Nathan Travis Fant, | |
4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101-4181 | |
(770) 917-8140 | |
Not Available |
Full Name | Nathan Travis Fant |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4550 Cobb Parkway North Nw Ste 101, Acworth, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275183923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN239986 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, 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 |
---|---|
Nathan Travis Fant, 5629 Woolwich Ln Nw, Acworth, GA 30101-6914 Ph: (678) 478-7542 | Nathan Travis Fant, 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101-4181 Ph: (770) 917-8140 |
Evelyn Onunka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 713-935-0333 | |
Mrs. Jennifer Gayle Carruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 678-732-1500 | |
Aminata Barrie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4775 Pastry Ln # 227, Acworth, GA 30101 Phone: 678-357-8171 | |
Teri Pruitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101 Phone: 470-267-0870 | |
Jennifer Bush, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway Nw, Acworth, GA 30301 Phone: 470-956-0150 | |
Erika Mendoza-rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6158 Highway 92, Suite 101, Acworth, GA 30102 Phone: 770-928-8450 Fax: 770-928-8452 | |
Mrs. Attoya Rosier, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4550 Cobb Parkway North Nw Ste 201a, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-1970 |