| Ahf | |
|
735 Piedmont Ave Ne Atlanta GA 30308-1416 | |
| (404) 588-4680 | |
| (404) 588-4692 |
| Full Name | Ahf |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Piedmont Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
| Authorized Official Contact | 3238605305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahf 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: () - | Ahf 735 Piedmont Ave Ne Atlanta GA 30308-1416 Ph: (404) 588-4680 |
| NPI Number | 1730705047 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2668369109 |
|---|---|
| Medicare Enrollment ID | O20210219000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730705047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Myrtle M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083786289 PECOS PAC ID: 3870554835 Enrollment ID: I20041022000503 |
| Provider Name | Karla S Dunbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780695809 PECOS PAC ID: 2567424856 Enrollment ID: I20041118000508 |
| Provider Name | John Phillip Ouderkirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548260508 PECOS PAC ID: 1759567407 Enrollment ID: I20110516000236 |
| Provider Name | Sreedevi Vayalapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720133325 PECOS PAC ID: 4587818497 Enrollment ID: I20130131000074 |
| Provider Name | Ahmed M Moussa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194989285 PECOS PAC ID: 3072796960 Enrollment ID: I20130918000234 |
| Provider Name | Delma D Gomez-adisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861753816 PECOS PAC ID: 4880989219 Enrollment ID: I20160824002954 |
| Provider Name | Nicole Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790273290 PECOS PAC ID: 0042575052 Enrollment ID: I20180522002354 |
| Provider Name | Notoya Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654363 PECOS PAC ID: 2961744818 Enrollment ID: I20190425001510 |
| Provider Name | Alexandra Arzenshek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952927477 PECOS PAC ID: 2466865597 Enrollment ID: I20210111002318 |
| Provider Name | Alexis Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851406 PECOS PAC ID: 3072873512 Enrollment ID: I20210222002312 |
| Provider Name | Nicholas Chamberlain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902260045 PECOS PAC ID: 4587959879 Enrollment ID: I20210811003041 |
| Provider Name | James Dylan Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205403151 PECOS PAC ID: 9032515473 Enrollment ID: I20210909002101 |
| Provider Name | Vindya Naomi Reedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093212268 PECOS PAC ID: 7618369125 Enrollment ID: I20220113000291 |
| Provider Name | Santevia Lawanda Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205544376 PECOS PAC ID: 6608247606 Enrollment ID: I20230131001334 |
| Provider Name | Suzanne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447904073 PECOS PAC ID: 2769842988 Enrollment ID: I20230720000471 |
| Provider Name | Myriam Denose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396109690 PECOS PAC ID: 3072806850 Enrollment ID: I20231129001336 |
| Provider Name | Tamika Jo Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386791879 PECOS PAC ID: 3678633591 Enrollment ID: I20240117000175 |
| Provider Name | Shatoyia Jereka-inez Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346012135 PECOS PAC ID: 2567814031 Enrollment ID: I20240119002857 |
| Provider Name | Stacy A Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003820721 PECOS PAC ID: 3971689928 Enrollment ID: I20240130001263 |
| Provider Name | Brittany Jessica Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679170492 PECOS PAC ID: 5395287908 Enrollment ID: I20240611003055 |
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