Geraldine Eccleston Menchion, FNP, BC | |
175 Country Club Dr Bldg 100d, Stockbridge, GA 30281-7380 | |
(678) 819-5497 | |
(678) 601-1508 |
Full Name | Geraldine Eccleston Menchion |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 175 Country Club Dr Bldg 100d, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598403628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN151173 (Georgia) | Primary |
Entity Name | Gem Primary Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457072647 PECOS PAC ID: 5496117905 Enrollment ID: O20230816000446 |
Mailing Address | Practice Location Address |
---|---|
Geraldine Eccleston Menchion, FNP, BC 175 Country Club Dr Bldg 100d, Stockbridge, GA 30281-7380 Ph: (404) 514-6066 | Geraldine Eccleston Menchion, FNP, BC 175 Country Club Dr Bldg 100d, Stockbridge, GA 30281-7380 Ph: (678) 819-5497 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925 | |
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213 |