Paige Gantt, | |
1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | |
(470) 325-0180 | |
(470) 325-0191 |
Full Name | Paige Gantt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
---|---|---|---|
1487048591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | RN190775 (Georgia) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | RN190775 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ctca Physicians Group Of Georgia, Llc. | 4880841212 | 109 |
Longleaf Hospice Llc | 6305904939 | 3 |
Gwinnett Physician Group, Llc | 9133211139 | 89 |
Entity Name | Gwinnett Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780747469 PECOS PAC ID: 4284524166 Enrollment ID: O20040316000602 |
Entity Name | Gwinnett Physician Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
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 | Longleaf Hospice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427206960 PECOS PAC ID: 6305904939 Enrollment ID: O20191231000147 |
Mailing Address | Practice Location Address |
---|---|
Paige Gantt, 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (678) 312-2418 | Paige Gantt, 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (470) 325-0180 |
Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: -- | |
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000 | |
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476 | |
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225 | |
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 | |
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 | |
Katherine A Nguyen, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043 Phone: 678-442-0205 |