Momentum Primary Care | |
120 Handley Rd #400 Tyrone GA 30290-2177 | |
(404) 597-9523 | |
Not Available |
Full Name | Momentum Primary Care |
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Speciality | Clinic/Center |
Location | 120 Handley Rd, Tyrone, Georgia |
Authorized Official Name and Position | Jared Deraney (OWNER) |
Authorized Official Contact | 4804820934 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Momentum Primary Care Po Box 935719 Atlanta GA 31193-2177 Ph: (678) 430-8478 | Momentum Primary Care 120 Handley Rd #400 Tyrone GA 30290-2177 Ph: (404) 597-9523 |
NPI Number | 1043612922 |
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Provider Enumeration Date | 09/22/2014 |
Last Update Date | 03/26/2021 |
Medicare PECOS PAC ID | 2163722323 |
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Medicare Enrollment ID | O20151120000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043612922 | NPI | - | NPPES |
00469092A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 033776 (Georgia) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Earl C Joyner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851386320 PECOS PAC ID: 9133139868 Enrollment ID: I20060426000222 |
Wingard Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Genesys Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd, Suite 410, Tyrone, GA 30290 Phone: 770-964-5810 Fax: 678-364-1216 | |
Trilogy Wingard Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Jad Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Pmc Long Term Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Greencastle Rd # 2, Tyrone, GA 30290 Phone: 770-487-7807 Fax: 770-487-7619 | |
Summit Health Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290 Phone: 678-430-8478 |