| Adventhealth Medical Group | |
|
1035 Red Bud Rd Ne Calhoun GA 30701-2082 | |
| (706) 602-7800 | |
| (706) 624-5093 |
| Full Name | Adventhealth Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 Red Bud Rd Ne, Calhoun, Georgia |
| Authorized Official Name and Position | Alan G Guyton (CFO) |
| Authorized Official Contact | 7068794710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventhealth Medical Group Po Box 12938 Calhoun GA 30703-7013 Ph: (706) 602-7800 | Adventhealth Medical Group 1035 Red Bud Rd Ne Calhoun GA 30701-2082 Ph: (706) 602-7800 |
| NPI Number | 1699791343 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/27/2020 |
| Medicare PECOS PAC ID | 4486568037 |
|---|---|
| Medicare Enrollment ID | O20031203000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699791343 | NPI | - | NPPES |
| 003134436A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Robert P Styperek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225193303 PECOS PAC ID: 7315841947 Enrollment ID: I20031125000034 |
| Provider Name | Gretchen Diaz-lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447304316 PECOS PAC ID: 3476453770 Enrollment ID: I20040112000389 |
| Provider Name | Craig Andrew Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881671998 PECOS PAC ID: 6800882457 Enrollment ID: I20040421000525 |
| Provider Name | Byron A Littlefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447279740 PECOS PAC ID: 1355331257 Enrollment ID: I20040513000754 |
| Provider Name | Lisa A Counsell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689729055 PECOS PAC ID: 9234116039 Enrollment ID: I20040630000431 |
| Provider Name | Norman Duwayne Garner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992768527 PECOS PAC ID: 3870491624 Enrollment ID: I20040709000016 |
| Provider Name | Joanne E Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912903642 PECOS PAC ID: 0941289862 Enrollment ID: I20040715000231 |
| Provider Name | James C Merritt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649332420 PECOS PAC ID: 2668452418 Enrollment ID: I20040722000309 |
| Provider Name | Henaro C Sabino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194763789 PECOS PAC ID: 1355314147 Enrollment ID: I20040819000106 |
| Provider Name | Hilary T Hight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275670945 PECOS PAC ID: 3476512815 Enrollment ID: I20041013000363 |
| Provider Name | Mark H Middleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977202 PECOS PAC ID: 6608838230 Enrollment ID: I20041027000371 |
| Provider Name | Pablo E Balboa Mariack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255357067 PECOS PAC ID: 0244292886 Enrollment ID: I20041027000453 |
| Provider Name | Anthony M Martino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841238011 PECOS PAC ID: 4385548106 Enrollment ID: I20041206000755 |
| Provider Name | Maxcene Oreus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184707879 PECOS PAC ID: 7618930033 Enrollment ID: I20041222000197 |
| Provider Name | Briton P Jordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114916582 PECOS PAC ID: 1951369479 Enrollment ID: I20041229000825 |
| Provider Name | Susan I Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336230333 PECOS PAC ID: 8426008806 Enrollment ID: I20050124000667 |
| Provider Name | Wayne Thomas Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073508115 PECOS PAC ID: 0749231348 Enrollment ID: I20050201000420 |
| Provider Name | Anthony G Captain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463 |
| Provider Name | David R Dennison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457345902 PECOS PAC ID: 5991759003 Enrollment ID: I20050310000547 |
| Provider Name | Navin Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457344673 PECOS PAC ID: 8729028089 Enrollment ID: I20050505000631 |
| Provider Name | Jodi A Kuhlman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952357444 PECOS PAC ID: 6406896414 Enrollment ID: I20050510000278 |
| Provider Name | Robert A Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982643177 PECOS PAC ID: 0840234225 Enrollment ID: I20050616000302 |
| Provider Name | Rahul Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326109851 PECOS PAC ID: 6901898436 Enrollment ID: I20050623000057 |
| Provider Name | Salvatore F Mannino |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952363202 PECOS PAC ID: 3375579758 Enrollment ID: I20050718000289 |
| Provider Name | James Palmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770539819 PECOS PAC ID: 0143257808 Enrollment ID: I20050725000542 |
| Provider Name | Robert Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255327052 PECOS PAC ID: 5193753028 Enrollment ID: I20050801000922 |
| Provider Name | Jeffrey J Kovacic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831164524 PECOS PAC ID: 6103859681 Enrollment ID: I20050915000025 |
| Provider Name | Andrea H Kovacic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982740726 PECOS PAC ID: 7113943184 Enrollment ID: I20051101000425 |
| Provider Name | Dawn D Idom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225067135 PECOS PAC ID: 0446272702 Enrollment ID: I20051229000706 |
| Provider Name | Marc M Dyke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518996438 PECOS PAC ID: 5395767529 Enrollment ID: I20051230000482 |
| Provider Name | Lars Bakland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538198460 PECOS PAC ID: 7315926284 Enrollment ID: I20051230000520 |
| Provider Name | Laverne R Keizer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477582377 PECOS PAC ID: 6608774450 Enrollment ID: I20060103000349 |
| Provider Name | William A Brannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780612408 PECOS PAC ID: 5698673440 Enrollment ID: I20060103000477 |
| Provider Name | James M Ware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275698235 PECOS PAC ID: 4486677093 Enrollment ID: I20060110000640 |
| Provider Name | Hector Picon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457416869 PECOS PAC ID: 1759312911 Enrollment ID: I20060110000685 |
| Provider Name | George H Myers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982766630 PECOS PAC ID: 3779506399 Enrollment ID: I20060110000712 |
| Provider Name | Joshua B Donner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760542047 PECOS PAC ID: 7517971476 Enrollment ID: I20060130000845 |
| Provider Name | Dhru S Girard |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851452270 PECOS PAC ID: 3072528249 Enrollment ID: I20060208000664 |
| Provider Name | Christine Marie Danforth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679665558 PECOS PAC ID: 0244250116 Enrollment ID: I20060216000064 |
| Provider Name | Joy A Nwadike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558337063 PECOS PAC ID: 7416960679 Enrollment ID: I20060711000354 |
| Provider Name | Himanshu M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972523603 PECOS PAC ID: 5193728426 Enrollment ID: I20060807000107 |
| Provider Name | Katherine M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295719383 PECOS PAC ID: 0345243812 Enrollment ID: I20060823000278 |
| Provider Name | Stephen King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609806165 PECOS PAC ID: 4789682345 Enrollment ID: I20061116000074 |
| Provider Name | Emily King Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407954282 PECOS PAC ID: 7618976135 Enrollment ID: I20061212000034 |
| Provider Name | Joel C Box |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508960121 PECOS PAC ID: 6507868411 Enrollment ID: I20070206000459 |
| Provider Name | Vickie W Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477613990 PECOS PAC ID: 1052415304 Enrollment ID: I20070327000414 |
| Provider Name | Marva Marcius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710098728 PECOS PAC ID: 0244322790 Enrollment ID: I20070828001017 |
| Provider Name | William A Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891892477 PECOS PAC ID: 0446299119 Enrollment ID: I20070910000294 |
| Provider Name | John O Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356313951 PECOS PAC ID: 4183622954 Enrollment ID: I20070926000421 |
| Provider Name | Jagdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548482458 PECOS PAC ID: 7618066069 Enrollment ID: I20071207000604 |
| Provider Name | William L Theus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982708509 PECOS PAC ID: 9931298551 Enrollment ID: I20071218000337 |
| Provider Name | Connie L Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902804297 PECOS PAC ID: 5991617219 Enrollment ID: I20080226000805 |
| Provider Name | Ted M Pennel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275556078 PECOS PAC ID: 0840269767 Enrollment ID: I20080228000565 |
| Provider Name | Rakesh Makadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538128079 PECOS PAC ID: 0840206991 Enrollment ID: I20080326000110 |
| Provider Name | John A Cowan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588786669 PECOS PAC ID: 9032289111 Enrollment ID: I20080602000141 |
| Provider Name | Christopher J Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164586004 PECOS PAC ID: 7012084981 Enrollment ID: I20080918000007 |
| Provider Name | Andrea B Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255510020 PECOS PAC ID: 4688732225 Enrollment ID: I20081025000052 |
| Provider Name | Karen Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689676041 PECOS PAC ID: 2769475235 Enrollment ID: I20090218000318 |
| Provider Name | Joni L Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528126679 PECOS PAC ID: 1759483456 Enrollment ID: I20090601000165 |
| Provider Name | James B Box |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619902319 PECOS PAC ID: 1759278302 Enrollment ID: I20090623000451 |
| Provider Name | Pamela M Gravitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134368434 PECOS PAC ID: 7315098225 Enrollment ID: I20090706000115 |
| Provider Name | Kathryn J Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720213796 PECOS PAC ID: 8325194574 Enrollment ID: I20090914000425 |
| Provider Name | Kishor Bhurabhai Sadaria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821288713 PECOS PAC ID: 7810077955 Enrollment ID: I20100504000467 |
| Provider Name | Edward E Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376537084 PECOS PAC ID: 4284762600 Enrollment ID: I20100505000893 |
| Provider Name | Maxwell F Parrott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568497261 PECOS PAC ID: 0648249565 Enrollment ID: I20100521000462 |
| Provider Name | Phillip Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093786386 PECOS PAC ID: 8527097658 Enrollment ID: I20100609000680 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295868966 PECOS PAC ID: 3577654433 Enrollment ID: I20100622000278 |
| Provider Name | Kizhake C Kurian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427082486 PECOS PAC ID: 1254303704 Enrollment ID: I20100708000416 |
| Provider Name | Holly D Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700105103 PECOS PAC ID: 6305978867 Enrollment ID: I20100719000607 |
| Provider Name | Charles B Baggett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336357060 PECOS PAC ID: 3274692462 Enrollment ID: I20100811000797 |
| Provider Name | Kailash P Kulkarni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114116191 PECOS PAC ID: 0840324448 Enrollment ID: I20100818000701 |
| Provider Name | Sarah Jane Polow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518924521 PECOS PAC ID: 3072544899 Enrollment ID: I20100913000167 |
| Provider Name | Daniel S Ahn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184645558 PECOS PAC ID: 1850586090 Enrollment ID: I20101112000658 |
| Provider Name | Lorie L Hughes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578613667 PECOS PAC ID: 6507045754 Enrollment ID: I20110120000628 |
| Provider Name | Donald Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013940030 PECOS PAC ID: 4385782119 Enrollment ID: I20110126000480 |
| Provider Name | Kent Howard Van Arsdell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205885068 PECOS PAC ID: 4688708894 Enrollment ID: I20110208000596 |
| Provider Name | Dana M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093012957 PECOS PAC ID: 4789867110 Enrollment ID: I20110323000236 |
| Provider Name | Cynthia Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891087177 PECOS PAC ID: 4082882196 Enrollment ID: I20110715000327 |
| Provider Name | Christina Douglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265667828 PECOS PAC ID: 4183894215 Enrollment ID: I20110829000706 |
| Provider Name | Annie Marie Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992840615 PECOS PAC ID: 1456522325 Enrollment ID: I20110926000557 |
| Provider Name | Cyrus Parsa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235396110 PECOS PAC ID: 7315012770 Enrollment ID: I20111219000283 |
| Provider Name | Tracy Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619962206 PECOS PAC ID: 9537326566 Enrollment ID: I20120202000862 |
| Provider Name | Charma L Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386617371 PECOS PAC ID: 9436120748 Enrollment ID: I20120531000039 |
| Provider Name | Charles F Jackson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629252184 PECOS PAC ID: 4486818523 Enrollment ID: I20120621000052 |
| Provider Name | Bethany W Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033396841 PECOS PAC ID: 8527205723 Enrollment ID: I20130507000532 |
| Provider Name | Greta D Flaherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780901611 PECOS PAC ID: 0840431839 Enrollment ID: I20130802000760 |
| Provider Name | Elisa Jaramillo-mayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003133091 PECOS PAC ID: 0749414993 Enrollment ID: I20131002000162 |
| Provider Name | Joshua B Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114355203 PECOS PAC ID: 1557591476 Enrollment ID: I20140220000362 |
| Provider Name | Kristi L Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336352327 PECOS PAC ID: 2769613983 Enrollment ID: I20140401000162 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20140620000795 |
| Provider Name | Janna Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528478344 PECOS PAC ID: 0345465647 Enrollment ID: I20140630000835 |
| Provider Name | Daniel Edgar Treiyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063703403 PECOS PAC ID: 5294953089 Enrollment ID: I20140819002484 |
| Provider Name | Tommy C Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134546831 PECOS PAC ID: 0840418570 Enrollment ID: I20140821001754 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20140822001631 |
| Provider Name | Alison Nicole Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780098046 PECOS PAC ID: 3173741584 Enrollment ID: I20140827000849 |
| Provider Name | Kelley Stephens Schroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437312931 PECOS PAC ID: 6709044126 Enrollment ID: I20140924000995 |
| Provider Name | Tara Darlene Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376942144 PECOS PAC ID: 0840412227 Enrollment ID: I20141119002612 |
| Provider Name | Vaishanavi Laiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569960 PECOS PAC ID: 7517281868 Enrollment ID: I20150115001433 |
| Provider Name | Jeffrey Marlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679621239 PECOS PAC ID: 3678676947 Enrollment ID: I20150409000482 |
| Provider Name | Jina L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235520214 PECOS PAC ID: 2961720081 Enrollment ID: I20150421000802 |
| Provider Name | Terrilyn Blackstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740672542 PECOS PAC ID: 9931428786 Enrollment ID: I20150429002201 |
| Provider Name | Jeana L Handley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915821 PECOS PAC ID: 7113248451 Enrollment ID: I20150611001486 |
| Provider Name | Sheela Hanasoge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598080913 PECOS PAC ID: 6709190804 Enrollment ID: I20150803002566 |
| Provider Name | Hak J Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033414834 PECOS PAC ID: 7618131517 Enrollment ID: I20151007001885 |
| Provider Name | Carrie Kuhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898029 PECOS PAC ID: 9335458298 Enrollment ID: I20151016000827 |
| Provider Name | Temitope I Afon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689011181 PECOS PAC ID: 7214168293 Enrollment ID: I20151112001636 |
| Provider Name | Tosha M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477928448 PECOS PAC ID: 4183926181 Enrollment ID: I20160107002660 |
| Provider Name | Jason Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578929774 PECOS PAC ID: 3173827797 Enrollment ID: I20160202001497 |
| Provider Name | Charles Fotuchang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477781805 PECOS PAC ID: 1850435413 Enrollment ID: I20160308002195 |
| Provider Name | Julie Akins White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134588916 PECOS PAC ID: 6800193509 Enrollment ID: I20160323002161 |
| Provider Name | Jason F Harrison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245467604 PECOS PAC ID: 8527206507 Enrollment ID: I20160713002530 |
| Provider Name | Kipp Slicker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891922498 PECOS PAC ID: 2365734266 Enrollment ID: I20160713002741 |
| Provider Name | Adam Land |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861798621 PECOS PAC ID: 8820397417 Enrollment ID: I20160811002858 |
| Provider Name | Amarabalan Rajendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962843680 PECOS PAC ID: 8224323134 Enrollment ID: I20160817000063 |
| Provider Name | Sung Rock Cho |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1427219989 PECOS PAC ID: 2961642277 Enrollment ID: I20160822001094 |
| Provider Name | Pankaj Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376771105 PECOS PAC ID: 8123211919 Enrollment ID: I20161006001769 |
| Provider Name | Kathryn Margaret Lohmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205164373 PECOS PAC ID: 3476841859 Enrollment ID: I20161018002083 |
| Provider Name | Kafi Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491221 PECOS PAC ID: 5496762114 Enrollment ID: I20161018002174 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20161018002420 |
| Provider Name | Luis Cayamcela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740544196 PECOS PAC ID: 4880902154 Enrollment ID: I20161027002205 |
| Provider Name | Cinthia Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386878411 PECOS PAC ID: 2961783345 Enrollment ID: I20161222000901 |
| Provider Name | Steven Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164965141 PECOS PAC ID: 2466733100 Enrollment ID: I20170111002050 |
| Provider Name | Savannah Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457783110 PECOS PAC ID: 7012143902 Enrollment ID: I20170111003605 |
| Provider Name | Ashley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952849630 PECOS PAC ID: 9335425008 Enrollment ID: I20170411002712 |
| Provider Name | Padma Rekha Koukuntla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972891463 PECOS PAC ID: 8527286491 Enrollment ID: I20170516001618 |
| Provider Name | Chioma Udogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20170601000277 |
| Provider Name | Spencer Maddox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518385830 PECOS PAC ID: 4183926256 Enrollment ID: I20170614001747 |
| Provider Name | Ronnie C Marrache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821172396 PECOS PAC ID: 7214911544 Enrollment ID: I20170621003240 |
| Provider Name | Andrew A Mccue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851719116 PECOS PAC ID: 9931470416 Enrollment ID: I20170801003397 |
| Provider Name | Tara L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447798814 PECOS PAC ID: 6507137056 Enrollment ID: I20170802002123 |
| Provider Name | Mayur Deepak Mody |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255751277 PECOS PAC ID: 5193028884 Enrollment ID: I20170815002671 |
| Provider Name | Rhonda Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245767128 PECOS PAC ID: 6204109077 Enrollment ID: I20170830003097 |
| Provider Name | Guimy Alexis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145987 PECOS PAC ID: 3779857529 Enrollment ID: I20170918003837 |
| Provider Name | Benjamin D. Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043621642 PECOS PAC ID: 7719252816 Enrollment ID: I20170928002849 |
| Provider Name | Meredith Lynn Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568863256 PECOS PAC ID: 7012296395 Enrollment ID: I20171213002975 |
| Provider Name | Laura Mudrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843603 PECOS PAC ID: 5698077113 Enrollment ID: I20180214001309 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20180417000372 |
| Provider Name | Joann H Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841287612 PECOS PAC ID: 1658394689 Enrollment ID: I20180524000997 |
| Provider Name | Jason Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457857765 PECOS PAC ID: 4082969613 Enrollment ID: I20180621001888 |
| Provider Name | Trevor Lee Alverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184179558 PECOS PAC ID: 9234426131 Enrollment ID: I20180815000650 |
| Provider Name | Ryan Jacob Mullins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316275431 PECOS PAC ID: 9537467824 Enrollment ID: I20180913003386 |
| Provider Name | Candice Cheryl Darville |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871835520 PECOS PAC ID: 2062764814 Enrollment ID: I20181006000049 |
| Provider Name | Julia Anne Rittenhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013329622 PECOS PAC ID: 8022388016 Enrollment ID: I20181008003491 |
| Provider Name | Kyle Trott Benge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922507706 PECOS PAC ID: 4183976558 Enrollment ID: I20181012000651 |
| Provider Name | Steven Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376537001 PECOS PAC ID: 7810961638 Enrollment ID: I20181025003178 |
| Provider Name | William Tong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184971434 PECOS PAC ID: 9133358286 Enrollment ID: I20181105002334 |
| Provider Name | Lori Ann Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568958429 PECOS PAC ID: 4688928856 Enrollment ID: I20181107001869 |
| Provider Name | Joel J. Shu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750494837 PECOS PAC ID: 7517962467 Enrollment ID: I20181114003143 |
| Provider Name | Ashley K Lumpkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952885634 PECOS PAC ID: 4981948494 Enrollment ID: I20181210001498 |
| Provider Name | Jose E Gomez |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1447319975 PECOS PAC ID: 5092715169 Enrollment ID: I20190102000113 |
| Provider Name | Nina Mena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280664 PECOS PAC ID: 9133465222 Enrollment ID: I20190110001392 |
| Provider Name | Marenda Celie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245700731 PECOS PAC ID: 2466790001 Enrollment ID: I20190206002843 |
| Provider Name | Carl Lokko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346506359 PECOS PAC ID: 3476855651 Enrollment ID: I20190214001982 |
| Provider Name | Camile Calcano Contreas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528455672 PECOS PAC ID: 7517260532 Enrollment ID: I20190312000727 |
| Provider Name | Plamen P Todorow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497736045 PECOS PAC ID: 0143254755 Enrollment ID: I20190313001828 |
| Provider Name | Asia Karenina Deslattes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174096721 PECOS PAC ID: 8527300078 Enrollment ID: I20190502000472 |
| Provider Name | Garvin Lee Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073963492 PECOS PAC ID: 8426336405 Enrollment ID: I20190627003055 |
| Provider Name | Keelan Thomas Tuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750793196 PECOS PAC ID: 2961628839 Enrollment ID: I20190731003899 |
| Provider Name | Samuel B Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821559642 PECOS PAC ID: 7719216332 Enrollment ID: I20190906003206 |
| Provider Name | Marissa L Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255997847 PECOS PAC ID: 7416286034 Enrollment ID: I20190906003338 |
| Provider Name | Tiffany Star Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063073625 PECOS PAC ID: 0042541294 Enrollment ID: I20191018002684 |
| Provider Name | Tina Faye Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444256 PECOS PAC ID: 4385994235 Enrollment ID: I20191023003658 |
| Provider Name | Pelumi Adedayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881004497 PECOS PAC ID: 7911207618 Enrollment ID: I20191106002834 |
| Provider Name | Melissa Kelly Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578990297 PECOS PAC ID: 3274768379 Enrollment ID: I20191110000032 |
| Provider Name | Sheetal Haresh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124132642 PECOS PAC ID: 7911969076 Enrollment ID: I20200323003504 |
| Provider Name | Eugene Sangmuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295703338 PECOS PAC ID: 4688568280 Enrollment ID: I20200409002695 |
| Provider Name | Ronald Seth Van Dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013543990 PECOS PAC ID: 9830520303 Enrollment ID: I20200518000457 |
| Provider Name | Charlotte A Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821246 PECOS PAC ID: 9739500364 Enrollment ID: I20200605001660 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20200611003364 |
| Provider Name | Zachary Tyler Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417593591 PECOS PAC ID: 8527482553 Enrollment ID: I20200722003311 |
| Provider Name | Laura Alyssa Crew Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419926 PECOS PAC ID: 1759706450 Enrollment ID: I20200728003623 |
| Provider Name | Rebaika Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972031284 PECOS PAC ID: 2466878046 Enrollment ID: I20200813000307 |
| Provider Name | Amanda Gail Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598399800 PECOS PAC ID: 3476979808 Enrollment ID: I20200817002022 |
| Provider Name | Hilarie H Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003426537 PECOS PAC ID: 8820414741 Enrollment ID: I20200821001225 |
| Provider Name | Phebe Nicole Hagins Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689299000 PECOS PAC ID: 5294152898 Enrollment ID: I20200827001930 |
| Provider Name | Sonia Watley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770878498 PECOS PAC ID: 1850518184 Enrollment ID: I20200910000375 |
| Provider Name | Kimberley B Weatherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972114502 PECOS PAC ID: 0941629208 Enrollment ID: I20201006001542 |
| Provider Name | Sam Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20201009000736 |
| Provider Name | William Saunders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922608116 PECOS PAC ID: 4880004860 Enrollment ID: I20201103000209 |
| Provider Name | Mridula Vinjamuri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063613503 PECOS PAC ID: 9830280270 Enrollment ID: I20201119002761 |
| Provider Name | Cayla Bagwell Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295296184 PECOS PAC ID: 2961813738 Enrollment ID: I20201130001823 |
| Provider Name | Karen M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366904179 PECOS PAC ID: 6800200353 Enrollment ID: I20210125003203 |
| Provider Name | Devin Vaishnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184149130 PECOS PAC ID: 4789959255 Enrollment ID: I20210127003616 |
| Provider Name | Kemberly Marchele Center |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508454604 PECOS PAC ID: 5294140778 Enrollment ID: I20210215001743 |
| Provider Name | Howard Kelly Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235725383 PECOS PAC ID: 2567878598 Enrollment ID: I20210316003071 |
| Provider Name | Donald Baracskay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564207 PECOS PAC ID: 3072406891 Enrollment ID: I20210614003007 |
| Provider Name | Lacey Brooke Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649763236 PECOS PAC ID: 3678974235 Enrollment ID: I20210702001110 |
| Provider Name | Jessica L Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205105731 PECOS PAC ID: 1557504594 Enrollment ID: I20210707002803 |
| Provider Name | Katlyn W Zavala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558868315 PECOS PAC ID: 1052661865 Enrollment ID: I20210707003227 |
| Provider Name | Gregory Justin Tanner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336587203 PECOS PAC ID: 1153642350 Enrollment ID: I20210809001620 |
| Provider Name | Ademola A Adeseye |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518301340 PECOS PAC ID: 6608179254 Enrollment ID: I20210811000182 |
| Provider Name | Megan R White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942705264 PECOS PAC ID: 4880944560 Enrollment ID: I20210827002539 |
| Provider Name | Kirasten Brasfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861998460 PECOS PAC ID: 6305170481 Enrollment ID: I20210901002800 |
| Provider Name | Brittany Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790458743 PECOS PAC ID: 4385040724 Enrollment ID: I20210909002182 |
| Provider Name | Sandra Fortner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952329443 PECOS PAC ID: 4880737063 Enrollment ID: I20210928003460 |
| Provider Name | Corwyn Fortner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134154388 PECOS PAC ID: 8729083282 Enrollment ID: I20211007000011 |
| Provider Name | Swati Chopra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275078818 PECOS PAC ID: 5890193650 Enrollment ID: I20211007003161 |
| Provider Name | Alison Rose Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235892951 PECOS PAC ID: 8426449653 Enrollment ID: I20211226000000 |
| Provider Name | Gurpreet Johal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568751154 PECOS PAC ID: 6709007412 Enrollment ID: I20220121000017 |
| Provider Name | Cody Ryan Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710078 PECOS PAC ID: 1052703014 Enrollment ID: I20220125000932 |
| Provider Name | Erika Kollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340176 PECOS PAC ID: 1658763578 Enrollment ID: I20220126000960 |
| Provider Name | Julie Christine Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770162448 PECOS PAC ID: 0143612010 Enrollment ID: I20220126003163 |
| Provider Name | Mandrea Kaylene Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016507 PECOS PAC ID: 6608261524 Enrollment ID: I20220311000595 |
| Provider Name | Daniel R Lamberton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770961765 PECOS PAC ID: 8224359369 Enrollment ID: I20220404000821 |
| Provider Name | Jason A Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386303113 PECOS PAC ID: 5890182612 Enrollment ID: I20220426002622 |
| Provider Name | Shanna Brooke Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424543 PECOS PAC ID: 6709264559 Enrollment ID: I20220607000781 |
| Provider Name | Vishwajeth Bhagavan Bhoopalam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831119841 PECOS PAC ID: 7618974684 Enrollment ID: I20220628001502 |
| Provider Name | Christie Beatrice Tankersley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235876418 PECOS PAC ID: 2264403153 Enrollment ID: I20220719003264 |
| Provider Name | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20220722000226 |
| Provider Name | Jeremy Seth Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043941099 PECOS PAC ID: 2860877271 Enrollment ID: I20220921003289 |
| Provider Name | Wittstatt Alexandra Whitaker-lea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124414701 PECOS PAC ID: 9638483456 Enrollment ID: I20221008000463 |
| Provider Name | Sally Dee Smalley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457645244 PECOS PAC ID: 5193957926 Enrollment ID: I20221106000049 |
| Provider Name | Dagmawit Assefa Mekuria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154986099 PECOS PAC ID: 0244607802 Enrollment ID: I20221110002311 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20230103002075 |
| Provider Name | Sheena Battles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220616 PECOS PAC ID: 1153791918 Enrollment ID: I20230112001301 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20230321000740 |
| Provider Name | Margaret Kaye Elizabeth Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033822770 PECOS PAC ID: 9638543226 Enrollment ID: I20230322001287 |
| Provider Name | Allison Mullarney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740656024 PECOS PAC ID: 0840566758 Enrollment ID: I20230512002227 |
| Provider Name | Ijeoma Arubaleze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881081933 PECOS PAC ID: 2062768591 Enrollment ID: I20230530000100 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20230731001914 |
| Provider Name | Patrick Hunter Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144753344 PECOS PAC ID: 2062874126 Enrollment ID: I20230822001219 |
| Provider Name | Victoria Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922628452 PECOS PAC ID: 1759778467 Enrollment ID: I20230830003447 |
| Provider Name | Jordan Gravell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427480169 PECOS PAC ID: 0941436836 Enrollment ID: I20230905003400 |
| Provider Name | Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548503154 PECOS PAC ID: 6608171012 Enrollment ID: I20230919003222 |
| Provider Name | Lee-anne Choudree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053096024 PECOS PAC ID: 3274987870 Enrollment ID: I20231002000763 |
| Provider Name | Andrew J Ray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801183439 PECOS PAC ID: 7618102013 Enrollment ID: I20231016000620 |
| Provider Name | Azmi Ramin Jahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437683968 PECOS PAC ID: 5496029142 Enrollment ID: I20231017003289 |
| Provider Name | Taylor Maney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891491445 PECOS PAC ID: 1759737000 Enrollment ID: I20231024000859 |
| Provider Name | Sarah Nicole Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528746229 PECOS PAC ID: 5092161182 Enrollment ID: I20231025003333 |
| Provider Name | Erica Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518428192 PECOS PAC ID: 4880041342 Enrollment ID: I20231106002672 |
| Provider Name | Colleen M Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376718403 PECOS PAC ID: 2567635626 Enrollment ID: I20231117002221 |
| Provider Name | Cesar Arturo Zambrano-oropeza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326667809 PECOS PAC ID: 6103274832 Enrollment ID: I20231118000457 |
| Provider Name | Tierra Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306006 PECOS PAC ID: 5496100117 Enrollment ID: I20231121002671 |
| Provider Name | Tejas Ranade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043702459 PECOS PAC ID: 9830563873 Enrollment ID: I20231201001846 |
| Provider Name | Pranusha Pinna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861983660 PECOS PAC ID: 6406105154 Enrollment ID: I20231201002052 |
| Provider Name | Michael Meng Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20231207001223 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20231207001546 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20231207001716 |
| Provider Name | Kasey Lynn Gildersleeve |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790012870 PECOS PAC ID: 6305158460 Enrollment ID: I20231211000217 |
| Provider Name | Rami Assadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265819478 PECOS PAC ID: 8325343247 Enrollment ID: I20231211000738 |
| Provider Name | Mahmoud Salhab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154762458 PECOS PAC ID: 0446486864 Enrollment ID: I20231212001917 |
| Provider Name | Joel Radhames Nunez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497066997 PECOS PAC ID: 3577862622 Enrollment ID: I20231212002391 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982959979 PECOS PAC ID: 6709147689 Enrollment ID: I20231213003727 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20231214003009 |
| Provider Name | Steven Arbogast |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962615377 PECOS PAC ID: 3375697774 Enrollment ID: I20231221002629 |
| Provider Name | Christina Simmons Mccroskey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790987493 PECOS PAC ID: 7315169703 Enrollment ID: I20231228001069 |
| Provider Name | Darron Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649767658 PECOS PAC ID: 6406181452 Enrollment ID: I20240116003391 |
| Provider Name | Hilary Amber Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720868052 PECOS PAC ID: 8921450537 Enrollment ID: I20240119000657 |
| Provider Name | Melissa Erin Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265211130 PECOS PAC ID: 1052763513 Enrollment ID: I20240119002638 |
| Provider Name | Shirley Teems Greenway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033881727 PECOS PAC ID: 4880047828 Enrollment ID: I20240126000481 |
| Provider Name | Steven Tversky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356683874 PECOS PAC ID: 1658633664 Enrollment ID: I20240222000773 |
| Provider Name | Larisa Syrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639364037 PECOS PAC ID: 4082863022 Enrollment ID: I20240228003371 |
| Provider Name | Nandini Bakshi Batra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801902200 PECOS PAC ID: 5991855595 Enrollment ID: I20240301001745 |
| Provider Name | Swati Laroia Coon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306284765 PECOS PAC ID: 8224255492 Enrollment ID: I20240308001384 |
| Provider Name | Neal Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568480838 PECOS PAC ID: 6103860184 Enrollment ID: I20240309000189 |
| Provider Name | Neil Bhathela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851820567 PECOS PAC ID: 2163793829 Enrollment ID: I20240424001158 |
Southerncare Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 A Laurel Creek Rd, Calhoun, GA 30701 Phone: 706-624-1001 | |
In Motion Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 W Belmont Dr, Calhoun, GA 30701 Phone: 706-609-0564 | |
Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarence King Pkwy, Calhoun, GA 30701 Phone: 706-624-3695 Fax: 706-624-3694 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Hines Rd Ne, Suite 3, Calhoun, GA 30701 Phone: 706-602-9655 Fax: 706-602-9676 | |
Arukah Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 2nd Ave, Calhoun, GA 30701 Phone: 706-403-4613 Fax: 866-348-6516 | |
Northwest Georgia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Timms Rd Ne, Calhoun, GA 30701 Phone: 706-625-0022 Fax: 706-625-3988 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Hines Rd Ne Ste 3, Calhoun, GA 30701 Phone: 706-602-9655 Fax: 706-602-9676 |