 770-343-9080 | |
Dr. Kushan Radadia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076 Phone: 678-839-9973 Fax: 470-427-2013 | |
Daniel Rahe Belew, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550 | |
Adamantios Michael Mellis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd, Ste 250, Roswell, GA 30076 Phone: 678-284-4040 Fax: 678-284-4076 | |
Rutveej Patel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076 Phone: 678-344-8900 Fax: 678-666-5201 |