Geps Physician Group Of Georgia Pc | |
2850 Springdale Rd Sw Atlanta GA 30315-7802 | |
(404) 762-8672 | |
Not Available |
Full Name | Geps Physician Group Of Georgia Pc |
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Speciality | Internal Medicine |
Location | 2850 Springdale Rd Sw, Atlanta, Georgia |
Authorized Official Name and Position | Eric Shapiro (VP/AREA CONTROLLER) |
Authorized Official Contact | 4108327790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geps Physician Group Of Georgia Pc Po Box 42738 Towson MD 21284-2738 Ph: (410) 494-7607 | Geps Physician Group Of Georgia Pc 2850 Springdale Rd Sw Atlanta GA 30315-7802 Ph: (404) 762-8672 |
NPI Number | 1881064467 |
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Provider Enumeration Date | 09/25/2015 |
Last Update Date | 08/05/2019 |
Medicare PECOS PAC ID | 3274842646 |
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Medicare Enrollment ID | O20151026001838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881064467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | James Rogan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982704300 PECOS PAC ID: 5597740217 Enrollment ID: I20040618000574 |
Provider Name | James S Sinclair |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437142320 PECOS PAC ID: 0941224992 Enrollment ID: I20060119000089 |
Provider Name | Sasikanth Doddapaneni |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114940095 PECOS PAC ID: 0345135885 Enrollment ID: I20060828000221 |
Provider Name | Keith M Parmer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629095369 PECOS PAC ID: 0042318818 Enrollment ID: I20070604000141 |
Provider Name | Ann Ward |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1932121282 PECOS PAC ID: 9638277817 Enrollment ID: I20070612000439 |
Provider Name | Anthony V Ditaranto |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1003951591 PECOS PAC ID: 6204974058 Enrollment ID: I20091116000271 |
Provider Name | Eloy Edilberto Diaz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063461051 PECOS PAC ID: 6507770260 Enrollment ID: I20101026000885 |
Provider Name | Carmen P Mohan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770789083 PECOS PAC ID: 6507050622 Enrollment ID: I20101103000307 |
Provider Name | Amar Mohan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578724886 PECOS PAC ID: 5294904991 Enrollment ID: I20110815000745 |
Provider Name | Lizzette Hernaiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669773669 PECOS PAC ID: 0749446888 Enrollment ID: I20120718000388 |
Provider Name | Gregory E Jones |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982832739 PECOS PAC ID: 8820244718 Enrollment ID: I20120808000713 |
Provider Name | Zuhair Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881913309 PECOS PAC ID: 5799919676 Enrollment ID: I20131008001276 |
Provider Name | Latonia Michelle Trawick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912310269 PECOS PAC ID: 1850513383 Enrollment ID: I20141117000995 |
Provider Name | Alexcia N James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003242108 PECOS PAC ID: 8325275472 Enrollment ID: I20150113002143 |
Provider Name | Yoshie Buie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962894436 PECOS PAC ID: 8123331535 Enrollment ID: I20150714002145 |
Provider Name | Rashelle A Tomlinson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437347549 PECOS PAC ID: 1254583297 Enrollment ID: I20150718000039 |
Provider Name | Crystal S Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326443284 PECOS PAC ID: 1153636980 Enrollment ID: I20150821014417 |
Provider Name | Tiffany L Hamilton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144617010 PECOS PAC ID: 8022324516 Enrollment ID: I20150828001198 |
Provider Name | Rose M Delva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831586791 PECOS PAC ID: 7416257902 Enrollment ID: I20151207000895 |
Provider Name | Lisa Munisteri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265887137 PECOS PAC ID: 1355633215 Enrollment ID: I20160713001465 |
Provider Name | William R Lynch |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023260767 PECOS PAC ID: 3274706627 Enrollment ID: I20160921002744 |
Provider Name | Lilian Mugwede |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629580196 PECOS PAC ID: 6002198611 Enrollment ID: I20180518002524 |
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