Ms Antoinette Theodore, PA-C - Medicare Physician Assistant in Peachtree Corners, GA

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Ms Antoinette Theodore, PA-C is a medicare enrolled "Physician Assistant - Medical" in Peachtree Corners, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 5635 Peachtree Pkwy Ste 180, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 938-6670.

Ms Antoinette Theodore is licensed to practice in Georgia (license number 10250) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558882381.

Contact Information

Ms Antoinette Theodore, PA-C
5635 Peachtree Pkwy Ste 180,
Peachtree Corners, GA 30092-2823
(470) 938-6670
(678) 272-3144

Map and Direction




Provider's Profile

Full NameMs Antoinette Theodore
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location5635 Peachtree Pkwy Ste 180, Peachtree Corners, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Antoinette Theodore graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1558882381
  • Provider Enumeration Date: 07/01/2017
  • Last Update Date: 01/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143581389
  • Enrollment ID: I20220201000792

Medical Identifiers

Medical identifiers for Ms Antoinette Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558882381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 10250 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384334

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Antoinette Theodore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Antoinette Theodore, PA-C
5635 Peachtree Pkwy Ste 180,
Peachtree Corners, GA 30092-2823

Ph: (470) 938-6670		Ms Antoinette Theodore, PA-C
5635 Peachtree Pkwy Ste 180,
Peachtree Corners, GA 30092-2823

Ph: (470) 938-6670

Reviews and Comments


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Phone: 678-691-6529    Fax: 770-840-7464
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.