| Pandya Medical Center, Inc | |
|
11315 Johns Creek Pkwy Johns Creek GA 30097-2645 | |
| (770) 709-6922 | |
| (770) 709-6910 |
| Full Name | Pandya Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11315 Johns Creek Pkwy, Johns Creek, Georgia |
| Authorized Official Name and Position | Tanya O. Pandya (PRESIDENT) |
| Authorized Official Contact | 6789843151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pandya Medical Center, Inc 11555 Medlock Bridge Rd Ste 190 Johns Creek GA 30097-1541 Ph: (678) 984-3151 | Pandya Medical Center, Inc 11315 Johns Creek Pkwy Johns Creek GA 30097-2645 Ph: (770) 709-6922 |
| NPI Number | 1730501586 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8022249028 |
|---|---|
| Medicare Enrollment ID | O20140314000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730501586 | NPI | - | NPPES |
| 60956 | Other | GA | GA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 60956 (Georgia) | Primary |
| Provider Name | Tanya O Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639354434 PECOS PAC ID: 5698821452 Enrollment ID: I20090918000447 |
| Provider Name | Elizabeth Eun Hae Rice De |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194935023 PECOS PAC ID: 3072659929 Enrollment ID: I20120730000615 |
| Provider Name | Parul Shah |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427300375 PECOS PAC ID: 6507001393 Enrollment ID: I20130327000356 |
| Provider Name | Elizabeth M Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336105188 PECOS PAC ID: 8921021528 Enrollment ID: I20140630000443 |
| Provider Name | Nancy Leigh Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628182 PECOS PAC ID: 3577889716 Enrollment ID: I20150305000368 |
| Provider Name | Benjamin Aaron Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073977781 PECOS PAC ID: 7012206162 Enrollment ID: I20200217004363 |
| Provider Name | Juilett Kostanjevec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356846851 PECOS PAC ID: 0143574319 Enrollment ID: I20211029001473 |
| Provider Name | Chelsea Nicolle Lineberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113696 PECOS PAC ID: 0840682779 Enrollment ID: I20220126001359 |
| Provider Name | Albin Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316478332 PECOS PAC ID: 0749551984 Enrollment ID: I20220524002086 |
| Provider Name | Nida Jiwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013479047 PECOS PAC ID: 5799010534 Enrollment ID: I20220926001135 |
| Provider Name | Anant J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781980 PECOS PAC ID: 6305173592 Enrollment ID: I20221019000092 |
| Provider Name | Sesha K Sataluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154427342 PECOS PAC ID: 1951303577 Enrollment ID: I20240729001268 |
| Provider Name | Eleisha Teasley Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477136349 PECOS PAC ID: 0547662652 Enrollment ID: I20240904003071 |
| Provider Name | Delaram Hajimirsadeghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922627157 PECOS PAC ID: 8921539578 Enrollment ID: I20241007001730 |
| Provider Name | Charitin De Pena Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316571912 PECOS PAC ID: 6406380823 Enrollment ID: I20241107003317 |
| Provider Name | Sarah Mun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023467818 PECOS PAC ID: 3476980285 Enrollment ID: I20241113004626 |
| Provider Name | Sarika Chowdhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770161218 PECOS PAC ID: 7012318058 Enrollment ID: I20241126000208 |
Mind And Body Wellness Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 820, Johns Creek, GA 30097 Phone: 404-800-5181 Fax: 404-800-5797 | |
Duluth Surgery Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Mcginnis Ferry Rd, Johns Creek, GA 30097 Phone: 678-205-8400 | |
North Georgia Endocrinology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 820, Johns Creek, GA 30097 Phone: 678-224-8686 | |
North Chattahoochee Family Physicians, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 Fax: 770-497-9998 | |
Health One Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10710 Medlock Bridge Rd, Suite 150, Johns Creek, GA 30097 Phone: 770-497-4188 Fax: 770-497-4189 | |
Naveed S Ummed., M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5805 State Bridge Rd, G150, Johns Creek, GA 30097 Phone: 602-738-8903 | |
Lt Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Matheson Way, Johns Creek, GA 30022 Phone: 800-809-6588 |