Felicia Graddick, | |
1670 Clairmont Rd, Decatur, GA 30033-4004 | |
(678) 314-9509 | |
Not Available |
Full Name | Felicia Graddick |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1670 Clairmont Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275045528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 175322 (Georgia) | Primary |
Entity Name | Georgia Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
Mailing Address | Practice Location Address |
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Felicia Graddick, 108 Bald Eagle Trl, Warner Robins, GA 31093-1190 Ph: () - | Felicia Graddick, 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (678) 314-9509 |
Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111 | |
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926 | |
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645 | |
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710 | |
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038 | |
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598 | |
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886 |