Piedmont Athens Regional Firstcare Llc | |
485 Highway 29 N Athens GA 30601-5583 | |
(770) 801-2500 | |
Not Available |
Full Name | Piedmont Athens Regional Firstcare Llc |
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Speciality | Internal Medicine |
Location | 485 Highway 29 N, Athens, Georgia |
Authorized Official Name and Position | Christy Aquino (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 4702713427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Athens Regional Firstcare Llc Po Box 117267 Atlanta GA 30368-7267 Ph: (770) 801-2500 | Piedmont Athens Regional Firstcare Llc 485 Highway 29 N Athens GA 30601-5583 Ph: (770) 801-2500 |
NPI Number | 1578079018 |
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Provider Enumeration Date | 12/20/2017 |
Last Update Date | 08/11/2021 |
Medicare PECOS PAC ID | 1759638646 |
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Medicare Enrollment ID | O20180724001505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578079018 | NPI | - | NPPES |
003208402A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Byron P Thompson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891888343 PECOS PAC ID: 2961307459 Enrollment ID: I20031208000124 |
Provider Name | Rhonda T Winters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326007840 PECOS PAC ID: 1557310158 Enrollment ID: I20050121000099 |
Provider Name | Jane C Wrenn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235180910 PECOS PAC ID: 0547206641 Enrollment ID: I20050629000308 |
Provider Name | Ryan C Arata |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205039526 PECOS PAC ID: 8426158676 Enrollment ID: I20070717000484 |
Provider Name | Bradwell R Mcalister |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992878045 PECOS PAC ID: 3577638196 Enrollment ID: I20080818000013 |
Provider Name | Kelly M Mackey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225101371 PECOS PAC ID: 7810057551 Enrollment ID: I20081125000403 |
Provider Name | Jigar M Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730359936 PECOS PAC ID: 6406919919 Enrollment ID: I20090109000423 |
Provider Name | Lynne A Beelman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750597597 PECOS PAC ID: 3375799547 Enrollment ID: I20120804000070 |
Provider Name | Sameer Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861713992 PECOS PAC ID: 4385891167 Enrollment ID: I20130710000100 |
Provider Name | Lanissa R Stinehelfer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841571957 PECOS PAC ID: 0941423099 Enrollment ID: I20140519001615 |
Provider Name | Susan H Leighty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447667233 PECOS PAC ID: 1153540430 Enrollment ID: I20140918001524 |
Provider Name | Jung Kim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225324551 PECOS PAC ID: 1153578935 Enrollment ID: I20141117000416 |
Provider Name | Sarah Elizabeth Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316327224 PECOS PAC ID: 2860705761 Enrollment ID: I20150721002895 |
Provider Name | Sara E Tingle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114309572 PECOS PAC ID: 0143534230 Enrollment ID: I20150803002277 |
Provider Name | Brian Cunningham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790040756 PECOS PAC ID: 5092941427 Enrollment ID: I20160217001720 |
Provider Name | Brittany Palmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790142271 PECOS PAC ID: 2163728015 Enrollment ID: I20160303000061 |
Provider Name | Heather Nicole Pickelsimer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619336005 PECOS PAC ID: 4486944212 Enrollment ID: I20160608002601 |
Provider Name | Virginia Calhoun Labella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023460938 PECOS PAC ID: 9133407364 Enrollment ID: I20161024000603 |
Provider Name | April Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578949806 PECOS PAC ID: 0042595290 Enrollment ID: I20170330001229 |
Provider Name | Carlos Lucero |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023421930 PECOS PAC ID: 0547516502 Enrollment ID: I20180703003396 |
Provider Name | Christina Danielle Copeland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295148740 PECOS PAC ID: 0648528257 Enrollment ID: I20180730001398 |
Provider Name | Sandra Harrison Haupt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689901639 PECOS PAC ID: 1254643463 Enrollment ID: I20180809005412 |
Provider Name | Margaret Erwood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962884411 PECOS PAC ID: 1759699887 Enrollment ID: I20190116002239 |
Provider Name | Audra Turbeville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558997619 PECOS PAC ID: 7810328283 Enrollment ID: I20200519002240 |
Provider Name | Hannah Charlene Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972156461 PECOS PAC ID: 4789080482 Enrollment ID: I20210903001735 |
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