| Ascend Medical Georgia Pc | |
|
3560 Lenox Rd Ne Ste 1230 Atlanta GA 30326-4266 | |
| (404) 947-8066 | |
| Not Available |
| Full Name | Ascend Medical Georgia Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3560 Lenox Rd Ne Ste 1230, Atlanta, Georgia |
| Authorized Official Name and Position | Shannon Hernandez (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 4049988645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Medical Georgia Pc 3560 Lenox Rd Ne Ste 1230 Atlanta GA 30326-4335 Ph: (888) 250-5708 | Ascend Medical Georgia Pc 3560 Lenox Rd Ne Ste 1230 Atlanta GA 30326-4266 Ph: (404) 947-8066 |
| NPI Number | 1841800836 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/20/2024 |
| Medicare PECOS PAC ID | 8820488745 |
|---|---|
| Medicare Enrollment ID | O20211209000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841800836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacqueline D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073771762 PECOS PAC ID: 5597936013 Enrollment ID: I20110914000024 |
| Provider Name | Sarah Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073875563 PECOS PAC ID: 2163644832 Enrollment ID: I20230714000912 |
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