| Idsa, Llc | |
|
1118 Morningside Dr Ste B Perry GA 31069-4949 | |
| (478) 396-8783 | |
| Not Available |
| Full Name | Idsa, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1118 Morningside Dr Ste B, Perry, Georgia |
| Authorized Official Name and Position | Nalini A Patel (OWNER) |
| Authorized Official Contact | 4783968783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idsa, Llc 2929 Watson Blvd St 2 # 341 Warner Robins GA 31093-3612 Ph: (478) 396-8783 | Idsa, Llc 1118 Morningside Dr Ste B Perry GA 31069-4949 Ph: (478) 396-8783 |
| NPI Number | 1447261987 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2062450950 |
|---|---|
| Medicare Enrollment ID | O20050421000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447261987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Georgia) | Primary |
| Provider Name | Nalini A Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659311645 PECOS PAC ID: 1557326659 Enrollment ID: I20041201000103 |
Perry Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-988-0022 Fax: 478-987-0444 | |
Perry Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Wes Park Drive, Perry, GA 31069 Phone: 478-987-2578 Fax: 478-987-2598 | |
Houston Primary Care Associates P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Keith Dr, Suite A, Perry, GA 31069 Phone: 478-987-2556 | |
Middle Georgia Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 Morningside Dr, Perry, GA 31069 Phone: 478-988-3060 Fax: 478-988-3098 | |
Jonathan Velasquez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Morningside Dr, Suite A, Perry, GA 31069 Phone: 478-224-3322 Fax: 478-224-3325 | |
Capstone Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Keith Dr, Perry, GA 31069 Phone: 478-988-1100 Fax: 478-988-8211 |