Mr Omar S Ganzy Sr, NP | |
600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | |
(850) 264-3477 | |
Not Available |
Full Name | Mr Omar S Ganzy Sr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 600 Celebrate Life Pkwy, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710524764 | NPI | - | NPPES |
RN157958 | Other | GA | GEORGIA NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN157958 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN157958 (Georgia) | Primary |
Entity Name | Cogent Healthcare Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Entity Name | Sound Physicians Intensivists Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159590 PECOS PAC ID: 5193138634 Enrollment ID: O20201230001915 |
Mailing Address | Practice Location Address |
---|---|
Mr Omar S Ganzy Sr, NP 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 Ph: (850) 264-3477 | Mr Omar S Ganzy Sr, NP 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 Ph: (850) 264-3477 |
Leah Shupe, PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 Highway 34 E, Newnan, GA 30265 Phone: 770-502-0202 Fax: 770-502-8822 | |
Ms. Charvette Gaitone Shumaker-kirk, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-7142 | |
Dena Michelle Singleton, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Mitchell Boles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1665 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 770-252-7557 Fax: 770-252-7513 | |
Darlene Rene Crittenden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 | |
Felicia N. Onyeuku, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Maafia A Osei-cheremeh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 |