Tangella E Russell, CNP | |
1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | |
(770) 716-0051 | |
(770) 716-0087 |
Full Name | Tangella E Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 1267 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 |
---|---|---|---|
1275637639 | NPI | - | NPPES |
087974374G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN 116405 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 405 |
Entity Name | Piedmont Cardiology Of Atlanta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
Mailing Address | Practice Location Address |
---|---|
Tangella E Russell, CNP 20 Francis Way, Suite 101, Sharpsburg, GA 30277 Ph: (770) 253-0611 | Tangella E Russell, CNP 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 Ph: (770) 716-0051 |
Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126 | |
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087 | |
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059 | |
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609 | |
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238 | |
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501 | |
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038 |