Aga Professional Services, Llc | |
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 | |
(855) 709-4535 | |
Not Available |
Full Name | Aga Professional Services, Llc |
---|---|
Speciality | Internal Medicine |
Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
Authorized Official Name and Position | Jorge Hernandez (VP OF ADMIN SERVICES AND 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 Professional Services, Llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (404) 851-8000 | Aga Professional Services, Llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (855) 709-4535 |
NPI Number | 1063799120 |
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Provider Enumeration Date | 11/03/2011 |
Last Update Date | 01/11/2023 |
Medicare PECOS PAC ID | 3870768997 |
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Medicare Enrollment ID | O20111219000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063799120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Georgia) | Primary |
Provider Name | Nicole M Gordon |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982686523 PECOS PAC ID: 5597658690 Enrollment ID: I20040203000959 |
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 | Lori J Lucas |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1922069129 PECOS PAC ID: 6901882729 Enrollment ID: I20040624000672 |
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 | Mary E Buck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871665208 PECOS PAC ID: 0143209833 Enrollment ID: I20040716000086 |
Provider Name | Jon V Trankina |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447206164 PECOS PAC ID: 1658342985 Enrollment ID: I20040809000267 |
Provider Name | Mahmoud B Barrie |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144250770 PECOS PAC ID: 6507834785 Enrollment ID: I20040924000484 |
Provider Name | Ranvir Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639289465 PECOS PAC ID: 4486623311 Enrollment ID: I20040928000798 |
Provider Name | Judy H Sequeira |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1487604849 PECOS PAC ID: 4183693013 Enrollment ID: I20040928000827 |
Provider Name | Rose L Cesar |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952395766 PECOS PAC ID: 1153381512 Enrollment ID: I20041013000332 |
Provider Name | Michael S Levine |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1154305191 PECOS PAC ID: 4486616000 Enrollment ID: I20041027000311 |
Provider Name | Zoya K Arbiser |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1396776084 PECOS PAC ID: 1153379250 Enrollment ID: I20050105000710 |
Provider Name | Christine Bruno |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20050425000489 |
Provider Name | Hetal A Karsan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063402881 PECOS PAC ID: 0749221661 Enrollment ID: I20050520000083 |
Provider Name | Srinivasa R Ayinala |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1285624148 PECOS PAC ID: 5193766012 Enrollment ID: I20050520000085 |
Provider Name | Muhamad K Obideen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326081647 PECOS PAC ID: 7810931771 Enrollment ID: I20050613000695 |
Provider Name | Jay H Garten |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831189950 PECOS PAC ID: 3971533340 Enrollment ID: I20050816000263 |
Provider Name | Bruce T Kalmin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093805509 PECOS PAC ID: 1355372426 Enrollment ID: I20050829000422 |
Provider Name | Enrique J Martinez |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245292218 PECOS PAC ID: 7618960832 Enrollment ID: I20051024000427 |
Provider Name | Tommie Haywood |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811979339 PECOS PAC ID: 8729097324 Enrollment ID: I20060410000443 |
Provider Name | Ryan C Wanamaker |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326090358 PECOS PAC ID: 4688686116 Enrollment ID: I20060626000197 |
Provider Name | Mark R Nyce |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447205695 PECOS PAC ID: 6709898075 Enrollment ID: I20060705000164 |
Provider Name | Kelly C Grow |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588690382 PECOS PAC ID: 4284647637 Enrollment ID: I20060801000254 |
Provider Name | Anna V Longacre |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831118405 PECOS PAC ID: 0042213480 Enrollment ID: I20060824000381 |
Provider Name | Emilia Espenship |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1912914565 PECOS PAC ID: 5799789814 Enrollment ID: I20060905000018 |
Provider Name | David Neil Quinn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538187240 PECOS PAC ID: 6507853090 Enrollment ID: I20060914000306 |
Provider Name | Girish G Pore |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881627800 PECOS PAC ID: 9032116645 Enrollment ID: I20061024000458 |
Provider Name | Jyotsna Talapaneni |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720116494 PECOS PAC ID: 2860584851 Enrollment ID: I20070822000918 |
Provider Name | Barry J Levitt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528169596 PECOS PAC ID: 7214029214 Enrollment ID: I20070822000943 |
Provider Name | David Finkelman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063485332 PECOS PAC ID: 0143113639 Enrollment ID: I20071012000150 |
Provider Name | Neal K Osborn |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124005442 PECOS PAC ID: 6305865569 Enrollment ID: I20080123000553 |
Provider Name | Mark E Murphy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1396725628 PECOS PAC ID: 9436102506 Enrollment ID: I20080507000309 |
Provider Name | Edward Rydzak |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639157266 PECOS PAC ID: 6709839871 Enrollment ID: I20080513000506 |
Provider Name | Steven L Carpenter |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952386898 PECOS PAC ID: 1254384324 Enrollment ID: I20080514000064 |
Provider Name | Charles G Nesmith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720263809 PECOS PAC ID: 8729157185 Enrollment ID: I20080527000554 |
Provider Name | Jung W Suh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952512105 PECOS PAC ID: 1355429150 Enrollment ID: I20080805000423 |
Provider Name | Joyce Choi Peji |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538152160 PECOS PAC ID: 3870578313 Enrollment ID: I20081208000133 |
Provider Name | Nadia S Sanford |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336330414 PECOS PAC ID: 6507910015 Enrollment ID: I20090818000762 |
Provider Name | Dimple Raina |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891918108 PECOS PAC ID: 9830237692 Enrollment ID: I20091116000292 |
Provider Name | Diane Wisebram |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518927110 PECOS PAC ID: 7315953262 Enrollment ID: I20100506000899 |
Provider Name | Long B Nguyen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740480565 PECOS PAC ID: 6002988284 Enrollment ID: I20100709000027 |
Provider Name | Kavita R Kongara |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952370959 PECOS PAC ID: 4981675956 Enrollment ID: I20100712000601 |
Provider Name | Rachel C Toney |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225189780 PECOS PAC ID: 5597897405 Enrollment ID: I20100713000044 |
Provider Name | Anupama Ravi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659557668 PECOS PAC ID: 4385776202 Enrollment ID: I20100713000090 |
Provider Name | Charles W Duckworth |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033199989 PECOS PAC ID: 2163475237 Enrollment ID: I20101018001097 |
Provider Name | Robert Davis |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679564793 PECOS PAC ID: 4284828567 Enrollment ID: I20101101000154 |
Provider Name | Sanjay R Parikh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679558241 PECOS PAC ID: 5193860443 Enrollment ID: I20101101000943 |
Provider Name | Olaitan Adeniji |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1255321089 PECOS PAC ID: 8729123070 Enrollment ID: I20101102000723 |
Provider Name | James C Barlow |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568465276 PECOS PAC ID: 2668667189 Enrollment ID: I20101110000662 |
Provider Name | George C Aragon |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528229267 PECOS PAC ID: 7911193404 Enrollment ID: I20101123000548 |
Provider Name | Aja Mccutchen |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578609780 PECOS PAC ID: 5991991150 Enrollment ID: I20101130000653 |
Provider Name | Marc D Rosenberg |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427033083 PECOS PAC ID: 4183769433 Enrollment ID: I20101204000036 |
Provider Name | Sumalatha V Satoor |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457336679 PECOS PAC ID: 6901941251 Enrollment ID: I20101204000080 |
Provider Name | Russell H Kramer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861476830 PECOS PAC ID: 7113062464 Enrollment ID: I20101206000782 |
Provider Name | Robert Eisenband |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053301390 PECOS PAC ID: 2769527019 Enrollment ID: I20101213000203 |
Provider Name | Douglas Wolf |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588649693 PECOS PAC ID: 3577608827 Enrollment ID: I20101221000005 |
Provider Name | Luis M Galvez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326039231 PECOS PAC ID: 8921143272 Enrollment ID: I20110221000051 |
Provider Name | Kenya M Ragland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598066011 PECOS PAC ID: 7618158924 Enrollment ID: I20110221000058 |
Provider Name | Mubashar Munir |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518971944 PECOS PAC ID: 0749243905 Enrollment ID: I20110325000552 |
Provider Name | Neil H Edgerton |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1063695773 PECOS PAC ID: 7810174141 Enrollment ID: I20110614000020 |
Provider Name | William Bradley Creel |
---|---|
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 | Lori L Woodward |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1326336330 PECOS PAC ID: 4082884440 Enrollment ID: I20110823000692 |
Provider Name | Halim O Muslu |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639177710 PECOS PAC ID: 1355333683 Enrollment ID: I20110824000641 |
Provider Name | Girish Anand |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1962616946 PECOS PAC ID: 5890860258 Enrollment ID: I20110824000811 |
Provider Name | Gihun Lim |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1326224791 PECOS PAC ID: 5395915292 Enrollment ID: I20110901000519 |
Provider Name | Yasmin Khadija Karim |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609000793 PECOS PAC ID: 0244400042 Enrollment ID: I20110906000339 |
Provider Name | Kerry H King |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407839533 PECOS PAC ID: 4880693035 Enrollment ID: I20111104000551 |
Provider Name | Angela Marie Holsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750665667 PECOS PAC ID: 0345413209 Enrollment ID: I20111109000682 |
Provider Name | James D Barnett |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1467437194 PECOS PAC ID: 8527234913 Enrollment ID: I20120106000308 |
Provider Name | Mirza A Kajani |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306975651 PECOS PAC ID: 7315107679 Enrollment ID: I20120326000098 |
Provider Name | Michelle Zebrowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679847651 PECOS PAC ID: 0941462279 Enrollment ID: I20120503000353 |
Provider Name | Marc B Sonenshine |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376681411 PECOS PAC ID: 6305009275 Enrollment ID: I20120514000370 |
Provider Name | Ruth D Montalvo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447346721 PECOS PAC ID: 6608976329 Enrollment ID: I20120516000600 |
Provider Name | Ashley Cornelison Burris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033476114 PECOS PAC ID: 3274797014 Enrollment ID: I20120607000445 |
Provider Name | Michael Harry Frist |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811164361 PECOS PAC ID: 3274798244 Enrollment ID: I20120626000580 |
Provider Name | Nina Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881850261 PECOS PAC ID: 1456517283 Enrollment ID: I20120724000366 |
Provider Name | Basil Salem Al-awabdy |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134336332 PECOS PAC ID: 1951557552 Enrollment ID: I20120815000156 |
Provider Name | Susan Coe |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609033315 PECOS PAC ID: 0244377828 Enrollment ID: I20120830000520 |
Provider Name | Nandhakumar Kanagarajan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1902819667 PECOS PAC ID: 1153327036 Enrollment ID: I20121025000051 |
Provider Name | Kimberly A Savage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336482918 PECOS PAC ID: 3870733009 Enrollment ID: I20130710000860 |
Provider Name | Huiming Hon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780854109 PECOS PAC ID: 5496996969 Enrollment ID: I20130725000427 |
Provider Name | Vickie H Browne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982940797 PECOS PAC ID: 9931341872 Enrollment ID: I20130806000512 |
Provider Name | Sagar S Garud |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912174095 PECOS PAC ID: 6406098540 Enrollment ID: I20130820000382 |
Provider Name | Paresh P Kamat |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740518612 PECOS PAC ID: 3779726799 Enrollment ID: I20130823000474 |
Provider Name | Tara Phelps Gulsby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568897767 PECOS PAC ID: 9234369885 Enrollment ID: I20140227002188 |
Provider Name | Neal C Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689838575 PECOS PAC ID: 4688852486 Enrollment ID: I20140610002099 |
Provider Name | Donald M Pham |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437319993 PECOS PAC ID: 3476777079 Enrollment ID: I20140623001807 |
Provider Name | David S Rabin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861654840 PECOS PAC ID: 5991937799 Enrollment ID: I20140821002077 |
Provider Name | Naomi Barfield Orsenigo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821404146 PECOS PAC ID: 5193945707 Enrollment ID: I20141002001694 |
Provider Name | Melissa B Baughcum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013276518 PECOS PAC ID: 3375860893 Enrollment ID: I20150323000388 |
Provider Name | Jawad A Ilyas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629276159 PECOS PAC ID: 6406922251 Enrollment ID: I20150331002110 |
Provider Name | Carly W Sayers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336556653 PECOS PAC ID: 2668790528 Enrollment ID: I20150406001735 |
Provider Name | Joel Camilo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144234733 PECOS PAC ID: 1456458462 Enrollment ID: I20150508001336 |
Provider Name | Patricia A Sanchez Fermin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225068208 PECOS PAC ID: 9931254414 Enrollment ID: I20150615001716 |
Provider Name | Neal Ramesh Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174767032 PECOS PAC ID: 0345489787 Enrollment ID: I20150923002120 |
Provider Name | Renee B Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912371782 PECOS PAC ID: 8426351750 Enrollment ID: I20160120002886 |
Provider Name | Rachael Bierschenk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972903169 PECOS PAC ID: 1759502040 Enrollment ID: I20160309002107 |
Provider Name | Nitin Jayantilal Parikh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1629070289 PECOS PAC ID: 1557434164 Enrollment ID: I20160712002365 |
Provider Name | Keval Anil Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336469485 PECOS PAC ID: 3870732555 Enrollment ID: I20160812001293 |
Provider Name | Adam J Weinberg |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1629398979 PECOS PAC ID: 9133357262 Enrollment ID: I20160822000022 |
Provider Name | Erik Person |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609003912 PECOS PAC ID: 0749437440 Enrollment ID: I20160929000980 |
Provider Name | Vanessa Dang Bridgeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063962892 PECOS PAC ID: 5294016010 Enrollment ID: I20170110000240 |
Provider Name | Amanda Rae Hinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730628553 PECOS PAC ID: 8527344662 Enrollment ID: I20170404001626 |
Provider Name | Justin Brett Mendel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669791836 PECOS PAC ID: 9335441187 Enrollment ID: I20170511002917 |
Provider Name | Brent William Acker |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407147028 PECOS PAC ID: 8628290806 Enrollment ID: I20170721000235 |
Provider Name | Chelsea Hendrix |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104341247 PECOS PAC ID: 7315213725 Enrollment ID: I20171030000758 |
Provider Name | Susan Danielle Beitzell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134639347 PECOS PAC ID: 0446516181 Enrollment ID: I20171113001214 |
Provider Name | Valencia Burleson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
Provider Name | Jae Wook Dong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689803652 PECOS PAC ID: 1658537162 Enrollment ID: I20180619002130 |
Provider Name | Nitin K Gupta |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1013113364 PECOS PAC ID: 6608043674 Enrollment ID: I20180901000080 |
Provider Name | Jennifer Ann Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679982805 PECOS PAC ID: 3375895857 Enrollment ID: I20181010003651 |
Provider Name | Allison Crawford Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578048872 PECOS PAC ID: 9739420613 Enrollment ID: I20190402001132 |
Provider Name | Michael F Fry |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407943194 PECOS PAC ID: 2163484775 Enrollment ID: I20190528001408 |
Provider Name | Madeline Rhea Russell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326304478 PECOS PAC ID: 3779850250 Enrollment ID: I20190729003694 |
Provider Name | Kristen R Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013104652 PECOS PAC ID: 4486714680 Enrollment ID: I20200515001636 |
Provider Name | Deepanshu Jain |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215377247 PECOS PAC ID: 1951643782 Enrollment ID: I20200701001050 |
Provider Name | Mustafa Haroon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528473964 PECOS PAC ID: 2062631609 Enrollment ID: I20200805002093 |
Provider Name | Michelle Patrice Clermont |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174966204 PECOS PAC ID: 3870896186 Enrollment ID: I20200813000602 |
Provider Name | Angel B Morales-santiago |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1285079723 PECOS PAC ID: 7517200058 Enrollment ID: I20200819004300 |
Provider Name | Leah G Katta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841618881 PECOS PAC ID: 2567880685 Enrollment ID: I20200922000573 |
Provider Name | Mihajlo Gjeorgjievski |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770998577 PECOS PAC ID: 3870719388 Enrollment ID: I20210818000337 |
Provider Name | Aparna Prasad Shreenath |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1184972747 PECOS PAC ID: 6709169071 Enrollment ID: I20210907000832 |
Provider Name | Amanda Guentner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346533213 PECOS PAC ID: 0345554028 Enrollment ID: I20210916000877 |
Provider Name | Daniel K Mullady |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447371034 PECOS PAC ID: 6305914573 Enrollment ID: I20220422001088 |
Provider Name | Elishia Crumwell-mack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144863051 PECOS PAC ID: 7012328321 Enrollment ID: I20220711001294 |
Provider Name | Ammara Khalid |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1629428537 PECOS PAC ID: 2567759509 Enrollment ID: I20220714003950 |
Provider Name | Jonathan Kandiah |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043662463 PECOS PAC ID: 3870879133 Enrollment ID: I20220916001181 |
Provider Name | Sue Macleod Phelps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558093484 PECOS PAC ID: 9335515352 Enrollment ID: I20221017001937 |
Provider Name | Jessica Roxanne Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710521778 PECOS PAC ID: 3375919160 Enrollment ID: I20221019001879 |
Provider Name | Lindsey Elizabeth Grieser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649827965 PECOS PAC ID: 7517296254 Enrollment ID: I20230222000928 |
Provider Name | Bharat Rao |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982040358 PECOS PAC ID: 6103059183 Enrollment ID: I20230322001478 |
Provider Name | Jung Min Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366193500 PECOS PAC ID: 5193199503 Enrollment ID: I20230327002540 |
Provider Name | Gordon Todd Robbins |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639523608 PECOS PAC ID: 3375975907 Enrollment ID: I20230703001806 |
Provider Name | Lucille Syracuse Von Roemer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700573128 PECOS PAC ID: 8426412719 Enrollment ID: I20230920000711 |
Provider Name | Justin Joell Forde |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437512183 PECOS PAC ID: 4082902150 Enrollment ID: I20231010000682 |
Provider Name | Diana Carolina Cupit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841961950 PECOS PAC ID: 7416307558 Enrollment ID: I20240102001555 |
Provider Name | Mandy De Bruin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033789672 PECOS PAC ID: 5193121309 Enrollment ID: I20240301000314 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |