Edwin B Tirado Jr, MD | |
1315 Jesse Jewell Pkwy Ne, Suite #110, Gainesville, GA 30501-3822 | |
(770) 219-0023 | |
(770) 219-0694 |
Full Name | Edwin B Tirado Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1315 Jesse Jewell Pkwy Ne, 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 |
---|---|---|---|
1265428312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 061866 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tugaloo Home Health Agency, An Amedisy Company | Gainesville, GA | Home health agency |
Pruitthealth At Home - Gainesville | Gainesville, GA | Home health agency |
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
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 |
Mailing Address | Practice Location Address |
---|---|
Edwin B Tirado Jr, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Edwin B Tirado Jr, MD 1315 Jesse Jewell Pkwy Ne, Suite #110, Gainesville, GA 30501-3822 Ph: (770) 219-0023 |
James D Jackson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Internal Medicine 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. Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |