| Anemonefish Inpatient Services Llc | |
|
5126 Hospital Dr Ne Covington GA 30014-2566 | |
| (770) 786-7053 | |
| Not Available |
| Full Name | Anemonefish Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5126 Hospital Dr Ne, Covington, Georgia |
| Authorized Official Name and Position | Karen Vaughn (OFFICER) |
| Authorized Official Contact | 4044504684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anemonefish Inpatient Services Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (973) 251-1132 | Anemonefish Inpatient Services Llc 5126 Hospital Dr Ne Covington GA 30014-2566 Ph: (770) 786-7053 |
| NPI Number | 1033514716 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7012236664 |
|---|---|
| Medicare Enrollment ID | O20150501001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033514716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Okey C Nwozo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720043276 PECOS PAC ID: 8820989759 Enrollment ID: I20040322000911 |
| Provider Name | Charles V Clopton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770514440 PECOS PAC ID: 7911989231 Enrollment ID: I20040602000165 |
| Provider Name | Syed Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262429 PECOS PAC ID: 7618950890 Enrollment ID: I20040609000734 |
| Provider Name | Daniel T Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831196682 PECOS PAC ID: 4688650682 Enrollment ID: I20040629001081 |
| Provider Name | Robert J Holloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376630293 PECOS PAC ID: 1658284104 Enrollment ID: I20040701000395 |
| Provider Name | Oladayo A Osinuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396716312 PECOS PAC ID: 5193795821 Enrollment ID: I20040729000394 |
| Provider Name | Carrie W Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420307 PECOS PAC ID: 8729052931 Enrollment ID: I20040824000308 |
| Provider Name | Amy M Sprague |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20050418001040 |
| Provider Name | Isaac C Adiele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790728863 PECOS PAC ID: 8325088271 Enrollment ID: I20050510000619 |
| Provider Name | Babajide Falana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003867334 PECOS PAC ID: 1456379775 Enrollment ID: I20051104000691 |
| Provider Name | Benjamin L Glover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932158201 PECOS PAC ID: 8224075833 Enrollment ID: I20060420000157 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20061018000043 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20061212000551 |
| Provider Name | Irvine Duplan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609965904 PECOS PAC ID: 8628966371 Enrollment ID: I20061227000029 |
| Provider Name | Silas O Gbenle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932218872 PECOS PAC ID: 9133206592 Enrollment ID: I20080409000396 |
| Provider Name | Ronald S Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881717775 PECOS PAC ID: 8325126998 Enrollment ID: I20080422000848 |
| Provider Name | Casmir Uzoma Nwigwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306029293 PECOS PAC ID: 5597835934 Enrollment ID: I20080528000501 |
| Provider Name | Mitchell J Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740220920 PECOS PAC ID: 5698713410 Enrollment ID: I20080908000280 |
| Provider Name | Isiaka Olawale Sholabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003854449 PECOS PAC ID: 9133128614 Enrollment ID: I20090414000002 |
| Provider Name | Joshua A King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814591 PECOS PAC ID: 3779633508 Enrollment ID: I20090617000044 |
| Provider Name | Ayodeji George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255521126 PECOS PAC ID: 1052405511 Enrollment ID: I20100614000270 |
| Provider Name | Philippa N Amene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437322989 PECOS PAC ID: 9537292867 Enrollment ID: I20100806000061 |
| Provider Name | Neetu Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225236292 PECOS PAC ID: 3173712411 Enrollment ID: I20110118000823 |
| Provider Name | Kavita Kotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033370655 PECOS PAC ID: 5395919575 Enrollment ID: I20111128000557 |
| Provider Name | Serge Geffrard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838273 PECOS PAC ID: 9032132253 Enrollment ID: I20121226000386 |
| Provider Name | Clement O Ayanbadejo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154552990 PECOS PAC ID: 9931341070 Enrollment ID: I20130820000273 |
| Provider Name | Lakshman K Dinavahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528233723 PECOS PAC ID: 5799836243 Enrollment ID: I20130820000875 |
| Provider Name | Tekesa Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386085090 PECOS PAC ID: 4981708724 Enrollment ID: I20130828000571 |
| Provider Name | Glenn Banegura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770744989 PECOS PAC ID: 7315111010 Enrollment ID: I20140808002122 |
| Provider Name | Fisseha Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235417825 PECOS PAC ID: 5799914065 Enrollment ID: I20140811001537 |
| Provider Name | Sharmin Banu Anam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922307610 PECOS PAC ID: 9931328036 Enrollment ID: I20140923001564 |
| Provider Name | Blessing N Aneke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326332198 PECOS PAC ID: 7911127790 Enrollment ID: I20140929002124 |
| Provider Name | Luis F Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376771865 PECOS PAC ID: 3870740897 Enrollment ID: I20151113002313 |
| Provider Name | Dokun Tobi Dairo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508017906 PECOS PAC ID: 1850556309 Enrollment ID: I20151222001360 |
| Provider Name | Binh V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629417597 PECOS PAC ID: 8426350497 Enrollment ID: I20160830001688 |
| Provider Name | Sonji Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856351 PECOS PAC ID: 9638465487 Enrollment ID: I20160906000747 |
| Provider Name | Izuchukwu Iwueke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568717734 PECOS PAC ID: 2567779614 Enrollment ID: I20161102001181 |
| Provider Name | Kristopher K Mcjenkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255779351 PECOS PAC ID: 7810299906 Enrollment ID: I20161108002237 |
| Provider Name | Ablavi A Agomessou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164885778 PECOS PAC ID: 4385926112 Enrollment ID: I20170131000635 |
| Provider Name | Rama L Theegala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780973453 PECOS PAC ID: 3274780762 Enrollment ID: I20170613001918 |
| Provider Name | Bindu M Repala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992135073 PECOS PAC ID: 8022232917 Enrollment ID: I20170712003444 |
| Provider Name | Olaolu O Soleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548674815 PECOS PAC ID: 9638441124 Enrollment ID: I20170817002961 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20170919004328 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20180416002515 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20180712002713 |
| Provider Name | Tanisha A O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982913224 PECOS PAC ID: 4688868060 Enrollment ID: I20180918004390 |
| Provider Name | Kristina Mccaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477931236 PECOS PAC ID: 0648572990 Enrollment ID: I20181114003437 |
| Provider Name | Kehinde Idowu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063806982 PECOS PAC ID: 1153695887 Enrollment ID: I20181115001310 |
| Provider Name | Onyinyechi Uloma Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937084 PECOS PAC ID: 0749525798 Enrollment ID: I20181219000631 |
| Provider Name | Hedayah Scoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962866392 PECOS PAC ID: 2062706286 Enrollment ID: I20190529002534 |
| Provider Name | Kamla Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417445206 PECOS PAC ID: 6204169139 Enrollment ID: I20190618000707 |
| Provider Name | Sheena N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447743786 PECOS PAC ID: 5597092874 Enrollment ID: I20190808003183 |
| Provider Name | Liibabah Kobaisy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073840773 PECOS PAC ID: 7719133230 Enrollment ID: I20190823002229 |
| Provider Name | Hoda S Daher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013360932 PECOS PAC ID: 3971899089 Enrollment ID: I20190831000077 |
| Provider Name | Sakina Peregrino-brimah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063864445 PECOS PAC ID: 2365771813 Enrollment ID: I20190909001164 |
| Provider Name | Modupe F Agbeyomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245715903 PECOS PAC ID: 0143559294 Enrollment ID: I20190916000549 |
| Provider Name | Richard Self |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649724832 PECOS PAC ID: 2163719121 Enrollment ID: I20190925002707 |
| Provider Name | Praveen K Vemula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891958922 PECOS PAC ID: 5395923759 Enrollment ID: I20191018001561 |
| Provider Name | Dana M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248260 PECOS PAC ID: 3971836529 Enrollment ID: I20191202002607 |
| Provider Name | Jeffrey Michael Atherton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699138719 PECOS PAC ID: 0345549929 Enrollment ID: I20200108000068 |
| Provider Name | Laqueta C Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247433 PECOS PAC ID: 2961837000 Enrollment ID: I20200116003023 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20200123003171 |
| Provider Name | Thomas Stephen Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487036224 PECOS PAC ID: 4688968563 Enrollment ID: I20200313002063 |
| Provider Name | Nicole Francis- Freckleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143533 PECOS PAC ID: 7012346612 Enrollment ID: I20200402001542 |
| Provider Name | Eberechukwu Mosieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851775605 PECOS PAC ID: 8123457272 Enrollment ID: I20200410001914 |
| Provider Name | Frances A Tangban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558790873 PECOS PAC ID: 5395176382 Enrollment ID: I20200506003079 |
| Provider Name | Mohammad Al-mulki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659330587 PECOS PAC ID: 5597893685 Enrollment ID: I20210301001977 |
| Provider Name | Junienne Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740839513 PECOS PAC ID: 0345657441 Enrollment ID: I20210407000327 |
| Provider Name | Mary E Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598931495 PECOS PAC ID: 5496887812 Enrollment ID: I20210804003142 |
| Provider Name | Salome E Defore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245736172 PECOS PAC ID: 0840541561 Enrollment ID: I20210913003031 |
| Provider Name | Isi Obadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598992208 PECOS PAC ID: 7416174248 Enrollment ID: I20220204000208 |
| Provider Name | Sheila Omakpokpose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790179711 PECOS PAC ID: 2769790146 Enrollment ID: I20220214001405 |
| Provider Name | Jonathon Seawright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659876472 PECOS PAC ID: 1951795798 Enrollment ID: I20220222000410 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20220413001801 |
| Provider Name | Fawad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659827921 PECOS PAC ID: 6103112354 Enrollment ID: I20220817000592 |
| Provider Name | Sumeer Tah |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114421682 PECOS PAC ID: 3971855792 Enrollment ID: I20220829001686 |
| Provider Name | Jigar Chauhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356801351 PECOS PAC ID: 2961878178 Enrollment ID: I20221012004184 |
| Provider Name | Renee Frederick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497381503 PECOS PAC ID: 4688045636 Enrollment ID: I20231120001358 |
| Provider Name | Bilal Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871040915 PECOS PAC ID: 5698063097 Enrollment ID: I20240118001564 |
| Provider Name | Chidi Ikenna Amah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720617459 PECOS PAC ID: 0941645055 Enrollment ID: I20240228003616 |
Eastview Internal Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3285 Salem Rd, Covington, GA 30016 Phone: 770-602-4321 Fax: 770-602-4225 | |
Concierge Lifestyle Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4548 Salem Rd, Covington, GA 30016 Phone: 470-486-8010 | |
Eastside Medspa And Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7138 Highway 212, Suite D, Covington, GA 30016 Phone: 770-679-5238 | |
Covington One Medical,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1065 Access Rd Ste B, Covington, GA 30014 Phone: 707-385-0045 | |
Newton Health System Inc Sole Mbr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7143 Turner Lake Rd Nw, Covington, GA 30014 Phone: 770-787-4504 Fax: 770-788-9875 | |
Premium Care Med Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3828 Salem Rd, Suite 200, Covington, GA 30016 Phone: 404-422-8719 |