| Alegis Care Services Llc | |
|
190 Technology Pkwy Ste 120 Norcross GA 30092-2914 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Alegis Care Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 190 Technology Pkwy Ste 120, Norcross, Georgia |
| Authorized Official Name and Position | Robyn C Collins (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3122622739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegis Care Services Llc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Alegis Care Services Llc 190 Technology Pkwy Ste 120 Norcross GA 30092-2914 Ph: (773) 292-4800 |
| NPI Number | 1346778404 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 3678840519 |
|---|---|
| Medicare Enrollment ID | O20181213002692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346778404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ina Vate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20180618002447 |
| Provider Name | Tarsha Chamaine Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497244875 PECOS PAC ID: 3476800301 Enrollment ID: I20180723003146 |
| Provider Name | Elisabeth Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356618748 PECOS PAC ID: 4789828526 Enrollment ID: I20191011002687 |
| Provider Name | Adeola Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790062420 PECOS PAC ID: 6709052889 Enrollment ID: I20200922000982 |
| Provider Name | Alisha D Kimber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417714 PECOS PAC ID: 1850664186 Enrollment ID: I20201204000214 |
| Provider Name | Elysia Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891188223 PECOS PAC ID: 4880027622 Enrollment ID: I20211026001394 |
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