| Living Well Primary Care, Llc | |
|
12460 Crabapple Rd Ste 202-313 Alpharetta GA 30004-6602 | |
| (404) 819-7660 | |
| (404) 393-7788 |
| Full Name | Living Well Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12460 Crabapple Rd Ste 202-313, Alpharetta, Georgia |
| Authorized Official Name and Position | Lee Pennington Mcnichols (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 4048197660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Primary Care, Llc 12460 Crabapple Rd Ste 202-313 Alpharetta GA 30004-6602 Ph: (404) 819-7660 | Living Well Primary Care, Llc 12460 Crabapple Rd Ste 202-313 Alpharetta GA 30004-6602 Ph: (404) 819-7660 |
| NPI Number | 1013640242 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Medicare PECOS PAC ID | 5799169777 |
|---|---|
| Medicare Enrollment ID | O20220825002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013640242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Faye Vargas Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194707398 PECOS PAC ID: 9830186279 Enrollment ID: I20090211000768 |
| Provider Name | Lee Pennington Mcnichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376034983 PECOS PAC ID: 0648522425 Enrollment ID: I20181005000000 |
James L. Stewart, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Old Alabama Rd, Suite 230, Alpharetta, GA 30022 Phone: 770-740-8550 Fax: 770-740-9338 | |
New Era Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11175 Cicero Drive, Suite 100, Alpharetta, GA 30022 Phone: 678-534-5900 Fax: 678-534-5910 | |
Urgent Care Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 Nocturne Dr Unit 2203, Alpharetta, GA 30009 Phone: 216-731-1919 | |
Milton Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 N Main St, 1100, Alpharetta, GA 30009 Phone: 678-827-9157 Fax: 470-299-6262 | |
Living Healthy Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5755 North Point Parkway, Suite # 89, Alpharetta, GA 30022 Phone: 770-450-4225 | |
Georgia Woundcare Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12895 Keystone Ct, Alpharetta, GA 30009 Phone: 210-379-8553 |