Apogee Medical Group Georgia | |
705 Dixie St Carrollton GA 30117-3818 | |
(770) 836-9667 | |
(770) 838-8931 |
Full Name | Apogee Medical Group Georgia |
---|---|
Speciality | Internal Medicine |
Location | 705 Dixie St, Carrollton, Georgia |
Authorized Official Name and Position | Karen J Harwell (CFO) |
Authorized Official Contact | 6027783600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Apogee Medical Group Georgia Po Box 25016 Dallas TX 75225-1016 Ph: (972) 269-1897 | Apogee Medical Group Georgia 705 Dixie St Carrollton GA 30117-3818 Ph: (770) 836-9667 |
NPI Number | 1629025143 |
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Provider Enumeration Date | 05/29/2006 |
Last Update Date | 01/16/2024 |
Medicare PECOS PAC ID | 4587676945 |
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Medicare Enrollment ID | O20060629000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629025143 | NPI | - | NPPES |
DF4338 | Other | GA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Felix G Valdez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023005121 PECOS PAC ID: 2860386562 Enrollment ID: I20040212000469 |
Provider Name | Marvin W Reid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295758795 PECOS PAC ID: 2163312638 Enrollment ID: I20040318000157 |
Provider Name | Nalini L Narayan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1164442935 PECOS PAC ID: 0941190425 Enrollment ID: I20040318000252 |
Provider Name | James B White |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457374951 PECOS PAC ID: 2668363540 Enrollment ID: I20040322000612 |
Provider Name | Okey C Nwozo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720043276 PECOS PAC ID: 8820989759 Enrollment ID: I20040322000911 |
Provider Name | Syed Nabi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730262429 PECOS PAC ID: 7618950890 Enrollment ID: I20040609000734 |
Provider Name | Ida M Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811947112 PECOS PAC ID: 4385605641 Enrollment ID: I20041020001276 |
Provider Name | Stephen H Broomes |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1295753481 PECOS PAC ID: 9436114147 Enrollment ID: I20041122001040 |
Provider Name | Pavani K Pandiri |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1689685679 PECOS PAC ID: 4880670256 Enrollment ID: I20050224000540 |
Provider Name | Bonnie K Boles |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1538161492 PECOS PAC ID: 9234184300 Enrollment ID: I20050322000476 |
Provider Name | Jacqueline A Owusu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023182748 PECOS PAC ID: 1951356047 Enrollment ID: I20050322000649 |
Provider Name | Adedapo Odetoyinbo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598784613 PECOS PAC ID: 2567491210 Enrollment ID: I20050811001099 |
Provider Name | Kalai C Parthiban |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1215043278 PECOS PAC ID: 8527090828 Enrollment ID: I20050908000005 |
Provider Name | Peter S Richards |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366432544 PECOS PAC ID: 0244265734 Enrollment ID: I20051004000436 |
Provider Name | Jeffrey Allen Lamp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134102650 PECOS PAC ID: 5294755815 Enrollment ID: I20051129000024 |
Provider Name | Bridget A Thomas |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1942249487 PECOS PAC ID: 3779596853 Enrollment ID: I20060712000114 |
Provider Name | Omar Mushfiq |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1225068034 PECOS PAC ID: 0244291482 Enrollment ID: I20060905000440 |
Provider Name | Jonathan A Hefner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821037110 PECOS PAC ID: 7719946664 Enrollment ID: I20070206000410 |
Provider Name | Gedion A Getachew |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871633701 PECOS PAC ID: 1052416930 Enrollment ID: I20070423000045 |
Provider Name | Thomas E Craig |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720163066 PECOS PAC ID: 9537265038 Enrollment ID: I20070430000348 |
Provider Name | Hernando Moreno |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396950994 PECOS PAC ID: 0840390944 Enrollment ID: I20070702000498 |
Provider Name | John D Anderson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316947484 PECOS PAC ID: 0345341921 Enrollment ID: I20070726000417 |
Provider Name | Priscilla E Igho-pemu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295735165 PECOS PAC ID: 9931296696 Enrollment ID: I20071029000350 |
Provider Name | Silas O Gbenle |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932218872 PECOS PAC ID: 9133206592 Enrollment ID: I20080409000396 |
Provider Name | Roberto A Garcia |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1538170543 PECOS PAC ID: 0446329270 Enrollment ID: I20080520000752 |
Provider Name | Muhammad Ali Pervaiz |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1417174186 PECOS PAC ID: 9830290519 Enrollment ID: I20080527000417 |
Provider Name | Nadene Fair |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1043482151 PECOS PAC ID: 3678643418 Enrollment ID: I20080605000008 |
Provider Name | Irfan Syed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184682700 PECOS PAC ID: 6507861135 Enrollment ID: I20080826000577 |
Provider Name | Ahmed L Abdussalam |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1134317316 PECOS PAC ID: 7214954833 Enrollment ID: I20081003000184 |
Provider Name | Khudr Burjak |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154321248 PECOS PAC ID: 8921079963 Enrollment ID: I20081216000703 |
Provider Name | Carmen A Coiscou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790781532 PECOS PAC ID: 8820004534 Enrollment ID: I20090218000374 |
Provider Name | Robert Sakulanda |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558526566 PECOS PAC ID: 1557421872 Enrollment ID: I20090306000394 |
Provider Name | Leon Sykes |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245346709 PECOS PAC ID: 9537111935 Enrollment ID: I20090401000085 |
Provider Name | Venkata C Mallu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598949547 PECOS PAC ID: 9931251725 Enrollment ID: I20090708000482 |
Provider Name | Natasha A Stinson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841438520 PECOS PAC ID: 4082750419 Enrollment ID: I20091015000056 |
Provider Name | Masood H Siddiquee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871551788 PECOS PAC ID: 1153375308 Enrollment ID: I20091203000457 |
Provider Name | Melanie W. Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093956351 PECOS PAC ID: 9335288133 Enrollment ID: I20091208000683 |
Provider Name | Sheryl A Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528297736 PECOS PAC ID: 0446390215 Enrollment ID: I20091230000043 |
Provider Name | Dorothy P Owusu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1780830836 PECOS PAC ID: 9931242831 Enrollment ID: I20100201000296 |
Provider Name | Lenus S Louis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811946593 PECOS PAC ID: 4688701717 Enrollment ID: I20100422000137 |
Provider Name | Cyriacus Anaele |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942456256 PECOS PAC ID: 2769541366 Enrollment ID: I20101015000725 |
Provider Name | Lynn S Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548298839 PECOS PAC ID: 7315028974 Enrollment ID: I20101103000995 |
Provider Name | Adeniyi Monzoor Obalanlege |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1780601609 PECOS PAC ID: 1456312867 Enrollment ID: I20101111001052 |
Provider Name | Dennis A Fields |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356506836 PECOS PAC ID: 5092900308 Enrollment ID: I20101112000198 |
Provider Name | Bamidele Ayotunde Ajibola |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
Provider Name | Muhammad H Abdulrahman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1972757953 PECOS PAC ID: 9931395399 Enrollment ID: I20101124000316 |
Provider Name | Ariosto E Rosado |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1255310041 PECOS PAC ID: 8325943061 Enrollment ID: I20101206000179 |
Provider Name | Yvonne M Maduka |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1801061775 PECOS PAC ID: 0648469981 Enrollment ID: I20110118000794 |
Provider Name | Kurtis Moodie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346413424 PECOS PAC ID: 1254461908 Enrollment ID: I20110214000792 |
Provider Name | Jolyn B Crabb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639477235 PECOS PAC ID: 8628252202 Enrollment ID: I20110405001027 |
Provider Name | Beth Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669605739 PECOS PAC ID: 8729256086 Enrollment ID: I20110713000201 |
Provider Name | Sonya L Dicara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841586328 PECOS PAC ID: 8729257761 Enrollment ID: I20110809000694 |
Provider Name | Amar Mohan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578724886 PECOS PAC ID: 5294904991 Enrollment ID: I20110815000745 |
Provider Name | Dilip Purohit |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205871308 PECOS PAC ID: 3072611581 Enrollment ID: I20110829000634 |
Provider Name | Asif R Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144479726 PECOS PAC ID: 2769653799 Enrollment ID: I20110922000281 |
Provider Name | Nitin A Dhaon |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710972203 PECOS PAC ID: 8729069711 Enrollment ID: I20111209000364 |
Provider Name | Jose Morel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1952486573 PECOS PAC ID: 3678557477 Enrollment ID: I20120126000723 |
Provider Name | Jennifer Dulin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730352048 PECOS PAC ID: 0446418776 Enrollment ID: I20120216000127 |
Provider Name | Tracy T Mack |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982866935 PECOS PAC ID: 0244415388 Enrollment ID: I20120315000584 |
Provider Name | Deann E Bing |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396972048 PECOS PAC ID: 5991960718 Enrollment ID: I20120629000144 |
Provider Name | James G Prempeh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619136629 PECOS PAC ID: 8729112800 Enrollment ID: I20120806000495 |
Provider Name | Gregory E Jones |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982832739 PECOS PAC ID: 8820244718 Enrollment ID: I20120808000713 |
Provider Name | Altaf H Tadkod |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891992020 PECOS PAC ID: 6709032162 Enrollment ID: I20120820000179 |
Provider Name | Elizabeth R Mcleish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417188012 PECOS PAC ID: 6406003375 Enrollment ID: I20120828000670 |
Provider Name | Olayinka A Elesha |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083887954 PECOS PAC ID: 8729237391 Enrollment ID: I20120926000357 |
Provider Name | Haley Bree Mcneese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154697407 PECOS PAC ID: 6800050394 Enrollment ID: I20121106000332 |
Provider Name | Chibuzor Nkiruka Nnaji |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740418177 PECOS PAC ID: 5395997175 Enrollment ID: I20121129000487 |
Provider Name | Amaka Eunice Ezimora |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
Provider Name | Stephanie L Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710227939 PECOS PAC ID: 6507011863 Enrollment ID: I20130313000146 |
Provider Name | Samuel K Kolleh |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1154635027 PECOS PAC ID: 5092950873 Enrollment ID: I20130327000193 |
Provider Name | Marco Hallerbach |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1447466446 PECOS PAC ID: 8921151713 Enrollment ID: I20130405000258 |
Provider Name | Ann Marie B Giedd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053659417 PECOS PAC ID: 7719127117 Enrollment ID: I20130708000758 |
Provider Name | Elisha Poynter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477789493 PECOS PAC ID: 6002063971 Enrollment ID: I20130715000472 |
Provider Name | Avinesh Singh Bhar Jaswindar Singh |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1760634505 PECOS PAC ID: 0244472223 Enrollment ID: I20130805000654 |
Provider Name | Dimple R Majumder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306162748 PECOS PAC ID: 1254577851 Enrollment ID: I20130815000357 |
Provider Name | Amena Samar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942515531 PECOS PAC ID: 1153556501 Enrollment ID: I20131021001393 |
Provider Name | Vince Faridani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962645671 PECOS PAC ID: 3577798438 Enrollment ID: I20131030001337 |
Provider Name | Tabi Tabe-ebob |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104098995 PECOS PAC ID: 1850584889 Enrollment ID: I20131118001362 |
Provider Name | Wanda J Lewis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245252782 PECOS PAC ID: 7113993437 Enrollment ID: I20131216000909 |
Provider Name | Abhay J Deshmukh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861726481 PECOS PAC ID: 6305087834 Enrollment ID: I20140506000387 |
Provider Name | Elizabeth Dykeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013337690 PECOS PAC ID: 8224252929 Enrollment ID: I20140619002472 |
Provider Name | Rajesh Mali |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20140620000795 |
Provider Name | Paul C Chukelu |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376830174 PECOS PAC ID: 5092939652 Enrollment ID: I20140623000364 |
Provider Name | Omolola Ajoke Omotoso |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20140716002105 |
Provider Name | Jeffery L Bouadou |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114218633 PECOS PAC ID: 2961628052 Enrollment ID: I20140725001468 |
Provider Name | Selishia M Mcfarlane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558774711 PECOS PAC ID: 3072730605 Enrollment ID: I20140805002822 |
Provider Name | Jason F. Fombi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376830075 PECOS PAC ID: 3476791153 Enrollment ID: I20140814001415 |
Provider Name | Lamont Smith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205816899 PECOS PAC ID: 6800987975 Enrollment ID: I20140910001670 |
Provider Name | Lawrence Eugene Wilson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1962633164 PECOS PAC ID: 3476773417 Enrollment ID: I20140925001539 |
Provider Name | Vaidehi S Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881993517 PECOS PAC ID: 8224258561 Enrollment ID: I20141008001228 |
Provider Name | Jonathan Lawson |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20141009002500 |
Provider Name | Jacqueline S.p Sequoia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982925202 PECOS PAC ID: 3779704283 Enrollment ID: I20141027002114 |
Provider Name | Agnes Nambiro-kasolo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053678664 PECOS PAC ID: 7618288481 Enrollment ID: I20150619001314 |
Provider Name | Salman Fidahussein |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1225298029 PECOS PAC ID: 8527238732 Enrollment ID: I20150807014121 |
Provider Name | Darpan G Bhuva |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639433303 PECOS PAC ID: 5890009690 Enrollment ID: I20150811004974 |
Provider Name | Aaron Thomas |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588924765 PECOS PAC ID: 9537325105 Enrollment ID: I20150902003085 |
Provider Name | Shital Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1639498181 PECOS PAC ID: 1759524481 Enrollment ID: I20150928001936 |
Provider Name | Nneamaka A Ifechukwude |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1821356775 PECOS PAC ID: 0648588327 Enrollment ID: I20150929002559 |
Provider Name | Vibhuti Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316206238 PECOS PAC ID: 0840508040 Enrollment ID: I20151008001462 |
Provider Name | Kolawole Omodayo Atandeyi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669608436 PECOS PAC ID: 8527222926 Enrollment ID: I20151014000528 |
Provider Name | Cynthia Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558788992 PECOS PAC ID: 9133348816 Enrollment ID: I20151118003216 |
Provider Name | David Wayne Lariscy |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1134362718 PECOS PAC ID: 1254573009 Enrollment ID: I20160304000984 |
Provider Name | Kelly Antion Forrest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184084600 PECOS PAC ID: 8729384573 Enrollment ID: I20160304001116 |
Provider Name | Michael John Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780043463 PECOS PAC ID: 7113223702 Enrollment ID: I20160308001477 |
Provider Name | Kimberly Bunker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902235674 PECOS PAC ID: 0547550394 Enrollment ID: I20160607000403 |
Provider Name | Anteneh M Gizaw |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699114660 PECOS PAC ID: 4183916265 Enrollment ID: I20160711001052 |
Provider Name | Shimels Haylie |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619219870 PECOS PAC ID: 9830482025 Enrollment ID: I20160726001379 |
Provider Name | Leslie Lamptey |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508208232 PECOS PAC ID: 2860786258 Enrollment ID: I20160808002144 |
Provider Name | Marie Blaize |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1275979205 PECOS PAC ID: 0941521298 Enrollment ID: I20160823000826 |
Provider Name | Jonathan D Fairley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174866503 PECOS PAC ID: 2961705447 Enrollment ID: I20160823002101 |
Provider Name | Matthew Adam Graham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316385784 PECOS PAC ID: 9032408174 Enrollment ID: I20160829000963 |
Provider Name | Rahul R Malireddy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376988055 PECOS PAC ID: 8022304310 Enrollment ID: I20160913001764 |
Provider Name | Jan H Westerman |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1285674150 PECOS PAC ID: 3274510524 Enrollment ID: I20161101001150 |
Provider Name | Felix E Kuuseg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871732347 PECOS PAC ID: 6305997339 Enrollment ID: I20161130001382 |
Provider Name | Nasa-tate Nasser Luma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447469309 PECOS PAC ID: 1254529381 Enrollment ID: I20161202000209 |
Provider Name | Monise M Maignan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831145028 PECOS PAC ID: 2466740659 Enrollment ID: I20161214001476 |
Provider Name | Joshua D Case |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750608121 PECOS PAC ID: 7719105881 Enrollment ID: I20161214001589 |
Provider Name | Vikas Lall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922265784 PECOS PAC ID: 0547328403 Enrollment ID: I20170103001973 |
Provider Name | Steven Gunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164965141 PECOS PAC ID: 2466733100 Enrollment ID: I20170111002050 |
Provider Name | Kimberlee Fletcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962944728 PECOS PAC ID: 9234411653 Enrollment ID: I20170119002809 |
Provider Name | Stacy Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730621582 PECOS PAC ID: 4385926492 Enrollment ID: I20170125002936 |
Provider Name | Pankaj Agrawal |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1861706038 PECOS PAC ID: 3274776083 Enrollment ID: I20170208002373 |
Provider Name | Zia U Salam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700899663 PECOS PAC ID: 4385689272 Enrollment ID: I20170213001463 |
Provider Name | Raj A Vishnagara |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346687852 PECOS PAC ID: 1951609171 Enrollment ID: I20170222000996 |
Provider Name | Jenna R Combs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447797584 PECOS PAC ID: 4082998885 Enrollment ID: I20170222001832 |
Provider Name | Jairaj Vailoor |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235454745 PECOS PAC ID: 7315221082 Enrollment ID: I20170223001643 |
Provider Name | Ramesh Metta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376822395 PECOS PAC ID: 8820309685 Enrollment ID: I20170411000247 |
Provider Name | Rahul Parimoo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1225034150 PECOS PAC ID: 8921104191 Enrollment ID: I20170418001811 |
Provider Name | Chioma Udogu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20170601000277 |
Provider Name | Dawn M Vanover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20170602001444 |
Provider Name | Ayodeji Olarewaju |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1467711960 PECOS PAC ID: 4789952805 Enrollment ID: I20170614001362 |
Provider Name | Bernard K. Ezigbo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619160512 PECOS PAC ID: 2567552409 Enrollment ID: I20170726003059 |
Provider Name | Felistas H Madziwa |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1124006879 PECOS PAC ID: 7911931654 Enrollment ID: I20170801000788 |
Provider Name | Rosalyn A Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609209519 PECOS PAC ID: 6709042526 Enrollment ID: I20170802001448 |
Provider Name | April Zalika Shepherd |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891046033 PECOS PAC ID: 4284923210 Enrollment ID: I20170807000787 |
Provider Name | Milka Elena Martinez Arache |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306162250 PECOS PAC ID: 5496925448 Enrollment ID: I20170808002709 |
Provider Name | Azeem A. Mohammed |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124258843 PECOS PAC ID: 3476787029 Enrollment ID: I20170815001740 |
Provider Name | Sarubh Singh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1043544992 PECOS PAC ID: 4486800711 Enrollment ID: I20170821000147 |
Provider Name | Farshid Rafatnia |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457768202 PECOS PAC ID: 0143592022 Enrollment ID: I20170828002714 |
Provider Name | Olufemi B Aina |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356690671 PECOS PAC ID: 6800169798 Enrollment ID: I20170828003600 |
Provider Name | Chinyelu Nwasike |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1164839148 PECOS PAC ID: 9537484696 Enrollment ID: I20170831002418 |
Provider Name | Sheree Swaby |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588075758 PECOS PAC ID: 1759654254 Enrollment ID: I20170905002703 |
Provider Name | Wenlan Duan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170906002581 |
Provider Name | Arham K Barakzai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841610417 PECOS PAC ID: 8527360536 Enrollment ID: I20171024000643 |
Provider Name | Johannie Keith Y Uy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154736056 PECOS PAC ID: 4183996606 Enrollment ID: I20171106002099 |
Provider Name | Ahmed Al Badri |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1336406958 PECOS PAC ID: 4183927460 Enrollment ID: I20171106002475 |
Provider Name | Michelle Charles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437676491 PECOS PAC ID: 4183980139 Enrollment ID: I20171108002150 |
Provider Name | Khushboo L Chokshi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619269529 PECOS PAC ID: 3870859796 Enrollment ID: I20171109001525 |
Provider Name | Clayton Aaron Charles |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20171109001846 |
Provider Name | Sofiya Rehman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528406923 PECOS PAC ID: 5395043277 Enrollment ID: I20171109002731 |
Provider Name | Sravan Kumar Reddy Bezwada |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669728895 PECOS PAC ID: 2062725021 Enrollment ID: I20171228001464 |
Provider Name | Chinmay Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366859233 PECOS PAC ID: 4284994476 Enrollment ID: I20180208000693 |
Provider Name | Cedric Emden Davis |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20180531001321 |
Provider Name | Aditya Kumar K Bhartia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932337060 PECOS PAC ID: 8628296183 Enrollment ID: I20180611002806 |
Provider Name | Ina Vate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20180618002447 |
Provider Name | Ravali Tarigopula |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20180620003054 |
Provider Name | Mitzie Reagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326587312 PECOS PAC ID: 0042589079 Enrollment ID: I20180628001285 |
Provider Name | Sonu Gupta |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568727220 PECOS PAC ID: 5799093621 Enrollment ID: I20180709000482 |
Provider Name | Kushal P Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1346500477 PECOS PAC ID: 9830400712 Enrollment ID: I20180721000138 |
Provider Name | Jose Medina-smester |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295053593 PECOS PAC ID: 3779809025 Enrollment ID: I20180723002355 |
Provider Name | Gabrielle Dawkins |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558740050 PECOS PAC ID: 9133418296 Enrollment ID: I20180725004007 |
Provider Name | Muhammed Mustafa Ali |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356326995 PECOS PAC ID: 2769434539 Enrollment ID: I20180802001760 |
Provider Name | Jeffy Kenny Thomas |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1134435530 PECOS PAC ID: 2567698483 Enrollment ID: I20180807002626 |
Provider Name | Richard Ulf David Hedelius |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1376703645 PECOS PAC ID: 7618114042 Enrollment ID: I20180813001092 |
Provider Name | Andrew Augustus Duke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427437797 PECOS PAC ID: 5597067538 Enrollment ID: I20180814003130 |
Provider Name | Amitesh Agarwal |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1629383674 PECOS PAC ID: 1850685074 Enrollment ID: I20180823001521 |
Provider Name | Usman Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245612084 PECOS PAC ID: 5991004467 Enrollment ID: I20180829002669 |
Provider Name | Shaheryar Jafri |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033595830 PECOS PAC ID: 5597027649 Enrollment ID: I20180904002866 |
Provider Name | Freeman Kamuru |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1578760922 PECOS PAC ID: 0042493090 Enrollment ID: I20180905002351 |
Provider Name | Beka Bakhtadze |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1659754901 PECOS PAC ID: 4082964085 Enrollment ID: I20180913000545 |
Provider Name | Achuta Uppu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124469812 PECOS PAC ID: 1254623796 Enrollment ID: I20181005000267 |
Provider Name | Kanik Kathuria |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1609118140 PECOS PAC ID: 1951698174 Enrollment ID: I20181009003295 |
Provider Name | Shirishkumar N Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477582930 PECOS PAC ID: 4183514631 Enrollment ID: I20181206000779 |
Provider Name | Mary Grace Nuega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20190111000803 |
Provider Name | Stacy M Hendrix |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386120889 PECOS PAC ID: 6002154317 Enrollment ID: I20190311002136 |
Provider Name | Omar Abumahfouz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20190318002940 |
Provider Name | John C Lisko |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114314762 PECOS PAC ID: 0648513531 Enrollment ID: I20190516000705 |
Provider Name | Manish Aggarwal |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1427250547 PECOS PAC ID: 3274799366 Enrollment ID: I20190524002164 |
Provider Name | Malhar Agarwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20190531000935 |
Provider Name | Abraham Tekeher Getenet |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760758569 PECOS PAC ID: 9931413614 Enrollment ID: I20190615000136 |
Provider Name | Kamla Gonzales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417445206 PECOS PAC ID: 6204169139 Enrollment ID: I20190618000707 |
Provider Name | Jessica A Lasiowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427516715 PECOS PAC ID: 7012241037 Enrollment ID: I20190625003781 |
Provider Name | Pradeep Reddy Chaganti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255680575 PECOS PAC ID: 1254601990 Enrollment ID: I20190722001931 |
Provider Name | Vindhya Athuluru |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1720450851 PECOS PAC ID: 3072850742 Enrollment ID: I20190815000679 |
Provider Name | Harish B Pillai |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063748531 PECOS PAC ID: 0749415834 Enrollment ID: I20190827001840 |
Provider Name | Seth A Courson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1952763302 PECOS PAC ID: 0446544928 Enrollment ID: I20190912000497 |
Provider Name | Kim Bradshaw |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1255786471 PECOS PAC ID: 0547590440 Enrollment ID: I20190918003724 |
Provider Name | Min Jung Kim |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1174861892 PECOS PAC ID: 9638463029 Enrollment ID: I20190925001296 |
Provider Name | Doran M Duke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053671479 PECOS PAC ID: 3375856537 Enrollment ID: I20191009000125 |
Provider Name | Praveen K Vemula |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891958922 PECOS PAC ID: 5395923759 Enrollment ID: I20191018001561 |
Provider Name | Ashley Marie Robertson |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1578900858 PECOS PAC ID: 2668790940 Enrollment ID: I20191105003070 |
Provider Name | Syed Askari Hasan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1992157812 PECOS PAC ID: 0941562003 Enrollment ID: I20191108000200 |
Provider Name | Olger Nano |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235587312 PECOS PAC ID: 9436488954 Enrollment ID: I20191205003162 |
Provider Name | Nanna Frimpong |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306291448 PECOS PAC ID: 1759714512 Enrollment ID: I20191209002045 |
Provider Name | Ravi Kumar Metai |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912304585 PECOS PAC ID: 8022383017 Enrollment ID: I20191210002035 |
Provider Name | Leith Sawalha |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1487830907 PECOS PAC ID: 7810076973 Enrollment ID: I20200106001731 |
Provider Name | Yvonne Okereke |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932556313 PECOS PAC ID: 7810321502 Enrollment ID: I20200106002614 |
Provider Name | Charlotte Chintu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720555741 PECOS PAC ID: 5092149617 Enrollment ID: I20200107000807 |
Provider Name | Dhaval P Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1104288927 PECOS PAC ID: 1759677883 Enrollment ID: I20200111000003 |
Provider Name | Jesse Szymanski |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1194142323 PECOS PAC ID: 9537425186 Enrollment ID: I20200204001881 |
Provider Name | Rachel Logan |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1255758595 PECOS PAC ID: 5395070049 Enrollment ID: I20200205001704 |
Provider Name | Mariya Vengrenyuk |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013367309 PECOS PAC ID: 9638426372 Enrollment ID: I20200211002898 |
Provider Name | Jequie Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104203827 PECOS PAC ID: 9335453091 Enrollment ID: I20200214000559 |
Provider Name | Lindsey Lawhorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992335855 PECOS PAC ID: 6204264641 Enrollment ID: I20200317002041 |
Provider Name | Eberechukwu Mosieri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851775605 PECOS PAC ID: 8123457272 Enrollment ID: I20200410001914 |
Provider Name | Phillip D Alscher |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1700993888 PECOS PAC ID: 6901908599 Enrollment ID: I20200416002078 |
Provider Name | Marilee A Platzek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265091771 PECOS PAC ID: 3678802469 Enrollment ID: I20200427000995 |
Provider Name | Loghman Huseynov |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1962891317 PECOS PAC ID: 5294041075 Enrollment ID: I20200504002750 |
Provider Name | Brainerd Ese Ewarien |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1881089936 PECOS PAC ID: 6103172788 Enrollment ID: I20200515001716 |
Provider Name | Abdrahim N Aloud |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1699179556 PECOS PAC ID: 5991097602 Enrollment ID: I20200522001868 |
Provider Name | Vinay Garlapati |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20200604001680 |
Provider Name | Muhammad Uneib |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497286900 PECOS PAC ID: 2264772433 Enrollment ID: I20200720000476 |
Provider Name | Odianosen Obadan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902200835 PECOS PAC ID: 3375803265 Enrollment ID: I20200721003677 |
Provider Name | Jesus Rozel Oreta Villanueva |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386179281 PECOS PAC ID: 9133154412 Enrollment ID: I20200829000044 |
Provider Name | Matthew Nijem Varn |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316370851 PECOS PAC ID: 1951652403 Enrollment ID: I20200909000846 |
Provider Name | Lukman Lawal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200909001273 |
Provider Name | Neha Vajpayee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649703786 PECOS PAC ID: 3375961287 Enrollment ID: I20200909001682 |
Provider Name | Michael Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20201020000710 |
Provider Name | Alejandro J Luis |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700087251 PECOS PAC ID: 4385893338 Enrollment ID: I20201125000139 |
Provider Name | Megan Leigh Gallagher |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1699015438 PECOS PAC ID: 1951696269 Enrollment ID: I20201130002569 |
Provider Name | Charles Hildebrand |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871971192 PECOS PAC ID: 3375975048 Enrollment ID: I20201203001827 |
Provider Name | Amber R Reaves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417567280 PECOS PAC ID: 8123431103 Enrollment ID: I20210112001864 |
Provider Name | Wendy G Roca |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619290731 PECOS PAC ID: 1557590650 Enrollment ID: I20210216000001 |
Provider Name | Adetoun A Adeyemi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154784809 PECOS PAC ID: 6406142520 Enrollment ID: I20210223002219 |
Provider Name | Kunal Buch |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124373196 PECOS PAC ID: 6608186325 Enrollment ID: I20210407000543 |
Provider Name | Rasheedah Aderoju - Ibidunni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184268682 PECOS PAC ID: 7315355765 Enrollment ID: I20210423000393 |
Provider Name | Joseph D Hayes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952806846 PECOS PAC ID: 2062764939 Enrollment ID: I20210615002905 |
Provider Name | Roli Bernadette Iwere |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487178869 PECOS PAC ID: 8820419609 Enrollment ID: I20210616001094 |
Provider Name | Romina Ghafarian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932696085 PECOS PAC ID: 6800145533 Enrollment ID: I20210802000881 |
Provider Name | Eugene A Quarshie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306229109 PECOS PAC ID: 4385935683 Enrollment ID: I20210804000296 |
Provider Name | Amanda Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467049304 PECOS PAC ID: 2860896925 Enrollment ID: I20210811002420 |
Provider Name | William T Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164002481 PECOS PAC ID: 5092119065 Enrollment ID: I20210812002933 |
Provider Name | Kerry S Griffin |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205333036 PECOS PAC ID: 8325444276 Enrollment ID: I20210901002024 |
Provider Name | Sandeep K Chand |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407264245 PECOS PAC ID: 3375816820 Enrollment ID: I20210901002799 |
Provider Name | Dennis Luke Matthews |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1750876876 PECOS PAC ID: 0143626564 Enrollment ID: I20210910001228 |
Provider Name | Neslyne B Augustin |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1245729631 PECOS PAC ID: 4789080045 Enrollment ID: I20210913000214 |
Provider Name | Parris Tanksley |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053816967 PECOS PAC ID: 9436555729 Enrollment ID: I20210913001384 |
Provider Name | Salome E Defore |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1245736172 PECOS PAC ID: 0840541561 Enrollment ID: I20210913003031 |
Provider Name | Maxi Mayette |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508362260 PECOS PAC ID: 6406252501 Enrollment ID: I20210914002815 |
Provider Name | Juliet N Mkpuechina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790358299 PECOS PAC ID: 8921405028 Enrollment ID: I20210915003858 |
Provider Name | Jessica J White |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659877579 PECOS PAC ID: 4486904166 Enrollment ID: I20211014002009 |
Provider Name | Evan Botti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891284840 PECOS PAC ID: 5193068849 Enrollment ID: I20211101001265 |
Provider Name | Sunday O Yusuf |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760943146 PECOS PAC ID: 5294123741 Enrollment ID: I20211102002264 |
Provider Name | Nformbuh Valery Asangmbeng |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740786573 PECOS PAC ID: 2365795325 Enrollment ID: I20211214000740 |
Provider Name | Jabulani Sidile |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20220106001158 |
Provider Name | Amrish Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1437682648 PECOS PAC ID: 1759773047 Enrollment ID: I20220118002305 |
Provider Name | Isi Obadan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598992208 PECOS PAC ID: 7416174248 Enrollment ID: I20220204000208 |
Provider Name | Stephanie A Melson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255925350 PECOS PAC ID: 7113311663 Enrollment ID: I20220225000955 |
Provider Name | Arinola Odumusi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1447602834 PECOS PAC ID: 0143517458 Enrollment ID: I20220330000933 |
Provider Name | Hussain Alhamza |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548611999 PECOS PAC ID: 7012200660 Enrollment ID: I20220331002188 |
Provider Name | Aishat Omoyeni Olagunju |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912427410 PECOS PAC ID: 5193141323 Enrollment ID: I20220407000779 |
Provider Name | Juan P Ortega-sandoya |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1457714925 PECOS PAC ID: 0244568772 Enrollment ID: I20220615000470 |
Provider Name | Kamilah J Spencer |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760864474 PECOS PAC ID: 5799017109 Enrollment ID: I20220615000753 |
Provider Name | Sarah Holloway |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891256368 PECOS PAC ID: 2163802133 Enrollment ID: I20220707003859 |
Provider Name | Muhammad Mufty |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548753841 PECOS PAC ID: 3577897719 Enrollment ID: I20220711002404 |
Provider Name | Timothy I Sobukonla |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1134689771 PECOS PAC ID: 5092196410 Enrollment ID: I20220718000627 |
Provider Name | Jenson T Mathew |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1285291070 PECOS PAC ID: 0244565174 Enrollment ID: I20220718001857 |
Provider Name | Precious Sonaike |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407463615 PECOS PAC ID: 9830572437 Enrollment ID: I20220815001846 |
Provider Name | Manan S Shah |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083920698 PECOS PAC ID: 4486896842 Enrollment ID: I20221003001322 |
Provider Name | Derrick E Ridley |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356800502 PECOS PAC ID: 3779814249 Enrollment ID: I20221108000391 |
Provider Name | Irene W Tchuente |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053871327 PECOS PAC ID: 9931439262 Enrollment ID: I20221201000710 |
Provider Name | Harjas Singh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1750888434 PECOS PAC ID: 3274880141 Enrollment ID: I20221208001307 |
Provider Name | Zaid Mohammed-khair Shmaisani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396125647 PECOS PAC ID: 3072808682 Enrollment ID: I20221228003233 |
Provider Name | Muhammad H Tahir |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1699146928 PECOS PAC ID: 6406125541 Enrollment ID: I20230222002408 |
Provider Name | Muhammad Munir |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588844286 PECOS PAC ID: 9931393766 Enrollment ID: I20230224000503 |
Provider Name | Linda Young |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1124003470 PECOS PAC ID: 8224020193 Enrollment ID: I20230302002303 |
Provider Name | Bryant Mauri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013479237 PECOS PAC ID: 5597144840 Enrollment ID: I20230504001682 |
Provider Name | Vadley Faugue |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982220281 PECOS PAC ID: 3375901879 Enrollment ID: I20230615000124 |
Provider Name | Besseri E Emmanuel Christian Ako |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164041976 PECOS PAC ID: 6002274578 Enrollment ID: I20230615003056 |
Provider Name | Kellie Lucas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801415088 PECOS PAC ID: 0244659332 Enrollment ID: I20230717000390 |
Provider Name | Sanjay Yadava |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932628500 PECOS PAC ID: 5193062701 Enrollment ID: I20230719004337 |
Provider Name | Ken Okons |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649702564 PECOS PAC ID: 1153687264 Enrollment ID: I20230719004378 |
Provider Name | Robert Saxon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518445956 PECOS PAC ID: 6305199035 Enrollment ID: I20230803000135 |
Provider Name | Vashishtha Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073141891 PECOS PAC ID: 8820412760 Enrollment ID: I20230803004169 |
Provider Name | Oluwaseun Ogunjemilusi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639707920 PECOS PAC ID: 7911321583 Enrollment ID: I20230807003263 |
Provider Name | Pushpa Khanal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972168367 PECOS PAC ID: 9436527843 Enrollment ID: I20230905000849 |
Provider Name | Paulisa Ward |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225412349 PECOS PAC ID: 7214361948 Enrollment ID: I20230921004103 |
Provider Name | Nana Afua Akyaa Addo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538789052 PECOS PAC ID: 7315391083 Enrollment ID: I20230928002940 |
Provider Name | E'lexus Okafor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598384224 PECOS PAC ID: 0446604136 Enrollment ID: I20230928003885 |
Provider Name | Gina Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710528260 PECOS PAC ID: 7618303272 Enrollment ID: I20231009002602 |
Provider Name | Jan Michael Racoma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902390099 PECOS PAC ID: 1153666862 Enrollment ID: I20231030002411 |
Provider Name | O'dene Hanniffe Lewis |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1083909089 PECOS PAC ID: 9436466885 Enrollment ID: I20231108003214 |
Provider Name | Kate Rose Moran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295769826 PECOS PAC ID: 2163473828 Enrollment ID: I20231127000987 |
Provider Name | Calmour J Henry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013597442 PECOS PAC ID: 2365893468 Enrollment ID: I20240112001005 |
Provider Name | Hemal Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245626522 PECOS PAC ID: 2860741006 Enrollment ID: I20240116003147 |
Provider Name | Jerrod Jonathan Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871190983 PECOS PAC ID: 3173937869 Enrollment ID: I20240129000307 |
Provider Name | Justin Anthony Medina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245807262 PECOS PAC ID: 0143673889 Enrollment ID: I20240129003361 |
Provider Name | Arnold William Facklam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356509129 PECOS PAC ID: 5991867848 Enrollment ID: I20240131002998 |
Provider Name | Guilouse Jean-bataille |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588127096 PECOS PAC ID: 3577906098 Enrollment ID: I20240212001851 |
Provider Name | Gabriel Asumeng |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447644695 PECOS PAC ID: 8426362385 Enrollment ID: I20240216001029 |
Provider Name | Yonas Tamene |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679097893 PECOS PAC ID: 2365709805 Enrollment ID: I20240306003856 |
Provider Name | Aditya Saholi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225609126 PECOS PAC ID: 7719328491 Enrollment ID: I20240513001004 |
Provider Name | Francis Onyedika Ihionu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669043535 PECOS PAC ID: 8729520044 Enrollment ID: I20240603000187 |
Provider Name | Jolie Montana Gail Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225885189 PECOS PAC ID: 1850833195 Enrollment ID: I20240603000827 |
Hga Villa Rica, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440 | |
Post Acute Care Leaders Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 Pine Knoll Dr, Carrollton, GA 30117 Phone: 678-593-3332 Fax: 678-868-1584 | |
The Rouse Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Newnan Road, Carrollton, GA 30117 Phone: 770-328-5458 | |
Joseph S. Palin, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Ward St, Carrollton, GA 30117 Phone: 770-836-1011 Fax: 770-836-1049 | |
Drs Gentry Wellborn & Mcghee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Dixie Street, Carrollton, GA 30117 Phone: 770-832-9593 Fax: 770-832-0440 | |
West Georgia Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Carrollton Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Dixie St, Carrollton, GA 30117 Phone: 770-832-9593 Fax: 770-832-0440 |