| Shalonda B Pettis, PA-C | |
|
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
| (404) 367-3014 | |
| (404) 367-3558 |
| Full Name | Shalonda B Pettis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1255 Highway 54 W, Fayetteville, 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 |
|---|---|---|---|
| 1447317474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004248 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grady Memorial Hospital Corporation | 7517032998 | 262 |
| Wellstreet Of Georgia Pc | 7517126279 | 384 |
| Mailing Address | Practice Location Address |
|---|---|
| Shalonda B Pettis, PA-C 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014 | Shalonda B Pettis, PA-C 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (404) 367-3014 |
Cynthia M Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1275 Highway 54 W Ste 201, Fayetteville, GA 30214 Phone: 770-461-3776 Fax: 770-461-3565 | |
Dr. John Edward Donohue Ii, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 427 Porter Rd, Fayetteville, GA 30215 Phone: 770-716-8206 | |
April Mackenzie Dumas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 343 Rising Star Rd, Fayetteville, GA 30215 Phone: 770-315-6736 | |
Ms. Angela Ward Cubin, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1265 Highway 54 W Ste 103, Fayetteville, GA 30214 Phone: 470-514-5538 Fax: 470-514-5561 | |
Jason David Kranenburg, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214 Phone: 937-570-2426 | |
Virginia Ann Horan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 404-367-3014 | |
Mrs. Donna Elizabeth Hendley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 132 Old Norton Rd Ste 200, Fayetteville, GA 30215 Phone: 678-817-1117 Fax: 678-817-0823 |