| Atlanta Family Physicians Pc | |
|
3424 Flat Shoals Rd Suite A Decatur GA 30034-6525 | |
| (404) 968-8269 | |
| (404) 968-8274 |
| Full Name | Atlanta Family Physicians Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3424 Flat Shoals Rd, Decatur, Georgia |
| Authorized Official Name and Position | Ahmad K Jingo (PROVIDER) |
| Authorized Official Contact | 4049688269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Family Physicians Pc 3424 Flat Shoals Rd Suite A Decatur GA 30034-6525 Ph: (404) 968-8269 | Atlanta Family Physicians Pc 3424 Flat Shoals Rd Suite A Decatur GA 30034-6525 Ph: (404) 968-8269 |
| NPI Number | 1194914135 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 7012074917 |
|---|---|
| Medicare Enrollment ID | O20090320000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194914135 | NPI | - | NPPES |
| 110229622 | Other | GA | MEDICARE R/R |
| GRP3465 | Other | GA | MEDICARE GROUP NO. |
| 11BDQPM | Other | GA | MEDICARE |
| 00804339D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 045842 (Georgia) | Primary |
| Provider Name | Ahmad K Jingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467416602 PECOS PAC ID: 7517068414 Enrollment ID: I20070723000248 |
| Provider Name | Asata Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412788 PECOS PAC ID: 4688956493 Enrollment ID: I20170131000131 |
| Provider Name | Carolyne N Katongole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437667896 PECOS PAC ID: 6800151200 Enrollment ID: I20180606002699 |
| Provider Name | Ashar Nakibuuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397295 PECOS PAC ID: 5092142398 Enrollment ID: I20200226002243 |
| Provider Name | Mairama Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891317889 PECOS PAC ID: 8527483502 Enrollment ID: I20200807001694 |
| Provider Name | Avril L Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609549559 PECOS PAC ID: 7416320098 Enrollment ID: I20230301001791 |
East Atlanta Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3660 Flat Shoals Rd, Suite 200, Decatur, GA 30034 Phone: 404-244-1813 Fax: 404-244-1831 | |
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