Emir Primary Care in Forest Park, GA - Medicare Clinic/Center

Emir Primary Care is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Forest Park, Georgia. The current practice location for Emir Primary Care is 4930 Governors Dr Ste 409, Forest Park, Georgia. For appointments, you can reach them via phone at (404) 366-3647. The mailing address for Emir Primary Care is 4930 Governors Dr Ste 409, Forest Park, Georgia and phone number is (404) 366-3647.

Emir Primary Care is licensed to practice in Georgia (license number RN143268). The clinic also participates in the medicare program and its NPI number is 1134414105. 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 (404) 366-3647.

Contact Information

	Emir Primary Care
	4930 Governors Dr Ste 409 Forest Park GA 30297-6101
	(404) 366-3647
	(404) 366-3648

Map and Direction

Primary Care Clinic Profile

Full Name	Emir Primary Care
Speciality	Clinic/Center
Location	4930 Governors Dr Ste 409, Forest Park, Georgia
Authorized Official Name and Position	Charles Jenkins (NURSE PRACTITIONER)
Authorized Official Contact	4043663647
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emir Primary Care 4930 Governors Dr Ste 409 Forest Park GA 30297-6101 Ph: (404) 366-3647	Emir Primary Care 4930 Governors Dr Ste 409 Forest Park GA 30297-6101 Ph: (404) 366-3647

NPI Details:

NPI Number	1134414105
Provider Enumeration Date	06/17/2011
Last Update Date	06/17/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	4183802200
Medicare Enrollment ID	O20110620000580

Medical Identifiers

Medical identifiers for Emir Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134414105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	RN143268 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Emir Primary Care acts as a billing entity for following providers:

Provider Name	Charles Jenkins
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1841516630 PECOS PAC ID: 6800071184 Enrollment ID: I20110502000326

Reviews and Comments

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Emir Primary Care - Medicare Primary Care in Forest Park, GA