Julie Tierney Nicholson, MD | |
203 Woodpark Pl Ste 100, Woodstock, GA 30188-3705 | |
(770) 926-4150 | |
(770) 926-0594 |
Full Name | Julie Tierney Nicholson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 10 Years |
Location | 203 Woodpark Pl Ste 100, Woodstock, 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 |
---|---|---|---|
1386055705 | NPI | - | NPPES |
872639 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 87263 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 98300 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Roper Hospital | Charleston, SC | Hospital |
Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
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 |
Mailing Address | Practice Location Address |
---|---|
Julie Tierney Nicholson, MD 203 Woodpark Pl Ste 100, Woodstock, GA 30188-3705 Ph: (770) 926-4150 | Julie Tierney Nicholson, MD 203 Woodpark Pl Ste 100, Woodstock, GA 30188-3705 Ph: (770) 926-4150 |
Chhavi V Noohani, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Ste. 104, Woodstock, GA 30189 Phone: 770-639-5880 Fax: 770-693-5902 | |
Dr. Noreen A Mercando, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 900 Towne Lake Pkwy Ste 410, Towne Lake Primary Care, Woodstock, GA 30189 Phone: 678-445-0819 | |
Dr. Magdy W Rezk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3203 S Cherokee Ln., Ste 220 Weatherstone Medical Care Llc., Woodstock, GA 30188 Phone: 770-675-6025 Fax: 770-675-7814 | |
Kim Nguyen, Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Lovejoy Ln, Woodstock, GA 30189 Phone: 770-268-4011 | |
Dr. Michael G Katopes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Woodpark Pl Bldg C, Woodstock, GA 30188 Phone: 770-926-4150 Fax: 770-874-0452 | |
Christopher Lee Parman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Woodstock Pkwy, Ste 300, Woodstock, GA 30188 Phone: 770-517-2145 Fax: 770-517-2147 | |
Dr. Thomas J Federico, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Gold Creek Trl, Suite 100, Woodstock, GA 30188 Phone: 770-926-9495 |