Traditions Health - Medicare Primary Care in Bogart, GA

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Traditions Health is a medicare enrolled primary clinic (Clinic/center) in Bogart, Georgia. The current practice location for Traditions Health is 1561 Lenru Rd Ste A, Bogart, Georgia. For appointments, you can reach them via phone at (770) 725-2399. The mailing address for Traditions Health is 6840 Carothers Pkwy Ste 550, Franklin, Tennessee and phone number is (979) 704-6547.

Traditions Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1437897956. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 725-2399.

Contact Information

Traditions Health
1561 Lenru Rd Ste A
Bogart
GA 30622-3334
(770) 725-2399
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameTraditions Health
SpecialityClinic/Center
Location1561 Lenru Rd Ste A, Bogart, Georgia
Authorized Official Name and PositionJohn Kerndl (CFO & SECRETARY)
Authorized Official Contact9797046547
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Traditions Health
6840 Carothers Pkwy Ste 550
Franklin
TN 37067-8002

Ph: (979) 704-6547		Traditions Health
1561 Lenru Rd Ste A
Bogart
GA 30622-3334

Ph: (770) 725-2399

NPI Details:

NPI Number1437897956
Provider Enumeration Date05/24/2022
Last Update Date06/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305942616
Medicare Enrollment IDO20220726002864

Medical Identifiers

Medical identifiers for Traditions Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437897956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Traditions Health acts as a billing entity for following providers:
Provider NameAnthony C Onyegbula
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477647410
PECOS PAC ID: 5991691644
Enrollment ID: I20040227000557
Provider NameAmit Dua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639131691
PECOS PAC ID: 8921080169
Enrollment ID: I20040602001070
Provider NameKieran A Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760425623
PECOS PAC ID: 8820051568
Enrollment ID: I20041108000049
Provider NameAnthony G Captain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023035094
PECOS PAC ID: 0749259661
Enrollment ID: I20050228000463
Provider NameKathalina V Lacoste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255459335
PECOS PAC ID: 9335182211
Enrollment ID: I20050602000553
Provider NameDonald Griffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336236876
PECOS PAC ID: 8123119864
Enrollment ID: I20091103000551
Provider NameChris B Child
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659602381
PECOS PAC ID: 9032246830
Enrollment ID: I20100428000148
Provider NameRobert W Klassen
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1104926377
PECOS PAC ID: 3678607686
Enrollment ID: I20100812000793
Provider NameUrviben R Patel
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1306053731
PECOS PAC ID: 4183817349
Enrollment ID: I20101020000264
Provider NameAndre Rehaun Holmes
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1457425480
PECOS PAC ID: 9537342399
Enrollment ID: I20120504000487
Provider NameAllison Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952800583
PECOS PAC ID: 4587909783
Enrollment ID: I20181217001245
Provider NameKishore Reddy Rasamallu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568667863
PECOS PAC ID: 1254427388
Enrollment ID: I20190313003055
Provider NameAndrea D Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740750355
PECOS PAC ID: 3870823156
Enrollment ID: I20190930002369
Provider NameBenitra D Tripp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821637331
PECOS PAC ID: 5890107163
Enrollment ID: I20201209003028
Provider NameMaya Regina Gebhardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083377014
PECOS PAC ID: 4385035369
Enrollment ID: I20211230000335
Provider NameAmy L Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851069470
PECOS PAC ID: 2163814666
Enrollment ID: I20220112002928
Provider NameMaryjane N Randels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417689050
PECOS PAC ID: 1759758568
Enrollment ID: I20221108002680

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.