| Nova Medical Services, Llc | |
|
20 Herrell Rd Villa Rica GA 30180-5527 | |
| (770) 726-7460 | |
| Not Available |
| Full Name | Nova Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Herrell Rd, Villa Rica, Georgia |
| Authorized Official Name and Position | Richard Glass (DIRECTOR) |
| Authorized Official Contact | 7708123928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Services, Llc Po Box 1149 Villa Rica GA 30180-6149 Ph: () - | Nova Medical Services, Llc 20 Herrell Rd Villa Rica GA 30180-5527 Ph: (770) 726-7460 |
| NPI Number | 1144784679 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 5395151922 |
|---|---|
| Medicare Enrollment ID | O20210305002236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144784679 | NPI | - | NPPES |
| 003228138A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Glass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780820753 PECOS PAC ID: 0547314924 Enrollment ID: I20090819000703 |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Moores Ferry Rd Ste D, Villa Rica, GA 30180 Phone: 678-840-8881 Fax: 678-840-8885 | |
Ejese Urgent Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Commons Way Ste 203, Villa Rica, GA 30180 Phone: 770-456-6118 Fax: 770-456-6227 | |
Mcdowell & Co., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Carroll Rd Ste C, Villa Rica, GA 30180 Phone: 770-459-4131 | |
Center For General Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 W. Hwy 78, Suite D, Villa Rica, GA 30180 Phone: 770-456-9996 Fax: 770-456-9949 | |
Internal Medicine Of Villa Rica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-456-3839 Fax: 770-456-3846 | |
Veranet Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 770-771-5235 Fax: 770-771-5236 |