Aga Clinical Services, Llc | |
1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 | |
(800) 858-1014 | |
Not Available |
Full Name | Aga Clinical Services, Llc |
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Speciality | Internal Medicine |
Location | 1000 Johnson Fy Rd Ne, Atlanta, Georgia |
Authorized Official Name and Position | Jorge J Hernandez (VP ADMIN. SERVICES/CCO) |
Authorized Official Contact | 4048516378 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aga Clinical Services, Llc 1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 Ph: (404) 851-6378 | Aga Clinical Services, Llc 1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 Ph: (800) 858-1014 |
NPI Number | 1295193399 |
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Provider Enumeration Date | 02/03/2016 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 7719273838 |
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Medicare Enrollment ID | O20160915000872 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295193399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Mark D Edge |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750372777 PECOS PAC ID: 0446235196 Enrollment ID: I20040618000783 |
Provider Name | Christopher A Brown |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194715813 PECOS PAC ID: 2961489224 Enrollment ID: I20040706000014 |
Provider Name | Kelly C Grow |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588690382 PECOS PAC ID: 4284647637 Enrollment ID: I20060801000254 |
Provider Name | David Neil Quinn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538187240 PECOS PAC ID: 6507853090 Enrollment ID: I20060914000306 |
Provider Name | Rachel C Toney |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225189780 PECOS PAC ID: 5597897405 Enrollment ID: I20100713000044 |
Provider Name | Karen Lynne Weiss-schorr |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942229729 PECOS PAC ID: 9830214857 Enrollment ID: I20100915000036 |
Provider Name | Abraham Steven Mcintosh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164448452 PECOS PAC ID: 8426131269 Enrollment ID: I20100927000260 |
Provider Name | Dale C Holly |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053393579 PECOS PAC ID: 1658416904 Enrollment ID: I20110218000844 |
Provider Name | Mubashar Munir |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518971944 PECOS PAC ID: 0749243905 Enrollment ID: I20110325000552 |
Provider Name | William Bradley Creel |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447461116 PECOS PAC ID: 7315115086 Enrollment ID: I20110725000146 |
Provider Name | Ngozi I Okoro |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730367756 PECOS PAC ID: 4880752591 Enrollment ID: I20110801000820 |
Provider Name | Bradley Shepherd |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649327594 PECOS PAC ID: 3577647858 Enrollment ID: I20110808000205 |
Provider Name | Hitesh Ramesh Chokshi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356331680 PECOS PAC ID: 5294870549 Enrollment ID: I20111108000175 |
Provider Name | Ralph C Lyons |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740379866 PECOS PAC ID: 6800848862 Enrollment ID: I20111207000634 |
Provider Name | Vickie H Browne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982940797 PECOS PAC ID: 9931341872 Enrollment ID: I20130806000512 |
Provider Name | Tara Phelps Gulsby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568897767 PECOS PAC ID: 9234369885 Enrollment ID: I20140227002188 |
Provider Name | David S Rabin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861654840 PECOS PAC ID: 5991937799 Enrollment ID: I20140821002077 |
Provider Name | Melissa B Baughcum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013276518 PECOS PAC ID: 3375860893 Enrollment ID: I20150323000388 |
Provider Name | Carly W Sayers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336556653 PECOS PAC ID: 2668790528 Enrollment ID: I20150406001735 |
Provider Name | Keval Anil Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336469485 PECOS PAC ID: 3870732555 Enrollment ID: I20160812001293 |
Provider Name | Erik Person |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609003912 PECOS PAC ID: 0749437440 Enrollment ID: I20160929000980 |
Provider Name | Eric Dewayne Davis |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598052094 PECOS PAC ID: 0648543454 Enrollment ID: I20170830000525 |
Provider Name | Susan Danielle Beitzell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134639347 PECOS PAC ID: 0446516181 Enrollment ID: I20171113001214 |
Provider Name | Jai Eun Min |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508123019 PECOS PAC ID: 2961701222 Enrollment ID: I20180806000418 |
Provider Name | Carolyn M Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699213363 PECOS PAC ID: 6002168408 Enrollment ID: I20181012002143 |
Provider Name | Mustafa Haroon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528473964 PECOS PAC ID: 2062631609 Enrollment ID: I20200805002093 |
Provider Name | Diane Patricia Pearce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720480643 PECOS PAC ID: 2961727862 Enrollment ID: I20230126000063 |
Provider Name | Richard William Mclean |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316398472 PECOS PAC ID: 4789940388 Enrollment ID: I20230925002700 |
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