Ms Tina M Grall, FNP-C | |
1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | |
(678) 289-0549 | |
(678) 289-8756 |
Full Name | Ms Tina M Grall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1045 Southcrest Dr, Stockbridge, 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 |
---|---|---|---|
1386181089 | NPI | - | NPPES |
003185368A | Medicaid | GA | |
003185368B | Medicaid | GA | |
202I504936 | Other | GA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN060199 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN060199 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nsh Cancer Institute Professional Services G Llc | 0840443164 | 106 |
Entity Name | Nsh Cancer Institute Professional Services G Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225 |
Mailing Address | Practice Location Address |
---|---|
Ms Tina M Grall, FNP-C 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 Ph: (678) 289-0549 | Ms Tina M Grall, FNP-C 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 Ph: (678) 289-0549 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925 | |
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213 |