Judith Grace Lutumba, | |
5955 Jimmy Carter Blvd, Norcross, GA 30071-4641 | |
(770) 559-3555 | |
Not Available |
Full Name | Judith Grace Lutumba |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 5955 Jimmy Carter Blvd, Norcross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093937484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN55534 (Georgia) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | RN155534 (Georgia) | Primary |
Entity Name | Grupo Medico De Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639574890 PECOS PAC ID: 2062821887 Enrollment ID: O20210507001431 |
Mailing Address | Practice Location Address |
---|---|
Judith Grace Lutumba, 5955 Jimmy Carter Blvd Ste 100, Norcross, GA 30071-4608 Ph: (770) 559-3555 | Judith Grace Lutumba, 5955 Jimmy Carter Blvd, Norcross, GA 30071-4641 Ph: (770) 559-3555 |
Natacha Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jimmy Carter Blvd Ste 205, Norcross, GA 30093 Phone: 770-676-5763 Fax: 770-676-5723 | |
Kaitlin Wilson, CNM, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5195 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 470-514-5818 | |
Bijalben Patel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1235 Indian Trail Rd, Norcross, GA 30093 Phone: 770-931-1333 Fax: 770-931-3111 | |
Lawrence Little Iii, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6010 Singleton Rd Ste 209, Norcross, GA 30093 Phone: 770-248-0200 | |
Tong Wang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 W Peachtree St, Norcross, GA 30071 Phone: 770-246-6100 | |
Lorraine Elizabeth Mcdowell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5949 Buford Hwy, Norcross, GA 30071 Phone: 678-280-6630 Fax: 678-280-6635 | |
Rebecca Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093 Phone: 470-275-4911 |