| Carroll County Nephrology Pc | |
|
157 Clinic Avenue Suite 203 Carrollton GA 30117 | |
| (770) 832-0429 | |
| (770) 838-9108 |
| Full Name | Carroll County Nephrology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 157 Clinic Avenue, Carrollton, Georgia |
| Authorized Official Name and Position | Sandy V Beasley (BILLING & CODING) |
| Authorized Official Contact | 7708320429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll County Nephrology Pc 157 Clinic Avenue Suite 203 Carrollton GA 30117 Ph: (770) 832-0429 | Carroll County Nephrology Pc 157 Clinic Avenue Suite 203 Carrollton GA 30117 Ph: (770) 832-0429 |
| NPI Number | 1558403113 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/31/2008 |
| Medicare PECOS PAC ID | 3476691510 |
|---|---|
| Medicare Enrollment ID | O20091111000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558403113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Bryan D Quinn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689887911 PECOS PAC ID: 7214082445 Enrollment ID: I20090911000211 |
| Provider Name | Emily T Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588079248 PECOS PAC ID: 4385865245 Enrollment ID: I20141020000663 |
| Provider Name | Kilsy Alexandra Cuello Pichardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407588 PECOS PAC ID: 7810253952 Enrollment ID: I20171107000546 |
| Provider Name | Bernard Gitau Muthoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770118598 PECOS PAC ID: 6305268509 Enrollment ID: I20200616003434 |
| Provider Name | Atiya Chachar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174974398 PECOS PAC ID: 3577840222 Enrollment ID: I20220812000402 |
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 |