Mini-med Clinic Of North Georgia in Canton, GA

Mini-med Clinic Of North Georgia is a medicare enrolled primary clinic (Clinic/center) in Canton, Georgia. The current practice location for Mini-med Clinic Of North Georgia is 5113 Holly Springs Parkway, Canton, Georgia. For appointments, you can reach them via phone at (470) 331-3544. The mailing address for Mini-med Clinic Of North Georgia is 5113 Holly Springs Parkway, Canton, Georgia and phone number is (678) 398-9697.

Mini-med Clinic Of North Georgia is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124792106. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (470) 331-3544.

Contact Information

	Mini-med Clinic Of North Georgia
	5113 Holly Springs Parkway Canton GA 30115
	(470) 331-3544
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Mini-med Clinic Of North Georgia
Speciality	Clinic/Center
Location	5113 Holly Springs Parkway, Canton, Georgia
Authorized Official Name and Position	Sophia Kennedy (NURSE PRACTITIONER)
Authorized Official Contact	6783989697
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mini-med Clinic Of North Georgia 5113 Holly Springs Parkway Canton GA 30115 Ph: (678) 398-9697	Mini-med Clinic Of North Georgia 5113 Holly Springs Parkway Canton GA 30115 Ph: (470) 331-3544

NPI Details:

NPI Number	1124792106
Provider Enumeration Date	08/04/2021
Last Update Date	08/27/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	7113316456
Medicare Enrollment ID	O20211108002230

Medical Identifiers

Medical identifiers for Mini-med Clinic Of North Georgia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124792106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mini-med Clinic Of North Georgia acts as a billing entity for following providers:

Provider Name	Sophia A Kennedy
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1811418650 PECOS PAC ID: 7810220993 Enrollment ID: I20190604002131

Reviews and Comments

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Mini-med Clinic Of North Georgia - Medicare Primary Care in Canton, GA