| Optimal Healthcare Solutions Llc | |
|
3201 Atlanta Industrial Pkwy Nw Ste 211 Atlanta GA 30331-1047 | |
| (678) 927-7143 | |
| Not Available |
| Full Name | Optimal Healthcare Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3201 Atlanta Industrial Pkwy Nw Ste 211, Atlanta, Georgia |
| Authorized Official Name and Position | Lesia Herron (CEO/PRESIDENT) |
| Authorized Official Contact | 8046510000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Healthcare Solutions Llc 3201 Atlanta Industrial Pkwy Nw Ste 211 Atlanta GA 30331-1047 Ph: () - | Optimal Healthcare Solutions Llc 3201 Atlanta Industrial Pkwy Nw Ste 211 Atlanta GA 30331-1047 Ph: (678) 927-7143 |
| NPI Number | 1992191217 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Medicare PECOS PAC ID | 6002110475 |
|---|---|
| Medicare Enrollment ID | O20160204001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992191217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Secondary |
| Provider Name | Maria L Bejacmar-didier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447378971 PECOS PAC ID: 5294831525 Enrollment ID: I20070503000323 |
| Provider Name | Lesia L Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054900 PECOS PAC ID: 6800115825 Enrollment ID: I20150424000909 |
| Provider Name | Ryan Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073882460 PECOS PAC ID: 8527315340 Enrollment ID: I20180724003052 |
| Provider Name | Avis Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740611235 PECOS PAC ID: 4789015892 Enrollment ID: I20200505001890 |
| Provider Name | Sherry Renee Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518486000 PECOS PAC ID: 1355765355 Enrollment ID: I20200723001755 |
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