| Family Medical Center P.c. | |
|
5615 Old National Hwy Ste D College Park GA 30349-3817 | |
| (770) 997-2900 | |
| (404) 767-7053 |
| Full Name | Family Medical Center P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5615 Old National Hwy Ste D, College Park, Georgia |
| Authorized Official Name and Position | Sallu Mohamed Jabati (CEO) |
| Authorized Official Contact | 7709972900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center P.c. 5615 Old National Hwy Ste D College Park GA 30349-3817 Ph: (770) 997-2900 | Family Medical Center P.c. 5615 Old National Hwy Ste D College Park GA 30349-3817 Ph: (770) 997-2900 |
| NPI Number | 1184703779 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/16/2015 |
| Medicare PECOS PAC ID | 6002120821 |
|---|---|
| Medicare Enrollment ID | O20150806010871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184703779 | NPI | - | NPPES |
| 058527 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 058527 (Georgia) | Primary |
| Provider Name | Sallu M Jabati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235104431 PECOS PAC ID: 4486683141 Enrollment ID: I20070717000336 |
| Provider Name | Alvis Tederrall Perry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922124106 PECOS PAC ID: 9739250895 Enrollment ID: I20080617000392 |
| Provider Name | Ernest U Amukamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356529101 PECOS PAC ID: 4385719020 Enrollment ID: I20091007000543 |
| Provider Name | Caroline Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184964025 PECOS PAC ID: 2567607989 Enrollment ID: I20130405000317 |
| Provider Name | Christiana C Ezeihekaibee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972952869 PECOS PAC ID: 1850663261 Enrollment ID: I20170821000337 |
| Provider Name | Anna K Sikod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316995 PECOS PAC ID: 7113229428 Enrollment ID: I20170920002566 |
| Provider Name | Catherine B Badru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467972083 PECOS PAC ID: 9335483635 Enrollment ID: I20181127001717 |
Family Medical Center (holding) P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Old National Hwy, College Park, GA 30349 Phone: 770-997-2900 | |
Hospital In Your Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3755 Main St Unit 101, College Park, GA 30337 Phone: 844-690-4494 Fax: 877-716-7831 | |
Aica Orthopedics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Virginia Ave, College Park, GA 30337 Phone: 404-781-2225 Fax: 404-781-2226 | |
Healing Mind And Body Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Godby Rd Ste B200, College Park, GA 30349 Phone: 678-764-8919 | |
Patriot Healthcare Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 Phone: 404-435-6029 | |
College Park Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 John Wesley Ave, College Park, GA 30337 Phone: 770-520-7201 |