Ms Glenda Thoms, | |
176 Marietta Hwy, Bldg A, Hiram, GA 30141-1836 | |
(678) 945-8200 | |
(678) 945-8209 |
Full Name | Ms Glenda Thoms |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 176 Marietta Hwy, Hiram, 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 |
---|---|---|---|
1902856354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN129461 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Ms Glenda Thoms, 176 Marietta Hwy, Bldg A, Hiram, GA 30141-1836 Ph: (678) 945-8200 | Ms Glenda Thoms, 176 Marietta Hwy, Bldg A, Hiram, GA 30141-1836 Ph: (678) 945-8200 |
Mrs. Sara Hunlock Temple, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Hiram Dr, Hiram, GA 30141 Phone: 678-945-8300 Fax: 770-445-2060 | |
Aubree Lauren Tant, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mrs. Lucille Travis, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141 Phone: 404-488-9521 Fax: 404-836-8030 | |
Matthew Lee Estes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 Phone: 770-505-0023 Fax: 770-505-9003 | |
Kelsey Sheffer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-938-9772 | |
Joy Horton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Prince Ct, Hiram, GA 30141 Phone: 770-815-7357 | |
Mrs. Donna Van Bladel Wall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 Fax: 678-581-7110 |