Mrs Michelle Johnson Nastav, FNP-BC | |
4222 Fairbanks Dr, Oakwood, GA 30566-2811 | |
(770) 534-6053 | |
(770) 534-6695 |
Full Name | Mrs Michelle Johnson Nastav |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4222 Fairbanks Dr, Oakwood, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194283531 | NPI | - | NPPES |
1821929 | Other | GA | WELLCARE |
003216418A | Medicaid | GA | |
06734983 | Other | GA | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN227847 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Longstreet Clinic, Pc | 2668465733 | 145 |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Johnson Nastav, FNP-BC Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Mrs Michelle Johnson Nastav, FNP-BC 4222 Fairbanks Dr, Oakwood, GA 30566-2811 Ph: (770) 534-6053 |
Ms. Deborah E Agbator, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4239 Mundy Mill Rd, Medcity Urgent And Primary Care, Oakwood, GA 30566 Phone: 470-290-8290 | |
Susan S Moua, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3626 Old Oakwood Rd, Oakwood, GA 30566 Phone: 301-357-9751 | |
Crystal Butler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Elizabeth Belle Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Mrs. Phyllis Nadeau Landers, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Trinell Robertson, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3931 Mundy Mill Rd Ste C, Oakwood, GA 30566 Phone: 770-219-8275 |