Kellie Kristin Middleton, MD, MPH | |
771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | |
(855) 647-7678 | |
(404) 847-4232 |
Full Name | Kellie Kristin Middleton |
---|---|
Gender | Female |
Speciality | Orthopedic Surgery |
Experience | 11 Years |
Location | 771 Old Norcross Rd Ste 105, Lawrenceville, 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 |
---|---|---|---|
1356789192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MT204732 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | 84152 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
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 |
Entity Name | Northside Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Kellie Kristin Middleton, MD, MPH 3471 5th Ave, 1010, Pittsburgh, PA 15213-3215 Ph: (770) 362-5794 | Kellie Kristin Middleton, MD, MPH 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 Ph: (855) 647-7678 |
Dr. Raymond C. Hui, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 770-962-4300 Fax: 770-339-7544 | |
Dr. Ned B. Armstrong, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 Phone: 770-995-3300 Fax: 770-995-0794 | |
Kali Danielle Arnold, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 770-962-4300 Fax: 770-339-7544 | |
Hartley L. Falbaum, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 770-962-4300 Fax: 770-339-7544 | |
Dr. Akash Ashwin Trivedi, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046 Phone: 770-509-4030 Fax: 404-847-4488 | |
Dr. Bennett J. Axelrod, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Center Blvd, Suite 100, Lawrenceville, GA 30045 Phone: 770-682-6000 Fax: 770-513-1103 |