| Carepoint Inpatient Blue Sky Neurology Georgia Pllc | |
|
4700 Waters Ave Savannah GA 31404-6220 | |
| (912) 350-8000 | |
| Not Available |
| Full Name | Carepoint Inpatient Blue Sky Neurology Georgia Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4700 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Deborah Smith (VICE PRESIDENT/GENERAL COUNSEL) |
| Authorized Official Contact | 3034362720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Inpatient Blue Sky Neurology Georgia Pllc 5600 S Quebec St Ste 312a Greenwood Village CO 80111-2208 Ph: (303) 436-2720 | Carepoint Inpatient Blue Sky Neurology Georgia Pllc 4700 Waters Ave Savannah GA 31404-6220 Ph: (912) 350-8000 |
| NPI Number | 1841979036 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 4981048493 |
|---|---|
| Medicare Enrollment ID | O20240222002905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841979036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Adeel Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225052442 PECOS PAC ID: 1052336187 Enrollment ID: I20051019000109 |
| Provider Name | Jessica F Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235316407 PECOS PAC ID: 7618042664 Enrollment ID: I20080826000597 |
| Provider Name | Atrac A Kay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811188006 PECOS PAC ID: 4981849908 Enrollment ID: I20130322000291 |
| Provider Name | Mary Jo C Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063819399 PECOS PAC ID: 1153648738 Enrollment ID: I20150318002478 |
| Provider Name | Jacquelyn Miranda Trammell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730644980 PECOS PAC ID: 5496095564 Enrollment ID: I20190327002828 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20210803003503 |
| Provider Name | Daniel P Meewes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148769 PECOS PAC ID: 0042446874 Enrollment ID: I20211130000204 |
| Provider Name | Jeffrey Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20230918000550 |
| Provider Name | Maysun Ali |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1518285634 PECOS PAC ID: 9133438955 Enrollment ID: I20240312003291 |
| Provider Name | Kourosh Kahkeshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992048615 PECOS PAC ID: 1759714504 Enrollment ID: I20240410001632 |
| Provider Name | Jonathan Kleinman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912262080 PECOS PAC ID: 9739479528 Enrollment ID: I20240417000843 |
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