Ms Mary Lavonne Long, APRN | |
3969 S Cobb Dr Se Ste 206, Smyrna, GA 30080-6317 | |
(770) 432-5326 | |
(770) 432-5740 |
Full Name | Ms Mary Lavonne Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 3969 S Cobb Dr Se Ste 206, Smyrna, 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 |
---|---|---|---|
1295877033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN077139 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, 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 Mary Lavonne Long, APRN 3969 S Cobb Dr Se Ste 206, Smyrna, GA 30080-6317 Ph: (770) 432-5326 | Ms Mary Lavonne Long, APRN 3969 S Cobb Dr Se Ste 206, Smyrna, GA 30080-6317 Ph: (770) 432-5326 |
Brooke L Kahler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3948 Central Garden Ct Se, Smyrna, GA 30080 Phone: 785-806-8612 | |
Kelly Ann Borders, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 319, Smyrna, GA 30080 Phone: 770-792-6262 | |
Erin Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 770-801-5000 | |
Mrs. Yuri Ayana Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178 | |
Priscilla Elyse Colpo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-970-0858 | |
Dr. Angelyn Levell-smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178 | |
Mrs. Ashley Howard Montcalm, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 206, Smyrna, GA 30080 Phone: 770-333-2020 Fax: 770-333-2023 |