| Atlanta Diabetes Associates | |
|
1800 Howell Mill Rd Nw Suite 450 Atlanta GA 30318-2538 | |
| (404) 355-4393 | |
| (404) 609-7622 |
| Full Name | Atlanta Diabetes Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Howell Mill Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Bruce Welsh Bode (PRESIDENT/OWNER) |
| Authorized Official Contact | 4043554393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Diabetes Associates 1800 Howell Mill Rd Nw Suite 450 Atlanta GA 30318-2538 Ph: (404) 355-4393 | Atlanta Diabetes Associates 1800 Howell Mill Rd Nw Suite 450 Atlanta GA 30318-2538 Ph: (404) 355-4393 |
| NPI Number | 1366492282 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 6901826569 |
|---|---|
| Medicare Enrollment ID | O20051129000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366492282 | NPI | - | NPPES |
| CL5947 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Georgia) | Primary |
| Provider Name | Christopher Vreeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801877469 PECOS PAC ID: 8426087511 Enrollment ID: I20050809000732 |
| Provider Name | Carmen E Leblanc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477744704 PECOS PAC ID: 6608881263 Enrollment ID: I20080604000087 |
| Provider Name | David Gerald Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659378560 PECOS PAC ID: 8426139528 Enrollment ID: I20100201000364 |
| Provider Name | Bruce W Bode |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841297751 PECOS PAC ID: 9335220433 Enrollment ID: I20100302000524 |
| Provider Name | Norman S Welch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265439178 PECOS PAC ID: 0244367548 Enrollment ID: I20100419000291 |
| Provider Name | Jonathan G Ownby |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780887877 PECOS PAC ID: 7810173598 Enrollment ID: I20110513000126 |
| Provider Name | Karlystra Nicome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356895106 PECOS PAC ID: 6406144641 Enrollment ID: I20161004001668 |
| Provider Name | David Reyes Umpierrez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437411592 PECOS PAC ID: 7012281108 Enrollment ID: I20170928002139 |
| Provider Name | Noor A Alaina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518317304 PECOS PAC ID: 1759661978 Enrollment ID: I20200623001286 |
| Provider Name | Caroline F Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093308934 PECOS PAC ID: 8224443403 Enrollment ID: I20210222000821 |
| Provider Name | Damali A Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205501350 PECOS PAC ID: 2567867856 Enrollment ID: I20210825001129 |
| Provider Name | Katherine Marie Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770174088 PECOS PAC ID: 1254718935 Enrollment ID: I20220518002298 |
| Provider Name | Jaquiara Shauntriese Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134703689 PECOS PAC ID: 3476928946 Enrollment ID: I20230414000999 |
| Provider Name | Eleni Marie Cleveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932966231 PECOS PAC ID: 1951747047 Enrollment ID: I20240312001100 |
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