H.e.r.o Care Clinic | |
6130 Hotel St Austell GA 30106-4623 | |
(770) 726-3577 | |
(770) 522-6228 |
Full Name | H.e.r.o Care Clinic |
---|---|
Speciality | Clinic/Center |
Location | 6130 Hotel St, Austell, Georgia |
Authorized Official Name and Position | Victoria Randle (PROVIDER) |
Authorized Official Contact | 7707263577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
H.e.r.o Care Clinic 5284 Floyd Rd Sw Unit 842 Mableton GA 30126-6106 Ph: (770) 726-3577 | H.e.r.o Care Clinic 6130 Hotel St Austell GA 30106-4623 Ph: (770) 726-3577 |
NPI Number | 1316643315 |
---|---|
Provider Enumeration Date | 02/01/2023 |
Last Update Date | 03/01/2024 |
Medicare PECOS PAC ID | 0042677296 |
---|---|
Medicare Enrollment ID | O20230605000779 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316643315 | NPI | - | NPPES |
003167991K | Medicaid | GA | |
RN199251 | Other | GA | NP LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Victoria Randle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083083810 PECOS PAC ID: 6002118197 Enrollment ID: I20230710000053 |
Segen Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-939-3301 Fax: 770-939-3331 | |
Nissi Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 105, Austell, GA 30106 Phone: 678-540-7597 Fax: 770-645-9802 | |
Wellstar Internal Medicine Gaim Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Medical Park Dr, Suite 201, Austell, GA 30106 Phone: 770-941-8100 Fax: 770-948-0771 | |
Green Angel Healthcare Consulting, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4760 Austell Rd, Suite #3, Austell, GA 30106 Phone: 404-452-2519 Fax: 678-252-6427 | |
Delta Orthopedics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Mulkey Rd Ste 1314, Austell, GA 30106 Phone: 770-284-3832 | |
Georgia Internal Medicine Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3875 Austell Rd, Suite 101, Austell, GA 30106 Phone: 770-941-8100 Fax: 770-948-0771 | |
South Cobb Ob Gyn 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Hospital South Dr, Austell, GA 30106 Phone: 404-943-0205 |