Erin Ellison, | |
736 W Bankhead Hwy, Villa Rica, GA 30180-1501 | |
(770) 459-8234 | |
Not Available |
Full Name | Erin Ellison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 736 W Bankhead Hwy, Villa Rica, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669710786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN198477 (Georgia) | Primary |
Entity Name | Southside Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
Entity Name | Minuteclinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | 316 Family Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113 |
Mailing Address | Practice Location Address |
---|---|
Erin Ellison, 631 Grady Whitton Rd, Bremen, GA 30110-3573 Ph: (404) 697-9529 | Erin Ellison, 736 W Bankhead Hwy, Villa Rica, GA 30180-1501 Ph: (770) 459-8234 |
Thomas Stuckey, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3294 | |
Jennifer Lee Roberts, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803 | |
Rahab Mona Muthoni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Main St, Villa Rica, GA 30180 Phone: 770-462-1170 | |
Mrs. Alisha Michelle Schuchman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Wood Cir, Villa Rica, GA 30180 Phone: 770-241-9255 | |
William Thomas Carroll Iii, ACNPC-AG Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3000 | |
Mrs. Sarah Joann Matheka, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-456-3977 | |
Steven Releford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 262 Industrial Blvd, Villa Rica, GA 30180 Phone: 678-448-7879 |