Evernorth Care Providers - Tennessee Pc | |
260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Tennessee Pc |
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Speciality | General Practice |
Location | 260 Peachtree St Nw Ste 2200, Atlanta, Georgia |
Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evernorth Care Providers - Tennessee Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Tennessee Pc 260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292 Ph: (773) 292-4800 |
NPI Number | 1780461335 |
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Provider Enumeration Date | 09/08/2023 |
Last Update Date | 02/14/2024 |
Medicare PECOS PAC ID | 7911355532 |
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Medicare Enrollment ID | O20240112003009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780461335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sharon M Haynes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467413013 PECOS PAC ID: 5890864870 Enrollment ID: I20080516000144 |
Provider Name | Shelley Kristina Hannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295983286 PECOS PAC ID: 0840355855 Enrollment ID: I20090206000501 |
Provider Name | Ina Vate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20180618002447 |
Provider Name | Elisabeth Buchanan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356618748 PECOS PAC ID: 4789828526 Enrollment ID: I20191011002687 |
Provider Name | Kayla Lunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982001830 PECOS PAC ID: 9931524303 Enrollment ID: I20200731002060 |
Provider Name | Adeola Babarinde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790062420 PECOS PAC ID: 6709052889 Enrollment ID: I20200922000982 |
Provider Name | Onyinye Ukadike |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447869482 PECOS PAC ID: 8729407846 Enrollment ID: I20200923000979 |
Provider Name | Benitra D Tripp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821637331 PECOS PAC ID: 5890107163 Enrollment ID: I20201209003028 |
Provider Name | Courtney Dorsett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073126231 PECOS PAC ID: 1153741574 Enrollment ID: I20210426001579 |
Provider Name | Mona Ahmad Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811659535 PECOS PAC ID: 8325436660 Enrollment ID: I20211019002711 |
Provider Name | Adamou Chigni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710641410 PECOS PAC ID: 2668865189 Enrollment ID: I20220204002247 |
Provider Name | Mwaba Chisela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710631593 PECOS PAC ID: 0547656753 Enrollment ID: I20220414001566 |
Provider Name | Kewana Craig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063183952 PECOS PAC ID: 1850782327 Enrollment ID: I20230918000490 |
Provider Name | Asana Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699559948 PECOS PAC ID: 6103274816 Enrollment ID: I20231117003239 |
Provider Name | Stacy Rohr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396410163 PECOS PAC ID: 8426455569 Enrollment ID: I20231204000639 |
Provider Name | Shannon Alsop |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003043803 PECOS PAC ID: 7517121742 Enrollment ID: I20240112003393 |
Provider Name | Cheryl Hilton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184677742 PECOS PAC ID: 4082683651 Enrollment ID: I20240116002838 |
Provider Name | Ruby Uwaeme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649617465 PECOS PAC ID: 9436477288 Enrollment ID: I20240222002183 |
Provider Name | Brandii Braelle Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881302883 PECOS PAC ID: 3173965621 Enrollment ID: I20240529002442 |
Provider Name | Sabrina Elien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902373905 PECOS PAC ID: 9133581804 Enrollment ID: I20240627003186 |
Provider Name | Stephanie Carolyn Lumsden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467215707 PECOS PAC ID: 7113461088 Enrollment ID: I20240702002879 |
Provider Name | Hawana Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255949574 PECOS PAC ID: 9638603772 Enrollment ID: I20241112001080 |
Provider Name | Wanda Trotman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891205472 PECOS PAC ID: 1850621806 Enrollment ID: I20241114003502 |
Provider Name | Belinda Larbi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922865815 PECOS PAC ID: 6800322900 Enrollment ID: I20241212003221 |
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