| Morehouse Healthcare, Inc. | |
|
720 Westview Dr Sw Ste 100 Atlanta GA 30310-1458 | |
| (404) 756-5752 | |
| (404) 756-5274 |
| Full Name | Morehouse Healthcare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 720 Westview Dr Sw Ste 100, Atlanta, Georgia |
| Authorized Official Name and Position | Jasmine S Bajnath (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4047565752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehouse Healthcare, Inc. 720 Westview Dr Sw Ste 100 Atlanta GA 30310-1458 Ph: (404) 756-5752 | Morehouse Healthcare, Inc. 720 Westview Dr Sw Ste 100 Atlanta GA 30310-1458 Ph: (404) 756-5752 |
| NPI Number | 1801832324 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 6002701273 |
|---|---|
| Medicare Enrollment ID | O20040217000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801832324 | NPI | - | NPPES |
| Provider Name | Kenneth F Menchion |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508822776 PECOS PAC ID: 3476457953 Enrollment ID: I20031125000852 |
| Provider Name | Riba C Kelsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326048299 PECOS PAC ID: 9335034180 Enrollment ID: I20040219000579 |
| Provider Name | Frederick O Bright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457340754 PECOS PAC ID: 7911992300 Enrollment ID: I20040415001094 |
| Provider Name | Chukwuma I Onyeije |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336186832 PECOS PAC ID: 1254326234 Enrollment ID: I20040419000840 |
| Provider Name | John Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639273097 PECOS PAC ID: 7214923895 Enrollment ID: I20040421000083 |
| Provider Name | Karla L Booker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144359027 PECOS PAC ID: 5799771333 Enrollment ID: I20040421000473 |
| Provider Name | Geetanjali Vasandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280791 PECOS PAC ID: 5193715191 Enrollment ID: I20040513000022 |
| Provider Name | Judith Carmelle Volcy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528058849 PECOS PAC ID: 6002893971 Enrollment ID: I20040630000162 |
| Provider Name | Harry Shaw Strothers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861492720 PECOS PAC ID: 2860468154 Enrollment ID: I20040908000817 |
| Provider Name | Adefisayo M Oduwole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952301830 PECOS PAC ID: 4385604198 Enrollment ID: I20041015000700 |
| Provider Name | John O Gaston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184757940 PECOS PAC ID: 5193786473 Enrollment ID: I20041020000682 |
| Provider Name | Isadore L Rubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710987920 PECOS PAC ID: 2961481809 Enrollment ID: I20041027000008 |
| Provider Name | Geoffrey Y Ngeny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982699500 PECOS PAC ID: 2365406741 Enrollment ID: I20041116000247 |
| Provider Name | Donald A Culley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548281397 PECOS PAC ID: 1557327202 Enrollment ID: I20041206000216 |
| Provider Name | Barbara J Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487605317 PECOS PAC ID: 9931158607 Enrollment ID: I20050120000057 |
| Provider Name | Syed H Shirazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720087018 PECOS PAC ID: 1557312261 Enrollment ID: I20050209000892 |
| Provider Name | Deirdre A Evans-cosby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124029798 PECOS PAC ID: 3476505249 Enrollment ID: I20050221000352 |
| Provider Name | Anne K Wiskind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972539146 PECOS PAC ID: 7618924655 Enrollment ID: I20050404000238 |
| Provider Name | Franklyn H Geary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346249273 PECOS PAC ID: 3072560846 Enrollment ID: I20050404000799 |
| Provider Name | Evelyn A Reynolds |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265465140 PECOS PAC ID: 9931145109 Enrollment ID: I20050629000000 |
| Provider Name | Adesoji E Oderinde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972503860 PECOS PAC ID: 1951338110 Enrollment ID: I20050720000371 |
| Provider Name | Aaron M Alford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871689653 PECOS PAC ID: 9739118886 Enrollment ID: I20050809000415 |
| Provider Name | Carla E Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902823784 PECOS PAC ID: 2860381894 Enrollment ID: I20050823000741 |
| Provider Name | Kimberly S Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649270869 PECOS PAC ID: 6709817257 Enrollment ID: I20050825000053 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770506867 PECOS PAC ID: 9830120948 Enrollment ID: I20050829000770 |
| Provider Name | Cassandra R Treadway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689894883 PECOS PAC ID: 3577581958 Enrollment ID: I20051103000926 |
| Provider Name | Marshaleen N.h King |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558347807 PECOS PAC ID: 2961424486 Enrollment ID: I20051228000156 |
| Provider Name | Vonda R Ware |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144286865 PECOS PAC ID: 4587687850 Enrollment ID: I20060112000601 |
| Provider Name | Richard I Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770573552 PECOS PAC ID: 6002830114 Enrollment ID: I20060117000238 |
| Provider Name | Carmen Josefa Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871593764 PECOS PAC ID: 8325062284 Enrollment ID: I20060119000009 |
| Provider Name | Michael Flood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437182391 PECOS PAC ID: 3678588514 Enrollment ID: I20060214000009 |
| Provider Name | Anekwe E Onwuanyi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336140904 PECOS PAC ID: 8224049747 Enrollment ID: I20060518000047 |
| Provider Name | Sarah E Herbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619977501 PECOS PAC ID: 5890707327 Enrollment ID: I20060626000169 |
| Provider Name | Terri S Chambers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154353365 PECOS PAC ID: 9234142043 Enrollment ID: I20060721000188 |
| Provider Name | Oluranti Adelek Aladesanmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891899449 PECOS PAC ID: 3870503576 Enrollment ID: I20061121000525 |
| Provider Name | Balsam S Elhammali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215037205 PECOS PAC ID: 8022018035 Enrollment ID: I20061221000433 |
| Provider Name | Tamer Y Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225115298 PECOS PAC ID: 8921994021 Enrollment ID: I20070102000292 |
| Provider Name | Leslie Matthews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467431916 PECOS PAC ID: 5597679811 Enrollment ID: I20070501000037 |
| Provider Name | Lawrence Donald Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760430003 PECOS PAC ID: 2860598653 Enrollment ID: I20070515000139 |
| Provider Name | Kirstie Donnyelle Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376703975 PECOS PAC ID: 7012001647 Enrollment ID: I20070913000352 |
| Provider Name | Cinnamon D Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467598953 PECOS PAC ID: 6507950839 Enrollment ID: I20070918000355 |
| Provider Name | Priscilla E Igho-pemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295735165 PECOS PAC ID: 9931296696 Enrollment ID: I20071029000350 |
| Provider Name | Dominic H Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866948 PECOS PAC ID: 4880784016 Enrollment ID: I20071212000248 |
| Provider Name | Dolapo Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083809495 PECOS PAC ID: 1254411176 Enrollment ID: I20080104000464 |
| Provider Name | Mary D Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326228891 PECOS PAC ID: 4880777101 Enrollment ID: I20080211000223 |
| Provider Name | Cecilia O Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649315417 PECOS PAC ID: 3274619853 Enrollment ID: I20080324000154 |
| Provider Name | Tawian M Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538167119 PECOS PAC ID: 6800975111 Enrollment ID: I20080512000096 |
| Provider Name | Khadeja J Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003088642 PECOS PAC ID: 0143390039 Enrollment ID: I20080604000326 |
| Provider Name | Mitzi Joi Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356461248 PECOS PAC ID: 3476624669 Enrollment ID: I20080616000398 |
| Provider Name | Diane M Dennis-griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083712673 PECOS PAC ID: 7113099748 Enrollment ID: I20080626000365 |
| Provider Name | Marilyn G Foreman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427058304 PECOS PAC ID: 2062584345 Enrollment ID: I20080701000475 |
| Provider Name | Leonard Nana Gyebi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710160023 PECOS PAC ID: 5193801942 Enrollment ID: I20080701000514 |
| Provider Name | Stephanie Lynn Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689625535 PECOS PAC ID: 1951365824 Enrollment ID: I20080703000501 |
| Provider Name | Robert L Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922059971 PECOS PAC ID: 7214001460 Enrollment ID: I20080806000079 |
| Provider Name | Renee S Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578749883 PECOS PAC ID: 6901970078 Enrollment ID: I20080807000271 |
| Provider Name | Cheryl Franklin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679571277 PECOS PAC ID: 0143396465 Enrollment ID: I20080910000030 |
| Provider Name | Harold G Stringer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023018991 PECOS PAC ID: 4385712793 Enrollment ID: I20081010000711 |
| Provider Name | Victor J Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548260458 PECOS PAC ID: 4880767763 Enrollment ID: I20081021000690 |
| Provider Name | Chinedu C Ivonye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811997356 PECOS PAC ID: 4183782576 Enrollment ID: I20081029000719 |
| Provider Name | Jamil Ayanna Harp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619149515 PECOS PAC ID: 4082774070 Enrollment ID: I20081120000563 |
| Provider Name | Omar Danner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770610115 PECOS PAC ID: 1355318957 Enrollment ID: I20090112000457 |
| Provider Name | Aysha Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982725594 PECOS PAC ID: 4587713631 Enrollment ID: I20090519000577 |
| Provider Name | Elvan C Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740276328 PECOS PAC ID: 5496809469 Enrollment ID: I20090811000398 |
| Provider Name | Chevon Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033383773 PECOS PAC ID: 2466594445 Enrollment ID: I20100129000112 |
| Provider Name | Harry J Heiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437282118 PECOS PAC ID: 4486798154 Enrollment ID: I20100218000417 |
| Provider Name | Claudia Fotzeu Toukam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962674143 PECOS PAC ID: 4082741947 Enrollment ID: I20100423000739 |
| Provider Name | Dion S Metzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609050541 PECOS PAC ID: 4082746854 Enrollment ID: I20100714000020 |
| Provider Name | Jennifer E Rooke |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1720114978 PECOS PAC ID: 3678605458 Enrollment ID: I20100714000223 |
| Provider Name | D'nyce Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245231166 PECOS PAC ID: 0749313740 Enrollment ID: I20100728000146 |
| Provider Name | Farzana Bharmal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548260425 PECOS PAC ID: 8527183003 Enrollment ID: I20100921001021 |
| Provider Name | Kiwita S Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548432289 PECOS PAC ID: 5890811988 Enrollment ID: I20100927000437 |
| Provider Name | Ifeoma Nnaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295830701 PECOS PAC ID: 8325149172 Enrollment ID: I20101014000162 |
| Provider Name | Morohunfolu Akinnusi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1356334668 PECOS PAC ID: 8022080530 Enrollment ID: I20101022000764 |
| Provider Name | Paul Lawrence Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053410357 PECOS PAC ID: 4981897634 Enrollment ID: I20101026000820 |
| Provider Name | Marvin L Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119912 PECOS PAC ID: 8123212404 Enrollment ID: I20101101000227 |
| Provider Name | Carter Go Co |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164547022 PECOS PAC ID: 3072708775 Enrollment ID: I20101108000792 |
| Provider Name | Nkechi M Mbaezue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174523690 PECOS PAC ID: 0749476018 Enrollment ID: I20101129000529 |
| Provider Name | Afolake O Mobolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144535576 PECOS PAC ID: 8123215050 Enrollment ID: I20101204000004 |
| Provider Name | George Staben Rust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346376308 PECOS PAC ID: 9234326919 Enrollment ID: I20101207000724 |
| Provider Name | Chamberlain Obialo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881694529 PECOS PAC ID: 9830386465 Enrollment ID: I20101208001328 |
| Provider Name | Abraham Oyewo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437141389 PECOS PAC ID: 9032306477 Enrollment ID: I20101210000131 |
| Provider Name | Jolene A Lowery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265496392 PECOS PAC ID: 3678640802 Enrollment ID: I20101216000537 |
| Provider Name | Tracey Greene-johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477571081 PECOS PAC ID: 4880600451 Enrollment ID: I20101222000531 |
| Provider Name | Kitty Carter-wicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043210974 PECOS PAC ID: 7719175280 Enrollment ID: I20101228000339 |
| Provider Name | Yuan-xiang Meng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523039 PECOS PAC ID: 1850589342 Enrollment ID: I20101228000553 |
| Provider Name | Michelle L Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760482780 PECOS PAC ID: 7517156516 Enrollment ID: I20110106000359 |
| Provider Name | Gregory Strayhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528068194 PECOS PAC ID: 6204025224 Enrollment ID: I20110106000528 |
| Provider Name | Sarah Y Vinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467628974 PECOS PAC ID: 0446449797 Enrollment ID: I20110118000959 |
| Provider Name | Rao S Mikkilineni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235130808 PECOS PAC ID: 1254510027 Enrollment ID: I20110125001236 |
| Provider Name | David Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194725093 PECOS PAC ID: 2860671484 Enrollment ID: I20110127000670 |
| Provider Name | Jonathan Nwiloh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20110131000249 |
| Provider Name | Shalandra R Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215109137 PECOS PAC ID: 5092995738 Enrollment ID: I20110211000634 |
| Provider Name | Roger Pancoast Simon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740205889 PECOS PAC ID: 5193906188 Enrollment ID: I20110223001238 |
| Provider Name | Lara Frye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750569083 PECOS PAC ID: 0244412831 Enrollment ID: I20110302000825 |
| Provider Name | Roland Matthews |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1366442253 PECOS PAC ID: 4385826445 Enrollment ID: I20110310000407 |
| Provider Name | Folashade S Omole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841290707 PECOS PAC ID: 2567644552 Enrollment ID: I20110311000764 |
| Provider Name | Eric Flenaugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689674566 PECOS PAC ID: 4284816083 Enrollment ID: I20110316000275 |
| Provider Name | Myra E Rose |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346240231 PECOS PAC ID: 5799968343 Enrollment ID: I20110321000350 |
| Provider Name | Gloria E Westney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104826650 PECOS PAC ID: 9032392519 Enrollment ID: I20110321000746 |
| Provider Name | Ngozi Anachebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558361774 PECOS PAC ID: 1254515901 Enrollment ID: I20110405000666 |
| Provider Name | Mesfin G Fransua |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447250337 PECOS PAC ID: 4880878313 Enrollment ID: I20110407000749 |
| Provider Name | Ramaseshu P Sarma |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1124038229 PECOS PAC ID: 4183808207 Enrollment ID: I20110413000759 |
| Provider Name | Janice Herbert Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306846233 PECOS PAC ID: 7113103441 Enrollment ID: I20110520000222 |
| Provider Name | Valens M Plummer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528068467 PECOS PAC ID: 3072791946 Enrollment ID: I20110623000223 |
| Provider Name | Sujata Bhowmik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366442238 PECOS PAC ID: 9537347414 Enrollment ID: I20110623000358 |
| Provider Name | Denise Bell-carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467452680 PECOS PAC ID: 4789852070 Enrollment ID: I20110712000118 |
| Provider Name | Glenda Wrenn Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750447496 PECOS PAC ID: 6406943646 Enrollment ID: I20110726000071 |
| Provider Name | Tiffany Cooke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386853547 PECOS PAC ID: 8224208301 Enrollment ID: I20110829000092 |
| Provider Name | Hafiz E Fadl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154567972 PECOS PAC ID: 3375716889 Enrollment ID: I20111028000225 |
| Provider Name | Derrick J. Beech |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326015546 PECOS PAC ID: 5799713590 Enrollment ID: I20111031000680 |
| Provider Name | Joel A Okoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467451393 PECOS PAC ID: 4981877800 Enrollment ID: I20111109000159 |
| Provider Name | Beverly D Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609849843 PECOS PAC ID: 4082887948 Enrollment ID: I20111109000675 |
| Provider Name | Marc S Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861596058 PECOS PAC ID: 4981685005 Enrollment ID: I20111110000665 |
| Provider Name | Lawrence Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194705590 PECOS PAC ID: 6507030228 Enrollment ID: I20111115000583 |
| Provider Name | Arthur B Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295714574 PECOS PAC ID: 1355515008 Enrollment ID: I20111116000055 |
| Provider Name | Elizabeth O Ofili |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275528846 PECOS PAC ID: 9436323847 Enrollment ID: I20111122000121 |
| Provider Name | Feyi M Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457318446 PECOS PAC ID: 0143214494 Enrollment ID: I20111209000454 |
| Provider Name | Kanika Michelle Sims |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366637241 PECOS PAC ID: 0941332167 Enrollment ID: I20111209000508 |
| Provider Name | Larry L Hobson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235177387 PECOS PAC ID: 4880851120 Enrollment ID: I20120130000260 |
| Provider Name | Imran A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982865176 PECOS PAC ID: 3779755392 Enrollment ID: I20120320000710 |
| Provider Name | Ed Childs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144280116 PECOS PAC ID: 7012059793 Enrollment ID: I20120321000674 |
| Provider Name | Marisa Chavez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932344207 PECOS PAC ID: 5395906127 Enrollment ID: I20120423000071 |
| Provider Name | Aalok Chandora |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164625158 PECOS PAC ID: 6204098833 Enrollment ID: I20120427000171 |
| Provider Name | Richard Herschel Snyder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275500472 PECOS PAC ID: 5395840060 Enrollment ID: I20120510000495 |
| Provider Name | Kyra Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871552968 PECOS PAC ID: 8022292549 Enrollment ID: I20120806000408 |
| Provider Name | Nicolas Bakinde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932336617 PECOS PAC ID: 9931355724 Enrollment ID: I20120809000929 |
| Provider Name | Marietta H Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326108192 PECOS PAC ID: 4981850690 Enrollment ID: I20120813000674 |
| Provider Name | Nirupama A Natarajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942411251 PECOS PAC ID: 4486800083 Enrollment ID: I20120815000176 |
| Provider Name | Susan Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346478732 PECOS PAC ID: 0840446258 Enrollment ID: I20120816000893 |
| Provider Name | Alexis T Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093079477 PECOS PAC ID: 3375790645 Enrollment ID: I20120822000442 |
| Provider Name | Shaneeta Monique Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093995334 PECOS PAC ID: 4486712254 Enrollment ID: I20120919000446 |
| Provider Name | Jason Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518193317 PECOS PAC ID: 2668621855 Enrollment ID: I20121003000455 |
| Provider Name | Bakari E Vickerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437310380 PECOS PAC ID: 9436308673 Enrollment ID: I20121004000095 |
| Provider Name | Jalal K Ghali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083638274 PECOS PAC ID: 2567465503 Enrollment ID: I20121022000380 |
| Provider Name | Nnamdi K Nwaohiri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467615120 PECOS PAC ID: 5597915801 Enrollment ID: I20121023000302 |
| Provider Name | Barbara L Mcmillan-persaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831186857 PECOS PAC ID: 6103077078 Enrollment ID: I20121127000564 |
| Provider Name | Cornelius C Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710265145 PECOS PAC ID: 2062664709 Enrollment ID: I20121204000362 |
| Provider Name | Sanjay R Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619919750 PECOS PAC ID: 0840296554 Enrollment ID: I20121220000427 |
| Provider Name | Clarence Clark |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1952582397 PECOS PAC ID: 3274725973 Enrollment ID: I20130102000483 |
| Provider Name | Madeline Sutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811033327 PECOS PAC ID: 4183878960 Enrollment ID: I20130201000165 |
| Provider Name | Ijeoma C Azonobi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265609424 PECOS PAC ID: 6305091943 Enrollment ID: I20130305000053 |
| Provider Name | Yohannes W Endeshaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831157668 PECOS PAC ID: 3476742818 Enrollment ID: I20130307000397 |
| Provider Name | Tricia W Thackston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136593 PECOS PAC ID: 9638317258 Enrollment ID: I20130521000229 |
| Provider Name | Claire Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326369331 PECOS PAC ID: 5799924437 Enrollment ID: I20130610000640 |
| Provider Name | Nicole Ash-mapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497726822 PECOS PAC ID: 0840439691 Enrollment ID: I20130626000927 |
| Provider Name | Smitha M John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972815777 PECOS PAC ID: 2466692991 Enrollment ID: I20130705000459 |
| Provider Name | Stacy D Dougherty-welch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275769135 PECOS PAC ID: 3274774849 Enrollment ID: I20130724000152 |
| Provider Name | Jacquelyn S Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467614982 PECOS PAC ID: 2062653017 Enrollment ID: I20130802000448 |
| Provider Name | Elizabeth J May |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841238904 PECOS PAC ID: 8022040401 Enrollment ID: I20130808000140 |
| Provider Name | Aasia Bashir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225344369 PECOS PAC ID: 6507008844 Enrollment ID: I20130815000461 |
| Provider Name | Keren A Bashan-gilzenrat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700047784 PECOS PAC ID: 7012159197 Enrollment ID: I20130820000830 |
| Provider Name | Nicole King Cotton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760641591 PECOS PAC ID: 1759525561 Enrollment ID: I20130918000080 |
| Provider Name | April C Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649612193 PECOS PAC ID: 9931333598 Enrollment ID: I20131014001840 |
| Provider Name | Dzifa S Kpodzo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841358629 PECOS PAC ID: 4183882608 Enrollment ID: I20131015001559 |
| Provider Name | Yasir M Taha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083928279 PECOS PAC ID: 0143455972 Enrollment ID: I20131101000058 |
| Provider Name | Monifa S Seawell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689834285 PECOS PAC ID: 7911154562 Enrollment ID: I20131105000676 |
| Provider Name | Desiree M Mccarthy Keith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063474856 PECOS PAC ID: 0244281400 Enrollment ID: I20131204000801 |
| Provider Name | Giuseppe Delpriore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497828644 PECOS PAC ID: 3072550227 Enrollment ID: I20140203001725 |
| Provider Name | Lynne Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730281189 PECOS PAC ID: 9931323151 Enrollment ID: I20140610000180 |
| Provider Name | Frederick Cason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073510772 PECOS PAC ID: 6901840370 Enrollment ID: I20140618001419 |
| Provider Name | Koreen Brenda Joy Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932535275 PECOS PAC ID: 2860618790 Enrollment ID: I20140729001715 |
| Provider Name | Nicola C Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164465985 PECOS PAC ID: 3971720582 Enrollment ID: I20140805002145 |
| Provider Name | Kencliffe Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861785347 PECOS PAC ID: 5395964027 Enrollment ID: I20140911001528 |
| Provider Name | Lawrence Eugene Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962633164 PECOS PAC ID: 3476773417 Enrollment ID: I20140925001539 |
| Provider Name | Lori Singleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902122153 PECOS PAC ID: 3971725235 Enrollment ID: I20141121000458 |
| Provider Name | Chantal Navalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608654 PECOS PAC ID: 2365756616 Enrollment ID: I20150731014711 |
| Provider Name | Christine T Charaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962795237 PECOS PAC ID: 1052627627 Enrollment ID: I20150826002839 |
| Provider Name | Hedwige Saint-louis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568487080 PECOS PAC ID: 8123083474 Enrollment ID: I20150827001727 |
| Provider Name | Velair Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851611214 PECOS PAC ID: 4385863646 Enrollment ID: I20151103001849 |
| Provider Name | Yvonne Hewitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851720155 PECOS PAC ID: 0840500740 Enrollment ID: I20151104003191 |
| Provider Name | Anne Gaglioti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699977751 PECOS PAC ID: 2961589676 Enrollment ID: I20151125001773 |
| Provider Name | Dokun Tobi Dairo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508017906 PECOS PAC ID: 1850556309 Enrollment ID: I20151222001360 |
| Provider Name | Yvonka D Crenshaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164605010 PECOS PAC ID: 0143522904 Enrollment ID: I20160111001911 |
| Provider Name | Walkitria Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295096964 PECOS PAC ID: 1355598004 Enrollment ID: I20160317001644 |
| Provider Name | Uzoma Okeiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841669884 PECOS PAC ID: 8628377199 Enrollment ID: I20160504002351 |
| Provider Name | Jasmine Pugh Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316974447 PECOS PAC ID: 3577652569 Enrollment ID: I20160623001562 |
| Provider Name | Olawunmi Ogun-semore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287283 PECOS PAC ID: 6002101946 Enrollment ID: I20160817000921 |
| Provider Name | Isioma C Okwumabua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942520192 PECOS PAC ID: 7517253024 Enrollment ID: I20160913000637 |
| Provider Name | Rocio C Guzman-king |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457604712 PECOS PAC ID: 6204122583 Enrollment ID: I20160913001436 |
| Provider Name | Assad Taha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295035210 PECOS PAC ID: 2163694449 Enrollment ID: I20161109002685 |
| Provider Name | Shawn L Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801298088 PECOS PAC ID: 8921387283 Enrollment ID: I20161109002785 |
| Provider Name | Jonathan Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285945428 PECOS PAC ID: 5991084915 Enrollment ID: I20161116000051 |
| Provider Name | Nekelisha Prayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467816298 PECOS PAC ID: 5597044529 Enrollment ID: I20161116000284 |
| Provider Name | Maya L Eady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505778 PECOS PAC ID: 9931338365 Enrollment ID: I20161116000831 |
| Provider Name | Kamal Nayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679918742 PECOS PAC ID: 4284936238 Enrollment ID: I20161221000412 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275078529 PECOS PAC ID: 1052695731 Enrollment ID: I20170223002051 |
| Provider Name | Leslie Joan King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700203130 PECOS PAC ID: 9335372655 Enrollment ID: I20170426000970 |
| Provider Name | Saladin Alex Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659347359 PECOS PAC ID: 0345154639 Enrollment ID: I20170516001991 |
| Provider Name | Diana L Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720159692 PECOS PAC ID: 2264512318 Enrollment ID: I20170609001869 |
| Provider Name | Roshondra L Hambrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375171 PECOS PAC ID: 2860760139 Enrollment ID: I20170612000329 |
| Provider Name | Raimot Md Olanrewaju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891086542 PECOS PAC ID: 9931477726 Enrollment ID: I20170620001944 |
| Provider Name | Shaila E Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689963670 PECOS PAC ID: 7315252103 Enrollment ID: I20170711000966 |
| Provider Name | Oghenerukevwe Odiete |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265758502 PECOS PAC ID: 1658540059 Enrollment ID: I20170714002676 |
| Provider Name | Ashley L Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790128486 PECOS PAC ID: 0941506794 Enrollment ID: I20170719003707 |
| Provider Name | Pramod Pantangi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457667602 PECOS PAC ID: 5890068779 Enrollment ID: I20170829003196 |
| Provider Name | Brittany Torke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023406147 PECOS PAC ID: 8325313547 Enrollment ID: I20171013000827 |
| Provider Name | Sri Lakshmi Sudha Kollepara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326351834 PECOS PAC ID: 7113217720 Enrollment ID: I20171117001744 |
| Provider Name | Poorvi S Chordia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801028337 PECOS PAC ID: 9234357120 Enrollment ID: I20171129002460 |
| Provider Name | Fatima Elizabeth Kasiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750680278 PECOS PAC ID: 3779841259 Enrollment ID: I20171212000666 |
| Provider Name | Paula Gertrude Adamson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194163105 PECOS PAC ID: 6507160876 Enrollment ID: I20180503001877 |
| Provider Name | Kahdi Udobi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205935624 PECOS PAC ID: 8921131897 Enrollment ID: I20180524002960 |
| Provider Name | Sheril Kalarithara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073803474 PECOS PAC ID: 5698020626 Enrollment ID: I20180615001003 |
| Provider Name | Shequila A Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134668122 PECOS PAC ID: 6800141391 Enrollment ID: I20180625003030 |
| Provider Name | Austin Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457642530 PECOS PAC ID: 4284989609 Enrollment ID: I20180626000683 |
| Provider Name | Shaakira A Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518457449 PECOS PAC ID: 0749536688 Enrollment ID: I20180706000636 |
| Provider Name | Chantale O Branson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538428826 PECOS PAC ID: 3678705779 Enrollment ID: I20180710000944 |
| Provider Name | Harrison Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750899738 PECOS PAC ID: 0143576827 Enrollment ID: I20180711001046 |
| Provider Name | Laura Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386938173 PECOS PAC ID: 0042566606 Enrollment ID: I20180712000423 |
| Provider Name | Benedicta N Okoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922453117 PECOS PAC ID: 3577852904 Enrollment ID: I20180713000021 |
| Provider Name | Michael Joseph Romano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255413779 PECOS PAC ID: 5991778664 Enrollment ID: I20180713001394 |
| Provider Name | Omayma Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629462007 PECOS PAC ID: 2062714223 Enrollment ID: I20180725001998 |
| Provider Name | Kmarie King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710951710 PECOS PAC ID: 8123050655 Enrollment ID: I20180726002626 |
| Provider Name | Onyekachi Sunny Onyeabor |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467864694 PECOS PAC ID: 3779859996 Enrollment ID: I20180730000701 |
| Provider Name | Ebba K Ebba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609857341 PECOS PAC ID: 6305104431 Enrollment ID: I20180730001749 |
| Provider Name | Keila Simmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811307929 PECOS PAC ID: 9537384466 Enrollment ID: I20180803000459 |
| Provider Name | Yolanda H Wimberly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396745279 PECOS PAC ID: 8820340862 Enrollment ID: I20181002003639 |
| Provider Name | Marissa Benn Lapedis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023495769 PECOS PAC ID: 6002168663 Enrollment ID: I20181009002253 |
| Provider Name | Echezona Edozie Ezeanolue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598743254 PECOS PAC ID: 4183659907 Enrollment ID: I20181128001276 |
| Provider Name | Sonja Suzzete Hutchins |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1871016592 PECOS PAC ID: 7012251036 Enrollment ID: I20181203001311 |
| Provider Name | Mario Carlos Ponce Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386930105 PECOS PAC ID: 0042513806 Enrollment ID: I20181203002190 |
| Provider Name | Lillianne Marie Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972869774 PECOS PAC ID: 2860737285 Enrollment ID: I20181212003725 |
| Provider Name | Ganiat Adeogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801282884 PECOS PAC ID: 9931403169 Enrollment ID: I20181217001140 |
| Provider Name | Melvin Ray Echols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962410746 PECOS PAC ID: 0244333482 Enrollment ID: I20181218001216 |
| Provider Name | Kevin D Mason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427094549 PECOS PAC ID: 2163712944 Enrollment ID: I20190117001190 |
| Provider Name | Kimberly E Miller-hammond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164665428 PECOS PAC ID: 7517289846 Enrollment ID: I20190117003507 |
| Provider Name | Latasha Bogues |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235395302 PECOS PAC ID: 9537452446 Enrollment ID: I20190129000850 |
| Provider Name | Suman Jana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316041635 PECOS PAC ID: 6103872411 Enrollment ID: I20190130000788 |
| Provider Name | Richard Sola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801115530 PECOS PAC ID: 4284926999 Enrollment ID: I20190201002359 |
| Provider Name | Laqunita Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073091831 PECOS PAC ID: 4880936020 Enrollment ID: I20190508002040 |
| Provider Name | Ewalola Ijaduola |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306193016 PECOS PAC ID: 4789995929 Enrollment ID: I20190606000972 |
| Provider Name | Marche' Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114380755 PECOS PAC ID: 8426382268 Enrollment ID: I20190627001006 |
| Provider Name | Brandon V Henry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710207022 PECOS PAC ID: 7315273802 Enrollment ID: I20190722001110 |
| Provider Name | Alejandro Shepard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902268717 PECOS PAC ID: 9931435138 Enrollment ID: I20190725002261 |
| Provider Name | Christine Aisha Castater |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306264601 PECOS PAC ID: 4385923119 Enrollment ID: I20190808002226 |
| Provider Name | Roselyn Marie Hicks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376501957 PECOS PAC ID: 7911034186 Enrollment ID: I20190814001697 |
| Provider Name | Olatunde Synthia Olatunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316455066 PECOS PAC ID: 6103155023 Enrollment ID: I20190830003002 |
| Provider Name | Regina Lee Leonis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093074486 PECOS PAC ID: 7618279910 Enrollment ID: I20190918001795 |
| Provider Name | Tulani K Washington Plaskett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504279 PECOS PAC ID: 9830429620 Enrollment ID: I20190920001629 |
| Provider Name | Emily Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457748436 PECOS PAC ID: 3274835517 Enrollment ID: I20190920002910 |
| Provider Name | Thomas William Oden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275858193 PECOS PAC ID: 0345556148 Enrollment ID: I20190928000034 |
| Provider Name | Jason Norberto Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184062275 PECOS PAC ID: 9931320124 Enrollment ID: I20191007000493 |
| Provider Name | Caroline C Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104060144 PECOS PAC ID: 6204170129 Enrollment ID: I20191010001853 |
| Provider Name | Lakesha A Tables |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962518217 PECOS PAC ID: 6305844606 Enrollment ID: I20191024000496 |
| Provider Name | Joline Frances Milord |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174172480 PECOS PAC ID: 8527390566 Enrollment ID: I20191024002036 |
| Provider Name | Sher Lynn Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619037637 PECOS PAC ID: 8426481623 Enrollment ID: I20191202001255 |
| Provider Name | Omofolarin Babatunji Fasuyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104260090 PECOS PAC ID: 1557663812 Enrollment ID: I20191209000951 |
| Provider Name | Maria Harsha Wusu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760828891 PECOS PAC ID: 6901038827 Enrollment ID: I20191211001312 |
| Provider Name | Eric Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856674 PECOS PAC ID: 8022304534 Enrollment ID: I20191211003142 |
| Provider Name | Gloria S Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700266020 PECOS PAC ID: 2062787542 Enrollment ID: I20191217000729 |
| Provider Name | Sherline Sauveur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023666138 PECOS PAC ID: 5092149344 Enrollment ID: I20191219002987 |
| Provider Name | Lauren Casey Flowers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245881770 PECOS PAC ID: 9133555741 Enrollment ID: I20200130000437 |
| Provider Name | Randolph W Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386820553 PECOS PAC ID: 5597920561 Enrollment ID: I20200422000571 |
| Provider Name | Heather Skanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878136 PECOS PAC ID: 2264734557 Enrollment ID: I20200528003351 |
| Provider Name | Patricia Ayoung-chee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306036322 PECOS PAC ID: 0749421949 Enrollment ID: I20200618003185 |
| Provider Name | Chermeia Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518491554 PECOS PAC ID: 9032473749 Enrollment ID: I20200708001583 |
| Provider Name | Erica Sutton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497870174 PECOS PAC ID: 9133259526 Enrollment ID: I20200731002692 |
| Provider Name | Christina Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003267790 PECOS PAC ID: 7810281607 Enrollment ID: I20200811001335 |
| Provider Name | Julia J Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932165222 PECOS PAC ID: 3971490343 Enrollment ID: I20201124002318 |
| Provider Name | Roger Berkow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528055753 PECOS PAC ID: 0840427597 Enrollment ID: I20201130002955 |
| Provider Name | Trisha Alyssa Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801419270 PECOS PAC ID: 0941612055 Enrollment ID: I20201215000509 |
| Provider Name | Oluwole Akinrinola Akintayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264134 PECOS PAC ID: 8224272059 Enrollment ID: I20210526002044 |
| Provider Name | Jessica Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356703755 PECOS PAC ID: 3577851971 Enrollment ID: I20210719002754 |
| Provider Name | Rebecca Gwynn Creel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164953691 PECOS PAC ID: 6406129998 Enrollment ID: I20210726002769 |
| Provider Name | Esther Jing-hin Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215681473 PECOS PAC ID: 3173917713 Enrollment ID: I20220225000366 |
| Provider Name | Macy A Mcnair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922568104 PECOS PAC ID: 6002271293 Enrollment ID: I20230421001604 |
| Provider Name | David E Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225667546 PECOS PAC ID: 9133575665 Enrollment ID: I20231019002379 |
| Provider Name | Uma Menon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629289319 PECOS PAC ID: 4082809686 Enrollment ID: I20231103000394 |
| Provider Name | Myah Maria-nelson Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598127193 PECOS PAC ID: 0941578116 Enrollment ID: I20231106002149 |
| Provider Name | Hadeel Zeidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396206579 PECOS PAC ID: 7618324880 Enrollment ID: I20231109000427 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |