| Novela Health Llc | |
|
6901 Ray Wright Way Ste D Columbus GA 31909-7701 | |
| (404) 543-9924 | |
| Not Available |
| Full Name | Novela Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6901 Ray Wright Way Ste D, Columbus, Georgia |
| Authorized Official Name and Position | Chun Yong (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 4045439924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novela Health Llc 7 Hundley Ln Roswell GA 30076-2013 Ph: (404) 543-9924 | Novela Health Llc 6901 Ray Wright Way Ste D Columbus GA 31909-7701 Ph: (404) 543-9924 |
| NPI Number | 1073360657 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 3173068137 |
|---|---|
| Medicare Enrollment ID | O20240715000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073360657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Jason A. Berner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144201781 PECOS PAC ID: 0143228593 Enrollment ID: I20061117000428 |
| Provider Name | Leanna K Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730614934 PECOS PAC ID: 9234475351 Enrollment ID: I20190110002417 |
| Provider Name | Katrina Charlotte Shellhouse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073352621 PECOS PAC ID: 9133668544 Enrollment ID: I20240829002255 |
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