Mrs Mercy B Manga, NP-C | |
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | |
(770) 603-3649 | |
(770) 962-2400 |
Full Name | Mrs Mercy B Manga |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 2400 Mt. Zion Parkway, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104875525 | NPI | - | NPPES |
433023341 | Other | GA | TRICARE |
500030757 | Other | GA | RAILROAD MEDICARE PROV # |
942031013A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | RN100057 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mercy B Manga, NP-C 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 504-5678 | Mrs Mercy B Manga, NP-C 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (770) 603-3649 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 | |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 | |
Mrs. Khayriyyah Salaam, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Phone: 678-289-8338 Fax: 770-603-0515 | |
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 | |
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885 | |
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387 |