| Digestive Healthcare Of Georgia | |
|
95 Collier Rd Nw Ste 4075 Atlanta GA 30309-1751 | |
| (404) 603-3543 | |
| (404) 350-8795 |
| Full Name | Digestive Healthcare Of Georgia |
|---|---|
| Speciality | Internal Medicine |
| Location | 95 Collier Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Gaye Pennington (BILLING MANAGER) |
| Authorized Official Contact | 4046033543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Healthcare Of Georgia 95 Collier Rd Nw Suite 4075 Atlanta GA 30309-1796 Ph: (404) 603-3543 | Digestive Healthcare Of Georgia 95 Collier Rd Nw Ste 4075 Atlanta GA 30309-1751 Ph: (404) 603-3543 |
| NPI Number | 1558365247 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 7012904394 |
|---|---|
| Medicare Enrollment ID | O20040429000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558365247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 039539 (Georgia) | Primary |
| Provider Name | Charles P Stewart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629072210 PECOS PAC ID: 4789671686 Enrollment ID: I20040430000246 |
| Provider Name | Kiran J Kanji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649274234 PECOS PAC ID: 5092787317 Enrollment ID: I20040809000207 |
| Provider Name | Bryan L Woods |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063416634 PECOS PAC ID: 2466427901 Enrollment ID: I20040830000145 |
| Provider Name | William M Strain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548264112 PECOS PAC ID: 2062488851 Enrollment ID: I20040902001105 |
| Provider Name | Frank Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497759039 PECOS PAC ID: 2961449434 Enrollment ID: I20050415000440 |
| Provider Name | Booker T Dalton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477557130 PECOS PAC ID: 3870514359 Enrollment ID: I20051212000851 |
| Provider Name | Jan M Seiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336252337 PECOS PAC ID: 6406860733 Enrollment ID: I20060126000051 |
| Provider Name | Michael D Perrino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124118997 PECOS PAC ID: 9032289665 Enrollment ID: I20080609000251 |
| Provider Name | Rachel Pauline Mepani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154411353 PECOS PAC ID: 3870536774 Enrollment ID: I20100126000723 |
| Provider Name | Adam H Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851504989 PECOS PAC ID: 5193879559 Enrollment ID: I20100910000438 |
| Provider Name | Michael R Galambos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356345011 PECOS PAC ID: 6800956905 Enrollment ID: I20101020000511 |
| Provider Name | Mark A Sims |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932103504 PECOS PAC ID: 6709946809 Enrollment ID: I20101021000723 |
| Provider Name | J Patrick Waring |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174527741 PECOS PAC ID: 2163582263 Enrollment ID: I20101123000173 |
| Provider Name | Valerie J Jagiella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164426722 PECOS PAC ID: 9537229638 Enrollment ID: I20101123000212 |
| Provider Name | Randy J Yanda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407850076 PECOS PAC ID: 7517027618 Enrollment ID: I20101124000734 |
| Provider Name | David M Gryboski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639173297 PECOS PAC ID: 6406040641 Enrollment ID: I20101227000461 |
| Provider Name | John E Burney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053315820 PECOS PAC ID: 0042404287 Enrollment ID: I20110128000292 |
| Provider Name | Carol Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184868796 PECOS PAC ID: 6204013782 Enrollment ID: I20110609000491 |
| Provider Name | Manan B Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457548513 PECOS PAC ID: 7214107648 Enrollment ID: I20110823000267 |
| Provider Name | Niraj Khandelwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619186228 PECOS PAC ID: 4082861828 Enrollment ID: I20120829000498 |
| Provider Name | Nicole Penland Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816874 PECOS PAC ID: 6800034893 Enrollment ID: I20130604000025 |
| Provider Name | Magen A Nessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821434572 PECOS PAC ID: 0345489613 Enrollment ID: I20130617000625 |
| Provider Name | David S Rudolph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881836013 PECOS PAC ID: 6507917622 Enrollment ID: I20131107000562 |
| Provider Name | Hannah Folds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922412022 PECOS PAC ID: 2365664109 Enrollment ID: I20141112001094 |
| Provider Name | Orlena Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851791446 PECOS PAC ID: 7719202522 Enrollment ID: I20150218001312 |
| Provider Name | Rachel Bartolomei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861880445 PECOS PAC ID: 2466779129 Enrollment ID: I20150318001390 |
| Provider Name | Mary Hochkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720472087 PECOS PAC ID: 4183938590 Enrollment ID: I20150729009124 |
| Provider Name | Constance Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275927675 PECOS PAC ID: 7113232828 Enrollment ID: I20150810002317 |
| Provider Name | Kristin Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275990327 PECOS PAC ID: 4284939133 Enrollment ID: I20160301002385 |
| Provider Name | Alexis Calloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124255989 PECOS PAC ID: 1355598301 Enrollment ID: I20160808001760 |
| Provider Name | Kaley Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023479516 PECOS PAC ID: 0446546113 Enrollment ID: I20160906001597 |
| Provider Name | William E Norris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801988811 PECOS PAC ID: 7618037177 Enrollment ID: I20161212001714 |
| Provider Name | Nicole Noreen Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063590 PECOS PAC ID: 0143585984 Enrollment ID: I20180529002305 |
| Provider Name | Jennifer A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922311372 PECOS PAC ID: 3678826757 Enrollment ID: I20181019002509 |
| Provider Name | Timothy Peter Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538635255 PECOS PAC ID: 1658611694 Enrollment ID: I20190328002851 |
| Provider Name | Minesh J Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295091494 PECOS PAC ID: 5294960944 Enrollment ID: I20190905001427 |
| Provider Name | Katherine Mitzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366089757 PECOS PAC ID: 3274961115 Enrollment ID: I20200307000129 |
| Provider Name | Angela Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083913 PECOS PAC ID: 5890123392 Enrollment ID: I20200316002772 |
| Provider Name | Ahmed Aly Messallam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629489547 PECOS PAC ID: 4587967062 Enrollment ID: I20200528001476 |
| Provider Name | Stephanie Elizabeth Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568092708 PECOS PAC ID: 5991128324 Enrollment ID: I20200701003672 |
| Provider Name | Aniruddh A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043639958 PECOS PAC ID: 8325349103 Enrollment ID: I20200829000001 |
| Provider Name | Valerie Marie Avallone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472458 PECOS PAC ID: 7719371053 Enrollment ID: I20220302000463 |
| Provider Name | Karl Friedrich Mareth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083061808 PECOS PAC ID: 8426342106 Enrollment ID: I20221107000232 |
| Provider Name | Francesca Nicole Raffa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164876165 PECOS PAC ID: 3072993369 Enrollment ID: I20230405000652 |
| Provider Name | Dana Noel Rudisill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457079709 PECOS PAC ID: 7416316302 Enrollment ID: I20230711000491 |
| Provider Name | William Tung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528594058 PECOS PAC ID: 6800166539 Enrollment ID: I20230712004231 |
| Provider Name | Hayden Gallagher Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518669340 PECOS PAC ID: 3476913138 Enrollment ID: I20230713002182 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |