| Hni Medical Services Of Georgia, Llc | |
|
1 Technology Pkwy S Norcross GA 30092-2928 | |
| (678) 743-1968 | |
| Not Available |
| Full Name | Hni Medical Services Of Georgia, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Technology Pkwy S, Norcross, Georgia |
| Authorized Official Name and Position | Ryan Allan Carletti (VP OPERATIONS) |
| Authorized Official Contact | 3307273530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Medical Services Of Georgia, Llc 30575 Bainbridge Rd Ste 200 Solon OH 44139-2275 Ph: (440) 542-5000 | Hni Medical Services Of Georgia, Llc 1 Technology Pkwy S Norcross GA 30092-2928 Ph: (678) 743-1968 |
| NPI Number | 1952926370 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 2961814934 |
|---|---|
| Medicare Enrollment ID | O20201216000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952926370 | NPI | - | NPPES |
| Provider Name | Asaf Aleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851371405 PECOS PAC ID: 2365426269 Enrollment ID: I20040617000522 |
| Provider Name | Babatunde F Fagbamiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467551531 PECOS PAC ID: 7012904576 Enrollment ID: I20050930000142 |
| Provider Name | Kevin Goodlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659476232 PECOS PAC ID: 9335147305 Enrollment ID: I20061130000041 |
| Provider Name | Herretta Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982988028 PECOS PAC ID: 8527224617 Enrollment ID: I20120717000546 |
| Provider Name | Nkeiru Uwazie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952670291 PECOS PAC ID: 5597919712 Enrollment ID: I20130215000344 |
| Provider Name | Charmaine Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083870265 PECOS PAC ID: 1355572611 Enrollment ID: I20140331000075 |
| Provider Name | David Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083708564 PECOS PAC ID: 4284778853 Enrollment ID: I20140701002524 |
| Provider Name | Shawn Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806885 PECOS PAC ID: 7719205863 Enrollment ID: I20150421001923 |
| Provider Name | Aaron C Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538398375 PECOS PAC ID: 0244534741 Enrollment ID: I20160203001563 |
| Provider Name | Malinda Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922259613 PECOS PAC ID: 4789842154 Enrollment ID: I20170619000199 |
| Provider Name | Gloria Chine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386128320 PECOS PAC ID: 6800129669 Enrollment ID: I20190610002258 |
| Provider Name | Constance Francis-agalaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035414 PECOS PAC ID: 7012349426 Enrollment ID: I20191122001028 |
| Provider Name | Chinwe U Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710595988 PECOS PAC ID: 1456762541 Enrollment ID: I20201120001347 |
| Provider Name | David Mathis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982636676 PECOS PAC ID: 9436107398 Enrollment ID: I20210210002242 |
| Provider Name | Shakila Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891339099 PECOS PAC ID: 8820429434 Enrollment ID: I20210316000005 |
| Provider Name | Stephanie Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811506272 PECOS PAC ID: 8426466418 Enrollment ID: I20210412001113 |
| Provider Name | Ifeoma Adazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902457971 PECOS PAC ID: 9436569860 Enrollment ID: I20210604001729 |
| Provider Name | Beatrice Nduwimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010975 PECOS PAC ID: 5799185930 Enrollment ID: I20210610000524 |
| Provider Name | Blessing Anyaiwe Onyekachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021036 PECOS PAC ID: 7315363744 Enrollment ID: I20210623000001 |
| Provider Name | Daniel Witter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346688017 PECOS PAC ID: 2466687231 Enrollment ID: I20210625002037 |
| Provider Name | Neda Habeeb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831548536 PECOS PAC ID: 2567753585 Enrollment ID: I20210909001111 |
| Provider Name | Khalid Sabha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902911068 PECOS PAC ID: 2668575325 Enrollment ID: I20211011002400 |
| Provider Name | Ololade Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225646813 PECOS PAC ID: 4587054887 Enrollment ID: I20211201001568 |
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