Ms Adity Dutta, | |
3790 Pleasant Hill Rd Ste 150, Duluth, GA 30096-5144 | |
(770) 979-9427 | |
Not Available |
Full Name | Ms Adity Dutta |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3790 Pleasant Hill Rd Ste 150, Duluth, 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 |
---|---|---|---|
1134748320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN212745 (Georgia) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | RN212745 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Urology, Pa | 8921094376 | 71 |
Urological Professional Services, Llc | 9638391717 | 55 |
Entity Name | Georgia Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Urological Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Mailing Address | Practice Location Address |
---|---|
Ms Adity Dutta, 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Ms Adity Dutta, 3790 Pleasant Hill Rd Ste 150, Duluth, GA 30096-5144 Ph: (770) 979-9427 |
Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052 | |
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151 | |
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396 | |
Dailan Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131 | |
Lovelin Fonkika, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6650 Sugarloaf Pkwy Ste 800, Duluth, GA 30097 Phone: 404-921-3334 | |
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640 | |
Elisabeth Olsen Peterson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2660 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8330 |