Oak Street Health Of Georgia Pc | |
1825 Rockbridge Rd Ste 15b Stone Mountain GA 30087-3306 | |
(470) 444-3134 | |
(470) 276-4370 |
Full Name | Oak Street Health Of Georgia Pc |
---|---|
Speciality | Clinic/Center |
Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
Authorized Official Name and Position | Griffin R Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Street Health Of Georgia Pc Po Box 740015 Atlanta GA 30374-0015 Ph: (312) 733-9730 | Oak Street Health Of Georgia Pc 1825 Rockbridge Rd Ste 15b Stone Mountain GA 30087-3306 Ph: (470) 444-3134 |
NPI Number | 1588258024 |
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Provider Enumeration Date | 02/25/2021 |
Last Update Date | 06/29/2023 |
Certification Date | 06/29/2023 |
Medicare PECOS PAC ID | 0345658647 |
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Medicare Enrollment ID | O20210427001330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588258024 | NPI | - | NPPES |
Provider Name | Khaja J Ahmed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902910409 PECOS PAC ID: 0446141436 Enrollment ID: I20040320000696 |
Provider Name | Suzanne Clarke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063470896 PECOS PAC ID: 9830150390 Enrollment ID: I20060525000200 |
Provider Name | Marguerite M Vardman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528098639 PECOS PAC ID: 0042212904 Enrollment ID: I20070206000021 |
Provider Name | Mamron Hyndam Warner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629182928 PECOS PAC ID: 7214926328 Enrollment ID: I20070919000198 |
Provider Name | Ifeoma L Okafor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033226832 PECOS PAC ID: 4284665019 Enrollment ID: I20080423000299 |
Provider Name | Dmitriy M Pelishev |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457400251 PECOS PAC ID: 9436246659 Enrollment ID: I20091028000423 |
Provider Name | Andrew J Malinchak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700810116 PECOS PAC ID: 7810189743 Enrollment ID: I20101011000011 |
Provider Name | Romni Maudann Owens |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427294966 PECOS PAC ID: 8729250394 Enrollment ID: I20111004000855 |
Provider Name | Ilene April Grossman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275569253 PECOS PAC ID: 0547436404 Enrollment ID: I20111228000098 |
Provider Name | Marianne Lissade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780036152 PECOS PAC ID: 7517250400 Enrollment ID: I20160729001966 |
Provider Name | Adejoke Ojumu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164957163 PECOS PAC ID: 3072887751 Enrollment ID: I20170919001797 |
Provider Name | Minal Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447763339 PECOS PAC ID: 6709144389 Enrollment ID: I20180103003324 |
Provider Name | Carlyn Sainvil |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609312909 PECOS PAC ID: 4587917877 Enrollment ID: I20181103000009 |
Provider Name | William Meek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639518301 PECOS PAC ID: 6507110996 Enrollment ID: I20181121002805 |
Provider Name | Rebecca Meek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710160791 PECOS PAC ID: 9931264454 Enrollment ID: I20190102001925 |
Provider Name | Elaine C Mininger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811460850 PECOS PAC ID: 9436497492 Enrollment ID: I20190218000402 |
Provider Name | Kristen Shea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285002188 PECOS PAC ID: 2466760194 Enrollment ID: I20190405002218 |
Provider Name | Marisa Rogers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20210427001266 |
Provider Name | Andrew Lee Bridges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174118699 PECOS PAC ID: 3375952385 Enrollment ID: I20210504000730 |
Provider Name | Jose Donatien |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841511797 PECOS PAC ID: 1355509894 Enrollment ID: I20210604002877 |
Provider Name | Hariharan Athreya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851898522 PECOS PAC ID: 6901144807 Enrollment ID: I20210624000249 |
Provider Name | Sherdina Hobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104153055 PECOS PAC ID: 3173431640 Enrollment ID: I20210702001843 |
Provider Name | Erica Minnion-klyce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205340080 PECOS PAC ID: 3072872522 Enrollment ID: I20210712004199 |
Provider Name | Anita Basil Varkey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265477822 PECOS PAC ID: 2466457700 Enrollment ID: I20210806000374 |
Provider Name | Rachel M Behrend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538623178 PECOS PAC ID: 8820488406 Enrollment ID: I20211214002797 |
Provider Name | Emma Kellaway Feinberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508268590 PECOS PAC ID: 9335463264 Enrollment ID: I20211216001458 |
Provider Name | Maryah Truss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851951958 PECOS PAC ID: 8426383548 Enrollment ID: I20220128002121 |
Provider Name | Annjerald Devance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629437785 PECOS PAC ID: 2163716408 Enrollment ID: I20220202002490 |
Provider Name | Vivian Gaines-thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790197283 PECOS PAC ID: 9335364538 Enrollment ID: I20220207000374 |
Provider Name | Bola Falegan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609373919 PECOS PAC ID: 8426396474 Enrollment ID: I20220302002690 |
Provider Name | Tia Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235668153 PECOS PAC ID: 7012286958 Enrollment ID: I20220311001513 |
Provider Name | Mira Desai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20220729002712 |
Provider Name | Rachel Hildebrand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20220803001648 |
Provider Name | Kathy Petrie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598197667 PECOS PAC ID: 5799919858 Enrollment ID: I20220926002400 |
Provider Name | Lashonda Knox |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417449554 PECOS PAC ID: 9931576931 Enrollment ID: I20221103002933 |
Provider Name | Justin Hunt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221107001281 |
Provider Name | Tuwanda Williamson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629018528 PECOS PAC ID: 6608817630 Enrollment ID: I20221116001686 |
Provider Name | Feonie Eleuterio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659808335 PECOS PAC ID: 1052642816 Enrollment ID: I20221212002691 |
Provider Name | Timanika Dansby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20230111000190 |
Provider Name | Sherwanna Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831784164 PECOS PAC ID: 5193103257 Enrollment ID: I20230131003708 |
Provider Name | Sarah Danielle Knafo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558068387 PECOS PAC ID: 3173997756 Enrollment ID: I20230322000815 |
Provider Name | Kari Edmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467166181 PECOS PAC ID: 9739553298 Enrollment ID: I20230323001655 |
Provider Name | Katherine O'lone |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356983910 PECOS PAC ID: 7517332539 Enrollment ID: I20230405001025 |
Provider Name | Danielle Oswald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730869298 PECOS PAC ID: 9436510583 Enrollment ID: I20230804002584 |
Provider Name | Ahmed Mohiuddin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316264229 PECOS PAC ID: 4385872977 Enrollment ID: I20230919002415 |
Provider Name | Rachel Sabb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20230922003462 |
Provider Name | Lauren Kennerly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699376996 PECOS PAC ID: 3375998685 Enrollment ID: I20231005003483 |
Provider Name | Jennie Evans |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720629298 PECOS PAC ID: 8820448871 Enrollment ID: I20240103001528 |
Provider Name | Sandra Dubose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548264047 PECOS PAC ID: 8224209432 Enrollment ID: I20240514003173 |
Practical Guidance & Psychtherapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 747 Lauren Pkwy, Stone Mountain, GA 30083 Phone: 678-576-3824 | |
Building A Solid Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 N Hairston Rd, 230a, Stone Mountain, GA 30083 Phone: 770-469-3211 | |
Epic Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 Main St, Suite F, Stone Mountain, GA 30083 Phone: 404-447-6007 | |
Grant Services For The Disabled , Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Hidden Hills Pkwy, Stone Mountain, GA 30088 Phone: 770-879-5507 Fax: 678-691-4082 | |
Parrott Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6670 James B Rivers Memorial Drive, Stone Mountain, GA 30083 Phone: 678-438-5453 | |
Greenridge Community Integration Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Greenridge Cir, Stone Mountain, GA 30083 Phone: 404-586-9230 | |
Motivated Path Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2196 Forestglade Dr, Stone Mountain, GA 30087 Phone: 404-819-1271 |