Matthew Wisdom, MD | |
1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | |
(404) 851-8146 | |
(404) 851-6325 |
Full Name | Matthew Wisdom |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043231178 | NPI | - | NPPES |
258517 | Medicaid | SC | |
003131332A | Medicaid | GA | |
BW8511948 | Other | SC | CONTROLLED SUBSTANCE REGI |
TL25851 | Other | SC | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25851 (South Carolina) | Primary |
208M00000X | Hospitalist | 069150 (Georgia) | Secondary |
Entity Name | North Atlanta Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Mailing Address | Practice Location Address |
---|---|
Matthew Wisdom, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7320 | Matthew Wisdom, MD 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Ph: (404) 851-8146 |
Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 | |
John J Doran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322 Phone: 404-778-5380 | |
Frank A Anania, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1365 Clifton Rd Ne Ste B1266, The Emory Clinic - Gastroenterology, Atlanta, GA 30322 Phone: 404-778-3184 |