Family Practice Center, P.c. | |
993 Johnson Ferry Rd Ne Bldg F Suite 210 Atlanta GA 30342-1620 | |
(404) 256-1727 | |
(404) 256-0192 |
Full Name | Family Practice Center, P.c. |
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Speciality | Clinic/Center |
Location | 993 Johnson Ferry Rd Ne Bldg F, Atlanta, Georgia |
Authorized Official Name and Position | Felicia Barrette (BILLING MANAGER) |
Authorized Official Contact | 4042561727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Practice Center, P.c. 993 Johnson Ferry Rd Ne # F Suite 210 Atlanta GA 30342-1620 Ph: (404) 256-1727 | Family Practice Center, P.c. 993 Johnson Ferry Rd Ne Bldg F Suite 210 Atlanta GA 30342-1620 Ph: (404) 256-1727 |
NPI Number | 1386763514 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 12/11/2020 |
Medicare PECOS PAC ID | 0840271268 |
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Medicare Enrollment ID | O20040601000183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386763514 | NPI | - | NPPES |
1871027870 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | BL02-00353 (Georgia) | Primary |
Provider Name | Charles S Schramm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447205661 PECOS PAC ID: 1951577113 Enrollment ID: I20120110000537 |
Provider Name | James H Wheeler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619922960 PECOS PAC ID: 0840380010 Enrollment ID: I20120110000586 |
Provider Name | James L Roth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528055589 PECOS PAC ID: 2961427042 Enrollment ID: I20120411000850 |
Provider Name | Tyler Henson Wheeler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912225707 PECOS PAC ID: 8123258084 Enrollment ID: I20140825002032 |
Provider Name | Michael Christopher Kraft |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558657080 PECOS PAC ID: 2668602251 Enrollment ID: I20141210002172 |
Provider Name | Leah Mickelson Macklin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184004103 PECOS PAC ID: 9638469208 Enrollment ID: I20181008000839 |
Provider Name | Bryan D Vo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477903961 PECOS PAC ID: 6406105436 Enrollment ID: I20200107003599 |
Provider Name | Cassandra Jade Barnes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871027870 PECOS PAC ID: 3678844149 Enrollment ID: I20200908003278 |
Provider Name | Justin Kappel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689105850 PECOS PAC ID: 9133498322 Enrollment ID: I20211020002937 |
Provider Name | Stephen Scott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780188276 PECOS PAC ID: 6901291061 Enrollment ID: I20220506001607 |
Provider Name | Lee Ann Rydosz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871282137 PECOS PAC ID: 3870952997 Enrollment ID: I20230707002528 |
Provider Name | Ayesha Niazy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770132698 PECOS PAC ID: 9335523869 Enrollment ID: I20231130000516 |
Provider Name | Grace Baughn Koehler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215564828 PECOS PAC ID: 3971926890 Enrollment ID: I20240108003899 |
Provider Name | Smita Kapoor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477749687 PECOS PAC ID: 3173611134 Enrollment ID: I20240222000193 |
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