| Classicare Internal Medicine | |
|
4904 Timber Ridge Dr Ste 303 Douglasville GA 30135-1831 | |
| (770) 489-5000 | |
| (770) 489-0305 |
| Full Name | Classicare Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 4904 Timber Ridge Dr Ste 303, Douglasville, Georgia |
| Authorized Official Name and Position | Xiangdong You (PRESIDENT) |
| Authorized Official Contact | 7704895000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Classicare Internal Medicine 4904 Timber Ridge Dr Ste 303 Douglasville GA 30135-1831 Ph: (770) 489-5000 | Classicare Internal Medicine 4904 Timber Ridge Dr Ste 303 Douglasville GA 30135-1831 Ph: (770) 489-5000 |
| NPI Number | 1922130012 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 9234165564 |
|---|---|
| Medicare Enrollment ID | O20050708000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922130012 | NPI | - | NPPES |
| 2089568 | Other | FIRST HEALTHCARE | |
| 320129 | Other | GA | WELLCARE OF GEORGIA |
| 000934007E | Medicaid | GA | |
| 52895315 | Other | BCBS | |
| 6104 | Other | KAISER | |
| 7676325 | Other | AETNA | |
| 3462913 | Other | CIGNA | |
| P00242355 | Other | MEDICARE RAILROAD | |
| 0403355 | Other | UNITED HEALTH CARE | |
| 782253003 | Other | GREAT-WEST | |
| 21232609899 | Other | BEECH STREET | |
| 258835797 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 050465 (Georgia) | Primary |
| Provider Name | Xiangdong You |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962428870 PECOS PAC ID: 5890721138 Enrollment ID: I20050708000847 |
Michelle A. Huggins, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6934 Broad St, Douglasville, GA 30134 Phone: 770-702-7728 Fax: 770-726-7265 | |
City Of Douglasville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6697 Church St, Douglasville, GA 30134 Phone: 336-515-1313 Fax: 336-804-5903 | |
Mariam George, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Douglas County Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Bwell Medical And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5933 Stewart Pkwy, Douglasville, GA 30135 Phone: 470-331-9468 Fax: 770-234-5717 | |
Atlanta West Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Parkway, Suite #c, Douglasville, GA 30134 Phone: 770-949-6548 Fax: 770-949-9561 | |
Benchmark Of Ga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135 Phone: 678-981-6290 Fax: 678-981-6291 |