Georgia Long Term Care And Consulting | |
1990 Lakeside Pkwy Suite 170 Tucker GA 30084-5884 | |
(770) 938-1757 | |
(770) 938-1759 |
Full Name | Georgia Long Term Care And Consulting |
---|---|
Speciality | Family Medicine |
Location | 1990 Lakeside Pkwy, Tucker, Georgia |
Authorized Official Name and Position | Terence Andrew Frinks (PRESIDENT/CEO) |
Authorized Official Contact | 7709381757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Long Term Care And Consulting Po Box 13003 Atlanta GA 30324-0003 Ph: (770) 938-1757 | Georgia Long Term Care And Consulting 1990 Lakeside Pkwy Suite 170 Tucker GA 30084-5884 Ph: (770) 938-1757 |
NPI Number | 1073562922 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3678589967 |
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Medicare Enrollment ID | O20060223000402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073562922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 051042 (Georgia) | Primary |
Provider Name | Tessa Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245385053 PECOS PAC ID: 0042112658 Enrollment ID: I20040123000688 |
Provider Name | Diana Margaret Whiteman |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1366490419 PECOS PAC ID: 6002719200 Enrollment ID: I20040127000713 |
Provider Name | James Rogan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982704300 PECOS PAC ID: 5597740217 Enrollment ID: I20040618000574 |
Provider Name | Terence Frinks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285761833 PECOS PAC ID: 7719947423 Enrollment ID: I20041018000347 |
Provider Name | Patrick Antoine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427022904 PECOS PAC ID: 1850289695 Enrollment ID: I20051215000060 |
Provider Name | Rhonda D White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922096510 PECOS PAC ID: 2365457843 Enrollment ID: I20060221000247 |
Provider Name | Luella C Wheeler Ikuesan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881611663 PECOS PAC ID: 4385653088 Enrollment ID: I20060407000152 |
Provider Name | Chae Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518916998 PECOS PAC ID: 7416968623 Enrollment ID: I20060531000073 |
Provider Name | Mollie C Headrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336286723 PECOS PAC ID: 6002912284 Enrollment ID: I20070504000060 |
Provider Name | Eugene H Harris |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235344367 PECOS PAC ID: 2062513443 Enrollment ID: I20070730000481 |
Provider Name | Lisa M Rose Cantrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114053345 PECOS PAC ID: 0244318202 Enrollment ID: I20080416000560 |
Provider Name | Andrea Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215107875 PECOS PAC ID: 5698844355 Enrollment ID: I20080521000114 |
Provider Name | Charles F Scott |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063540110 PECOS PAC ID: 2365511961 Enrollment ID: I20080522000407 |
Provider Name | Latonia M Addison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962429605 PECOS PAC ID: 4789684424 Enrollment ID: I20100331000273 |
Provider Name | Carla Yvonne Bedford Dixon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801849716 PECOS PAC ID: 4385608363 Enrollment ID: I20100428000282 |
Provider Name | Cheryl Elizabeth Willingham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548587264 PECOS PAC ID: 7911037403 Enrollment ID: I20100609000842 |
Provider Name | Evon R Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538355078 PECOS PAC ID: 7113016908 Enrollment ID: I20100719000693 |
Provider Name | Roseline A Makinde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902108491 PECOS PAC ID: 5193904506 Enrollment ID: I20110131000831 |
Provider Name | Susanna C Hammontree |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164783080 PECOS PAC ID: 4385891183 Enrollment ID: I20120830000208 |
Provider Name | Songeun Choi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194076539 PECOS PAC ID: 0749435154 Enrollment ID: I20130308000176 |
Provider Name | Deshawnda N Garnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417373531 PECOS PAC ID: 8628291903 Enrollment ID: I20140514002357 |
Provider Name | Denise Tracy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013336759 PECOS PAC ID: 0244450872 Enrollment ID: I20141002002370 |
Provider Name | Qumara Hill-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20141106001255 |
Provider Name | Urielle Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679976799 PECOS PAC ID: 1052633112 Enrollment ID: I20141201001811 |
Provider Name | Millicent L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407994940 PECOS PAC ID: 3971541913 Enrollment ID: I20141219000694 |
Provider Name | Tricia Salmon-anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194120956 PECOS PAC ID: 0547588634 Enrollment ID: I20150422000803 |
Provider Name | Kimberly R Fitzgerald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558765974 PECOS PAC ID: 8628397304 Enrollment ID: I20150430001082 |
Provider Name | Mariana Sirbu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629445192 PECOS PAC ID: 0244540466 Enrollment ID: I20151030000297 |
Provider Name | Tracy L Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811379332 PECOS PAC ID: 4183934045 Enrollment ID: I20151104001817 |
Provider Name | Ama Browne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205207966 PECOS PAC ID: 5395055065 Enrollment ID: I20151109001805 |
Provider Name | Thandeka T Ntuli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386003986 PECOS PAC ID: 4789973942 Enrollment ID: I20160511002805 |
Provider Name | Jeysirine S Telesford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265897540 PECOS PAC ID: 6204114135 Enrollment ID: I20161028000169 |
Provider Name | Marie Nozil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164972188 PECOS PAC ID: 4688954886 Enrollment ID: I20161205002305 |
Provider Name | Sabine Doirin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265982284 PECOS PAC ID: 8921388133 Enrollment ID: I20161205002415 |
Provider Name | Oneika N Rigby-britton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295130763 PECOS PAC ID: 3779865696 Enrollment ID: I20170127002434 |
Provider Name | Ablavi A Agomessou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164885778 PECOS PAC ID: 4385926112 Enrollment ID: I20170131000635 |
Provider Name | Rebecca M Scruggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356893432 PECOS PAC ID: 5496948259 Enrollment ID: I20170222001470 |
Provider Name | Simone Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184176356 PECOS PAC ID: 9739464777 Enrollment ID: I20170314001184 |
Provider Name | Daphne Ray-leverett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700251428 PECOS PAC ID: 9830476522 Enrollment ID: I20170505001750 |
Provider Name | Charlot Guens Louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558816579 PECOS PAC ID: 9032494299 Enrollment ID: I20171102003358 |
Provider Name | Traci Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659871994 PECOS PAC ID: 0840554101 Enrollment ID: I20180514001991 |
Provider Name | Michael U Okenchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013482553 PECOS PAC ID: 1153675012 Enrollment ID: I20181112001373 |
Provider Name | Aminat Babalola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891270443 PECOS PAC ID: 2466796131 Enrollment ID: I20181206001596 |
Provider Name | Janice A Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028639 PECOS PAC ID: 2769727981 Enrollment ID: I20181217001647 |
Provider Name | Yolette Lafontant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205316395 PECOS PAC ID: 9436492568 Enrollment ID: I20190513002466 |
Provider Name | Terrell M Bond |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1336177583 PECOS PAC ID: 4486750205 Enrollment ID: I20190729002641 |
Provider Name | Pearl Amoako |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013482975 PECOS PAC ID: 3678804804 Enrollment ID: I20191018001797 |
Provider Name | Yvanne Jean-obei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417503889 PECOS PAC ID: 0547693541 Enrollment ID: I20191205000985 |
Provider Name | Toni Marie Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821457615 PECOS PAC ID: 4284923285 Enrollment ID: I20191217000861 |
Provider Name | Christiana Ojongnfong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225683626 PECOS PAC ID: 4183058647 Enrollment ID: I20191217001055 |
Provider Name | Inoka A Devapriya |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629463864 PECOS PAC ID: 4183927346 Enrollment ID: I20191230002302 |
Provider Name | Sohna Florence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134770407 PECOS PAC ID: 7214361872 Enrollment ID: I20200107002514 |
Provider Name | Yvona W Butts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144834284 PECOS PAC ID: 8325459381 Enrollment ID: I20201123001750 |
Provider Name | Temeka L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316518475 PECOS PAC ID: 0143493999 Enrollment ID: I20220523001857 |
Provider Name | Liliya Kyrychenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124766282 PECOS PAC ID: 4284014507 Enrollment ID: I20220705001606 |
Provider Name | Elma O Okogba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669017273 PECOS PAC ID: 0244614717 Enrollment ID: I20220901000463 |
Provider Name | Celia S Ivery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508538216 PECOS PAC ID: 9436533726 Enrollment ID: I20220906002383 |
Provider Name | Michael O Pompey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972805315 PECOS PAC ID: 9133591183 Enrollment ID: I20230221001192 |
Provider Name | Alicia Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205536752 PECOS PAC ID: 4789041245 Enrollment ID: I20230530000211 |
Meadows Med Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4426 Hugh Howell Rd, Ste 429, Tucker, GA 30084 Phone: 404-667-9648 | |
N.d. Lien, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4865 Lavista Rd, Suite A, Tucker, GA 30084 Phone: 770-270-0290 Fax: 770-723-0598 | |
Focus Care Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Northlake Pkwy, Tucker, GA 30084 Phone: 770-559-1523 | |
Medical Associates Of Georgia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Montreal Rd, 307, Tucker, GA 30084 Phone: 770-938-5552 Fax: 678-395-7702 | |
Providence Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Northlake Pkwy, Suite 114, Tucker, GA 30084 Phone: 770-939-7477 Fax: 770-939-7750 | |
Executive Medical Associates P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4426 Hugh Howell Rd, Suite B303, Tucker, GA 30084 Phone: 770-572-7574 |