Krishna J Goli, MD | |
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
(404) 367-3014 | |
Not Available |
Full Name | Krishna J Goli |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 32 Years |
Location | 1255 Highway 54 W, Fayetteville, 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 |
---|---|---|---|
1932384427 | NPI | - | NPPES |
753068151 | Other | MS | MHP |
753068151 | Other | MS | MPCN |
P00466198 | Other | RR MEDICARE | |
07587759 | Medicaid | MS | |
300002201 | Other | MS | US DEPT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 20021 (Mississippi) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 070119 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Peachtree city, GA | Home health agency |
Encompass Health Home Health | Columbus, GA | Home health agency |
Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Entity Name | Piedmont Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20240322001426 |
Mailing Address | Practice Location Address |
---|---|
Krishna J Goli, MD 501 Marshall St, Suite 203, Jackson, MS 39202-1651 Ph: (601) 355-3353 | Krishna J Goli, MD 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014 |
Evan Mccarroll Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500d, Fayetteville, GA 30214 Phone: 770-506-5410 | |
Gary Bruce Lebendiger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 | |
Shaw Wendi Fortuchang, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 110 N Park Dr, Fayetteville, GA 30214 Phone: 770-376-6726 Fax: 770-376-6727 | |
Dr. Olufemi Abiodun Taiwo, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 110 Braxton Ct, Fayetteville, GA 30214 Phone: 678-610-7100 Fax: 678-610-7111 | |
Mr. Wallace Maxwell Green, PAC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1275 Highway 54 W, Ste.105, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963 | |
Dr. Ana Maria Cuebas, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 715 Bradley Dr, Fayetteville, GA 30214 Phone: 770-358-5252 | |
Mr. Virendra V Ranadive, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 115 Sumner Rd Fl 2, Fayetteville, GA 30214 Phone: 770-716-1562 Fax: 770-716-0145 |