Dr Timothy A Scully, MD | |
200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | |
(770) 534-2020 | |
(770) 534-8025 |
Full Name | Dr Timothy A Scully |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 41 Years |
Location | 200 S Enota Dr Ne Ste 100, Gainesville, 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 |
---|---|---|---|
1538113394 | NPI | - | NPPES |
00457146D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 034052 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Habersham County Medical Ctr | Demorest, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Heart Institute Llc | 4183848062 | 107 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Northeast Georgia Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720015993 PECOS PAC ID: 7517953755 Enrollment ID: O20040422000903 |
Entity Name | Georgia Heart Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477976520 PECOS PAC ID: 4183848062 Enrollment ID: O20140616001425 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy A Scully, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Timothy A Scully, MD 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 Ph: (770) 534-2020 |
James D Jackson, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Lisa Armsrees Gillespie, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872 | |
Dr. William Nathan Blake, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021 | |
Roberto Manuel Villanueva, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |