Jesse Farris, PAA | |
1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322-1060 | |
(404) 785-6670 | |
(404) 785-1362 |
Full Name | Jesse Farris |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 1405 Clifton Rd Ne Fl 3, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043565344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 6575 (Georgia) | Primary |
Entity Name | Choa Hospital Based, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695488 PECOS PAC ID: 4688812498 Enrollment ID: O20130605000601 |
Entity Name | Children's Anesthesia Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437203098 PECOS PAC ID: 5092105932 Enrollment ID: O20211208000072 |
Mailing Address | Practice Location Address |
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Jesse Farris, PAA 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322-1060 Ph: (404) 785-6670 | Jesse Farris, PAA 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322-1060 Ph: (404) 785-6670 |
Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362 | |
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311 | |
Amar R Herndon, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 | |
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900 | |
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449 | |
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496 |