Perimeter Professional Services, Llc | |
3400-a Old Milton Pkwy Ste 130 Alpharetta GA 30005-4438 | |
(855) 709-4535 | |
Not Available |
Full Name | Perimeter Professional Services, Llc |
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Speciality | Family Medicine |
Location | 3400-a Old Milton Pkwy, Alpharetta, Georgia |
Authorized Official Name and Position | Jorge J. Hernandez (VP OF ADMIN SVCS AND CFO) |
Authorized Official Contact | 4048516378 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Perimeter Professional Services, Llc 1100 Johnson Fy Rd Ne Ste 780 Atlanta GA 30342-1743 Ph: (404) 851-6378 | Perimeter Professional Services, Llc 3400-a Old Milton Pkwy Ste 130 Alpharetta GA 30005-4438 Ph: (855) 709-4535 |
NPI Number | 1235543620 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 01/11/2023 |
Medicare PECOS PAC ID | 9032337423 |
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Medicare Enrollment ID | O20140827000316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235543620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John S Lammert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699727909 PECOS PAC ID: 2668499708 Enrollment ID: I20051028000259 |
Provider Name | Elizabeth T Sergile |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033126578 PECOS PAC ID: 0244250900 Enrollment ID: I20051128000356 |
Provider Name | Sailaja K Gadde |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306892732 PECOS PAC ID: 6608899760 Enrollment ID: I20060104000792 |
Provider Name | Elizabeth C Vevera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114943388 PECOS PAC ID: 0244253318 Enrollment ID: I20060104000798 |
Provider Name | Caroline B Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548370539 PECOS PAC ID: 2961505557 Enrollment ID: I20070320000492 |
Provider Name | Komal D Balaney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871506063 PECOS PAC ID: 6406850577 Enrollment ID: I20080520000528 |
Provider Name | Stephen Martiny |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528212602 PECOS PAC ID: 8022174291 Enrollment ID: I20090818000468 |
Provider Name | Shetal Y Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194902742 PECOS PAC ID: 6507052875 Enrollment ID: I20101129000630 |
Provider Name | Charles H Taylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275540726 PECOS PAC ID: 1153517156 Enrollment ID: I20101201001069 |
Provider Name | Sahithi Sanga Pu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073833083 PECOS PAC ID: 1254511694 Enrollment ID: I20110202000447 |
Provider Name | Kavitha Tellakula |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952577850 PECOS PAC ID: 2163697038 Enrollment ID: I20111206000481 |
Provider Name | Kanyan Xiao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871721068 PECOS PAC ID: 7315183738 Enrollment ID: I20130409000405 |
Provider Name | Jennie H Law |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1386821049 PECOS PAC ID: 4183749294 Enrollment ID: I20131209000908 |
Provider Name | Leslie Schaad Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083057152 PECOS PAC ID: 8527288455 Enrollment ID: I20140927000511 |
Provider Name | Aditee Kulkarni Satpute |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558523688 PECOS PAC ID: 5799951877 Enrollment ID: I20141020002116 |
Provider Name | Bahar H Zadeh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801056569 PECOS PAC ID: 2961554886 Enrollment ID: I20151209000693 |
Provider Name | Diana Anna Denman |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1962778027 PECOS PAC ID: 6800106634 Enrollment ID: I20171204001478 |
Provider Name | Almas Soyal Momin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073918280 PECOS PAC ID: 7012330228 Enrollment ID: I20200707001308 |
Provider Name | Tamara Christine Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255819488 PECOS PAC ID: 3173932068 Enrollment ID: I20210505001381 |
Provider Name | Ashley Alexandra Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164082004 PECOS PAC ID: 2062743644 Enrollment ID: I20220801001877 |
Provider Name | Aditee Kulkarni Satpute |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558523688 PECOS PAC ID: 5799951877 Enrollment ID: I20240220002222 |
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