| Atlanta I.d. Group, Pc | |
|
275 Collier Rd Nw Suite 450 Atlanta GA 30309-1709 | |
| (404) 351-8873 | |
| (404) 355-6165 |
| Full Name | Atlanta I.d. Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Collier Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Christine Ann Zurawski (PARTNER) |
| Authorized Official Contact | 4043518873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta I.d. Group, Pc 275 Collier Rd Nw Suite 450 Atlanta GA 30309-1709 Ph: (404) 351-8873 | Atlanta I.d. Group, Pc 275 Collier Rd Nw Suite 450 Atlanta GA 30309-1709 Ph: (404) 351-8873 |
| NPI Number | 1699805697 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638120231 |
|---|---|
| Medicare Enrollment ID | O20101227000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699805697 | NPI | - | NPPES |
| 598447 | Other | GA | BCBS |
| 133771305A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 36328 (Georgia) | Primary |
| Provider Name | Richard L Hengel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972605665 PECOS PAC ID: 1355394909 Enrollment ID: I20050224000007 |
| Provider Name | Christine A Zurawski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447365762 PECOS PAC ID: 3870519531 Enrollment ID: I20051021000404 |
| Provider Name | Ronald E Devine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174637532 PECOS PAC ID: 0547453706 Enrollment ID: I20101227000147 |
| Provider Name | Melina P Diaz Cardenas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548422843 PECOS PAC ID: 4284808494 Enrollment ID: I20111129000103 |
| Provider Name | Gweneth Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972825990 PECOS PAC ID: 9133375272 Enrollment ID: I20120806000750 |
| Provider Name | Michelle S Jones |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316127020 PECOS PAC ID: 7315186442 Enrollment ID: I20130620000234 |
| Provider Name | Ameera W Siddiqi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518283308 PECOS PAC ID: 4385831288 Enrollment ID: I20130722000049 |
| Provider Name | Mukul V Patharkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922157338 PECOS PAC ID: 7012078413 Enrollment ID: I20151006000953 |
| Provider Name | Jesse W Couk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710114335 PECOS PAC ID: 4789984824 Enrollment ID: I20151123000487 |
| Provider Name | Shruti Puri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003234451 PECOS PAC ID: 9931326378 Enrollment ID: I20201231000695 |
| Provider Name | Kelly Lumpkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922452218 PECOS PAC ID: 7719270107 Enrollment ID: I20210719003675 |
| Provider Name | Jehan F Chowdhury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376938993 PECOS PAC ID: 7810201480 Enrollment ID: I20210728001089 |
| Provider Name | Erin Vise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174168280 PECOS PAC ID: 0345633780 Enrollment ID: I20220208002013 |
| Provider Name | Ishita Sheth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598015547 PECOS PAC ID: 7315216173 Enrollment ID: I20220909002628 |
| Provider Name | Sharon V Tsay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225321599 PECOS PAC ID: 9931417920 Enrollment ID: I20221214000285 |
| Provider Name | Andrea Rose Ginsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376266163 PECOS PAC ID: 9133593577 Enrollment ID: I20240402002466 |
| Provider Name | Zoheb Irshad Sulaiman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154986651 PECOS PAC ID: 1153656152 Enrollment ID: I20240426002405 |
| Provider Name | Lindsey Bryant Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134898265 PECOS PAC ID: 5890171797 Enrollment ID: I20240517001960 |
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