Ms Nikkia Blake, | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 793-7763 | |
Not Available |
Full Name | Ms Nikkia Blake |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 677 Church St Ne, Marietta, 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 |
---|---|---|---|
1447755897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 89739 (Georgia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 89739 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Navicent Health Baldwin | Milledgeville, GA | Hospital |
Wellstar Sylvan Grove Hospital | Jackson, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Emergency Group Llc | 4082853262 | 15 |
Baldwin Emergency Group, Llc | 7012208408 | 9 |
Entity Name | South Fulton Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821043787 PECOS PAC ID: 5294708715 Enrollment ID: O20040813000595 |
Entity Name | Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
Entity Name | Baldwin Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306206826 PECOS PAC ID: 7012208408 Enrollment ID: O20160615000222 |
Mailing Address | Practice Location Address |
---|---|
Ms Nikkia Blake, 677 Church St Ne, Marietta, GA 30060-1101 Ph: () - | Ms Nikkia Blake, 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-7763 |
Dr. Ken Gordon Knott, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1455 Bells Ferry Rd, Suite 100, Marietta, GA 30066 Phone: 770-421-8094 Fax: 770-421-8096 | |
Mr. Marc Joel Kornfield, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1335 Canton Rd Ste C, Marietta, GA 30066 Phone: 770-425-1170 Fax: 770-425-1137 | |
Dr. Rochelle Cotliar, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Lacy St Nw, Suite 150, Marietta, GA 30060 Phone: 770-793-7635 Fax: 770-793-7645 | |
Dr. Alexander Liaugminas, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Lacy St Nw, Suite 150, Marietta, GA 30060 Phone: 770-793-7635 Fax: 770-793-7645 | |
Dr. Vimala P Nair, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Lacy St Nw, Suite 150, Marietta, GA 30060 Phone: 770-793-7635 Fax: 770-793-7645 | |
Dr. Bryan T Kumiga, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 300 Tower Rd Ne Ste 200, Marietta, GA 30060 Phone: 770-427-5717 | |
Dr. Anthony Grasso, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 335 Roselane St Nw, Marietta, GA 30060 Phone: 770-421-1420 |