| Douglas County Family Practice, P.c. | |
|
3872 Highway 5 Douglasville GA 30135-3366 | |
| (770) 949-5535 | |
| (770) 949-9022 |
| Full Name | Douglas County Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3872 Highway 5, Douglasville, Georgia |
| Authorized Official Name and Position | Mariam George (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7709495535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas County Family Practice, P.c. 3872 Highway 5 Douglasville GA 30135-3366 Ph: (770) 949-5535 | Douglas County Family Practice, P.c. 3872 Highway 5 Douglasville GA 30135-3366 Ph: (770) 949-5535 |
| NPI Number | 1083769376 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 02/11/2015 |
| Medicare PECOS PAC ID | 3173596400 |
|---|---|
| Medicare Enrollment ID | O20040816000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083769376 | NPI | - | NPPES |
| 442225907A | Medicaid | GA | |
| 085111111G | Medicaid | GA | |
| 1972590982 | Other | GA | NPI-DR. MARIAM GEORGE |
| 023734 | Other | GA | LICENSE#DR. MARIAM GEORGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Indra C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639202120 PECOS PAC ID: 3274503958 Enrollment ID: I20040729000738 |
| Provider Name | Priya Palliyil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023005006 PECOS PAC ID: 5799764221 Enrollment ID: I20041118000763 |
| Provider Name | Michelle Huggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316957939 PECOS PAC ID: 0244266807 Enrollment ID: I20050714000621 |
| Provider Name | Binu George |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821268319 PECOS PAC ID: 8527139245 Enrollment ID: I20080624000032 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20100922000524 |
| Provider Name | Thaedra Denise Mercadel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801068531 PECOS PAC ID: 6709056468 Enrollment ID: I20110907001215 |
| Provider Name | Bhumika J Banugaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396171708 PECOS PAC ID: 4183947138 Enrollment ID: I20141223000947 |
| Provider Name | Gazelle Moharari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104232958 PECOS PAC ID: 5395027825 Enrollment ID: I20180417001968 |
| Provider Name | Aariti V Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527583 PECOS PAC ID: 7517298110 Enrollment ID: I20191014000472 |
| Provider Name | Danielle R Doebereiner-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225564917 PECOS PAC ID: 2769714757 Enrollment ID: I20191023003749 |
| Provider Name | Sophie Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497017016 PECOS PAC ID: 8628300639 Enrollment ID: I20191024000603 |
| Provider Name | Jessica C. Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538652987 PECOS PAC ID: 8527390533 Enrollment ID: I20191024000635 |
| Provider Name | Radhika Do Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215436845 PECOS PAC ID: 0042601544 Enrollment ID: I20211216001836 |
| Provider Name | Kelly A Skoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517388 PECOS PAC ID: 0345606778 Enrollment ID: I20230510000264 |
| Provider Name | Katherine M Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190146 PECOS PAC ID: 2860859444 Enrollment ID: I20230613002736 |
| Provider Name | Mekayla K Kirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437843968 PECOS PAC ID: 4183075005 Enrollment ID: I20240104003305 |
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 | |
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 |