Gainesville Internal Medicine Group Llc | |
667 Lanier Park Dr Gainesville GA 30501-2059 | |
(770) 532-7501 | |
(770) 532-8322 |
Full Name | Gainesville Internal Medicine Group Llc |
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Speciality | Internal Medicine |
Location | 667 Lanier Park Dr, Gainesville, Georgia |
Authorized Official Name and Position | Carla Autry (OFFICE MANAGER) |
Authorized Official Contact | 7705327501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gainesville Internal Medicine Group Llc 667 Lanier Park Dr Gainesville GA 30501-2059 Ph: (770) 532-7501 | Gainesville Internal Medicine Group Llc 667 Lanier Park Dr Gainesville GA 30501-2059 Ph: (770) 532-7501 |
NPI Number | 1588632921 |
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Provider Enumeration Date | 03/10/2006 |
Last Update Date | 08/28/2023 |
Medicare PECOS PAC ID | 5698662435 |
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Medicare Enrollment ID | O20040304000444 |
Identifier | Type | State | Issuer |
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1588632921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cheri O Vachtsevanos |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609844067 PECOS PAC ID: 9638140742 Enrollment ID: I20040803000834 |
Provider Name | Roger Owens |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992774079 PECOS PAC ID: 1052220530 Enrollment ID: I20080429000590 |
Provider Name | Patricia Luree Chapman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407823370 PECOS PAC ID: 8820189947 Enrollment ID: I20140414000197 |
Provider Name | Michelle Marie Ladewig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821447434 PECOS PAC ID: 1052603719 Enrollment ID: I20160718000440 |
William T. Jones, M.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1098 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-532-4517 Fax: 770-503-0267 | |
Dr Johnny J Di Blasi Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Ave, Gainesville, GA 30501 Phone: 904-482-9673 | |
Primary Care Clinics Of Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 370, Gainesville, GA 30501 Phone: 770-536-1004 Fax: 770-536-0905 | |
Hall County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Athens St, Gainesville, GA 30507 Phone: 770-532-5344 | |
Gastroenterology Associates Of Gainesville, P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2324 Limestone Overlook, Gainesville, GA 30501 Phone: 770-536-8109 Fax: 770-536-3203 | |
Annual Wellness Centers Of America Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Mcever Rd, Suite 300, Gainesville, GA 30504 Phone: 770-503-0021 | |
Ortho Sport & Spine Gainesville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 Limestone Cir, Gainesville, GA 30501 Phone: 678-752-7246 |