| Piedmont Medical Care Corporation | |
|
240 N Highland Ave Ne Ste F Atlanta GA 30307-5625 | |
| (404) 658-9840 | |
| Not Available |
| Full Name | Piedmont Medical Care Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 N Highland Ave Ne Ste F, Atlanta, Georgia |
| Authorized Official Name and Position | Christy Aquino (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4708950214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Medical Care Corporation Po Box 102321 Atlanta GA 30368-2321 Ph: (770) 801-2500 | Piedmont Medical Care Corporation 240 N Highland Ave Ne Ste F Atlanta GA 30307-5625 Ph: (404) 658-9840 |
| NPI Number | 1912956046 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 6002802220 |
|---|---|
| Medicare Enrollment ID | O20040422001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912956046 | NPI | - | NPPES |
| 300030651Y | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harmon A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215028253 PECOS PAC ID: 0244136562 Enrollment ID: I20031209000254 |
| Provider Name | Muthu Kuttappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083672711 PECOS PAC ID: 7517860356 Enrollment ID: I20040129000721 |
| Provider Name | Moiz V Master |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588719470 PECOS PAC ID: 6901891357 Enrollment ID: I20040419000353 |
| Provider Name | Kevin Trapnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083796619 PECOS PAC ID: 3476537697 Enrollment ID: I20040615001782 |
| Provider Name | Stanley Wayne Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396729463 PECOS PAC ID: 3375538200 Enrollment ID: I20040618000280 |
| Provider Name | Guy C Arnall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760464341 PECOS PAC ID: 1951396878 Enrollment ID: I20040618000563 |
| Provider Name | David E Vann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760466742 PECOS PAC ID: 8123013067 Enrollment ID: I20040621001077 |
| Provider Name | Andrew Terrell Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436600 PECOS PAC ID: 9830008499 Enrollment ID: I20040622000673 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053395129 PECOS PAC ID: 5597750430 Enrollment ID: I20040623000288 |
| Provider Name | Christopher S Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346343134 PECOS PAC ID: 7517943616 Enrollment ID: I20040629000296 |
| Provider Name | Jodi L Chitwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811050933 PECOS PAC ID: 0941270490 Enrollment ID: I20040730000538 |
| Provider Name | Philicia L Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225126485 PECOS PAC ID: 8426029034 Enrollment ID: I20040805000304 |
| Provider Name | William J Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437243334 PECOS PAC ID: 4385615996 Enrollment ID: I20040805000337 |
| Provider Name | Frank N Alena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063508034 PECOS PAC ID: 3274505391 Enrollment ID: I20040810000419 |
| Provider Name | Carl D Mccurdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679134 PECOS PAC ID: 8628041944 Enrollment ID: I20040816000752 |
| Provider Name | Karen T Hacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942392758 PECOS PAC ID: 5092789073 Enrollment ID: I20040825000135 |
| Provider Name | Heath W Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750388500 PECOS PAC ID: 3375517212 Enrollment ID: I20040825000656 |
| Provider Name | Evangelos Moraitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619950144 PECOS PAC ID: 4587637541 Enrollment ID: I20040908000901 |
| Provider Name | Saju I Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871577296 PECOS PAC ID: 7719945922 Enrollment ID: I20041220000907 |
| Provider Name | Tessie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053417949 PECOS PAC ID: 2365490463 Enrollment ID: I20050105000685 |
| Provider Name | Patrick B Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871529032 PECOS PAC ID: 6507815982 Enrollment ID: I20050113000184 |
| Provider Name | Belinda A Brown Saddler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588763387 PECOS PAC ID: 3779534235 Enrollment ID: I20050202000586 |
| Provider Name | Monica O Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043356355 PECOS PAC ID: 9335192400 Enrollment ID: I20050301000496 |
| Provider Name | Andrea R Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275523045 PECOS PAC ID: 0345295473 Enrollment ID: I20050322000254 |
| Provider Name | Jeffrey N Haller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659467629 PECOS PAC ID: 5991742983 Enrollment ID: I20050412000170 |
| Provider Name | Kimberly A Edwards-hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770612467 PECOS PAC ID: 0042255168 Enrollment ID: I20050620001061 |
| Provider Name | Christine M Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174619159 PECOS PAC ID: 1658308044 Enrollment ID: I20050718000492 |
| Provider Name | Andrea B Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509420 PECOS PAC ID: 8527004381 Enrollment ID: I20050718000704 |
| Provider Name | Samer B Blackmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104935063 PECOS PAC ID: 8022045921 Enrollment ID: I20050722000152 |
| Provider Name | Yacoba Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912974429 PECOS PAC ID: 6507894524 Enrollment ID: I20050801000689 |
| Provider Name | Sanjay I Serrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204062 PECOS PAC ID: 4880611250 Enrollment ID: I20051026000231 |
| Provider Name | Gina C Talbot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770534125 PECOS PAC ID: 2466479365 Enrollment ID: I20051031000339 |
| Provider Name | Richard J Breckwoldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297106 PECOS PAC ID: 2264459908 Enrollment ID: I20051101000439 |
| Provider Name | Gregory T Rainwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972668200 PECOS PAC ID: 5597782128 Enrollment ID: I20051102000030 |
| Provider Name | Lisa A Cranwell-bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780842062 PECOS PAC ID: 7113947623 Enrollment ID: I20051129000844 |
| Provider Name | Connie T Dupre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023121381 PECOS PAC ID: 1759301831 Enrollment ID: I20051205000274 |
| Provider Name | Donna F Groover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710923461 PECOS PAC ID: 6406878537 Enrollment ID: I20060103000627 |
| Provider Name | John H Foote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225084049 PECOS PAC ID: 0345262432 Enrollment ID: I20060104000141 |
| Provider Name | Carol Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396769428 PECOS PAC ID: 0941224240 Enrollment ID: I20060125000181 |
| Provider Name | Wendy S Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700840568 PECOS PAC ID: 9739103037 Enrollment ID: I20060125000204 |
| Provider Name | Lawrence L Golusinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790742526 PECOS PAC ID: 9133131907 Enrollment ID: I20060616000079 |
| Provider Name | Indumathi Bendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508818147 PECOS PAC ID: 8022072727 Enrollment ID: I20060707000263 |
| Provider Name | Jill A Saranthus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346352721 PECOS PAC ID: 3971509456 Enrollment ID: I20061005000273 |
| Provider Name | Benjamin H Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437263902 PECOS PAC ID: 9436156916 Enrollment ID: I20061025000475 |
| Provider Name | John S Hyland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427143148 PECOS PAC ID: 9638170160 Enrollment ID: I20070125000196 |
| Provider Name | Grace C Loy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639264369 PECOS PAC ID: 7416958962 Enrollment ID: I20070125000307 |
| Provider Name | Wendell Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556619 PECOS PAC ID: 2961308820 Enrollment ID: I20070129000552 |
| Provider Name | Lisa J Dillard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831153212 PECOS PAC ID: 5890898704 Enrollment ID: I20070314000397 |
| Provider Name | Erica L Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225152044 PECOS PAC ID: 0648375683 Enrollment ID: I20070419000234 |
| Provider Name | Loida Bonney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998982 PECOS PAC ID: 6305862665 Enrollment ID: I20070627000066 |
| Provider Name | Kathleen C Leoffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306063565 PECOS PAC ID: 7416057443 Enrollment ID: I20070705000328 |
| Provider Name | Fatima A Dalwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912015769 PECOS PAC ID: 8820017130 Enrollment ID: I20070725000535 |
| Provider Name | April L Artis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891854865 PECOS PAC ID: 4284725680 Enrollment ID: I20070814000151 |
| Provider Name | Amy L Varner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992909931 PECOS PAC ID: 7618066341 Enrollment ID: I20071204000393 |
| Provider Name | Frank B Marxer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144229592 PECOS PAC ID: 5991887283 Enrollment ID: I20080125000025 |
| Provider Name | Sheng Yi Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241902 PECOS PAC ID: 7810072519 Enrollment ID: I20080305000257 |
| Provider Name | Robert M Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631923 PECOS PAC ID: 4385721315 Enrollment ID: I20080401000729 |
| Provider Name | Jonathan S Lowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699748061 PECOS PAC ID: 8527146950 Enrollment ID: I20080424000567 |
| Provider Name | William L Kriegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245229467 PECOS PAC ID: 0648358077 Enrollment ID: I20080424000627 |
| Provider Name | Angela Huff Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689618472 PECOS PAC ID: 5698854594 Enrollment ID: I20080505000021 |
| Provider Name | Henry H Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811947443 PECOS PAC ID: 9335219765 Enrollment ID: I20080528000403 |
| Provider Name | Richard N Fullerton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225133945 PECOS PAC ID: 9739137191 Enrollment ID: I20080801000436 |
| Provider Name | Shawnte M Hall-kraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982895124 PECOS PAC ID: 9638243561 Enrollment ID: I20080811000279 |
| Provider Name | Emilio Lacayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346337078 PECOS PAC ID: 7113090341 Enrollment ID: I20080813000049 |
| Provider Name | Marie J Cauvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362523 PECOS PAC ID: 9931200094 Enrollment ID: I20080818000090 |
| Provider Name | Fayyaz U Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144319567 PECOS PAC ID: 5294801775 Enrollment ID: I20080908000011 |
| Provider Name | Miles H Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588609838 PECOS PAC ID: 1456428424 Enrollment ID: I20080917000816 |
| Provider Name | Catherine L Woodhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558340661 PECOS PAC ID: 1658476221 Enrollment ID: I20081107000407 |
| Provider Name | Natasha R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902072945 PECOS PAC ID: 7416018593 Enrollment ID: I20081208000437 |
| Provider Name | Jason R Hefner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902012206 PECOS PAC ID: 7517029614 Enrollment ID: I20081226000165 |
| Provider Name | Carol M Odegaard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700876554 PECOS PAC ID: 5799848982 Enrollment ID: I20090114000561 |
| Provider Name | Alan David Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679563423 PECOS PAC ID: 1052460292 Enrollment ID: I20090519000377 |
| Provider Name | Aysha Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982725594 PECOS PAC ID: 4587713631 Enrollment ID: I20090519000577 |
| Provider Name | Scott Jarrett Ramshur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231396 PECOS PAC ID: 5799866729 Enrollment ID: I20090616000724 |
| Provider Name | Maria A Goyco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194839597 PECOS PAC ID: 0648326934 Enrollment ID: I20090929000466 |
| Provider Name | Saghar Navid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871754283 PECOS PAC ID: 0941348098 Enrollment ID: I20091110000266 |
| Provider Name | Charmille A Hare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114140704 PECOS PAC ID: 3870631625 Enrollment ID: I20091116000241 |
| Provider Name | Kabir K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699955377 PECOS PAC ID: 3476695594 Enrollment ID: I20100127000484 |
| Provider Name | Daniel H Boone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225131998 PECOS PAC ID: 3072657089 Enrollment ID: I20100215000249 |
| Provider Name | Karen M Helland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255448205 PECOS PAC ID: 8921143827 Enrollment ID: I20100303000521 |
| Provider Name | Lindsey Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730345224 PECOS PAC ID: 9931234234 Enrollment ID: I20100311000677 |
| Provider Name | Karene G Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194051698 PECOS PAC ID: 4688704380 Enrollment ID: I20100607000383 |
| Provider Name | Christy Blanchford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851389217 PECOS PAC ID: 2860523735 Enrollment ID: I20100622000450 |
| Provider Name | John R Ehret |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760470124 PECOS PAC ID: 4688705486 Enrollment ID: I20100623000050 |
| Provider Name | Karen V Harris-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669568671 PECOS PAC ID: 2668506676 Enrollment ID: I20100812000669 |
| Provider Name | Suzanne Blauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922141530 PECOS PAC ID: 0345374138 Enrollment ID: I20100816000619 |
| Provider Name | Janet Diane Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029756 PECOS PAC ID: 7618001959 Enrollment ID: I20100823000294 |
| Provider Name | Richard William Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467403303 PECOS PAC ID: 5991770745 Enrollment ID: I20100825000132 |
| Provider Name | Joseph Boecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346391505 PECOS PAC ID: 3072638485 Enrollment ID: I20100908000906 |
| Provider Name | Robert Winfred West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467555276 PECOS PAC ID: 4981699766 Enrollment ID: I20100910000249 |
| Provider Name | Rasha G. Al Samara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740480193 PECOS PAC ID: 0143304527 Enrollment ID: I20100915000060 |
| Provider Name | Barry Thomas Tarpley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659474534 PECOS PAC ID: 0941326227 Enrollment ID: I20100923000918 |
| Provider Name | Amy Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962598912 PECOS PAC ID: 9335265412 Enrollment ID: I20100927000282 |
| Provider Name | Patrick S Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376687020 PECOS PAC ID: 9739205865 Enrollment ID: I20100927000931 |
| Provider Name | Jason Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407937899 PECOS PAC ID: 3971629908 Enrollment ID: I20100928000736 |
| Provider Name | Renee Coughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508832338 PECOS PAC ID: 3274618970 Enrollment ID: I20101006000679 |
| Provider Name | Bindhu R Manocha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598850877 PECOS PAC ID: 9335331362 Enrollment ID: I20101008001086 |
| Provider Name | Julia Economos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295912871 PECOS PAC ID: 6709078512 Enrollment ID: I20101012001095 |
| Provider Name | Eman L Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115187 PECOS PAC ID: 0143307173 Enrollment ID: I20101019000599 |
| Provider Name | Prathima Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457418816 PECOS PAC ID: 8628261724 Enrollment ID: I20101021000680 |
| Provider Name | Thiruvannathapur Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245397652 PECOS PAC ID: 8224222617 Enrollment ID: I20101029000736 |
| Provider Name | Asim Kidwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841483823 PECOS PAC ID: 4587858642 Enrollment ID: I20101102001243 |
| Provider Name | Jack T Saltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336212513 PECOS PAC ID: 5698706422 Enrollment ID: I20101111000023 |
| Provider Name | Islam Eltarawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588815674 PECOS PAC ID: 3870649411 Enrollment ID: I20101111000200 |
| Provider Name | Perry S Damian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255513529 PECOS PAC ID: 5496825382 Enrollment ID: I20101115000862 |
| Provider Name | John Manor Entrekin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336234053 PECOS PAC ID: 9133314198 Enrollment ID: I20101116000790 |
| Provider Name | Debora Ann Goodrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245325968 PECOS PAC ID: 3779778733 Enrollment ID: I20101116000811 |
| Provider Name | Virgina Birnbach Hyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023103744 PECOS PAC ID: 4688869688 Enrollment ID: I20101117000022 |
| Provider Name | Rachel D Gray-nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689985061 PECOS PAC ID: 3274720982 Enrollment ID: I20101207001073 |
| Provider Name | George Timothy Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369173 PECOS PAC ID: 3476528852 Enrollment ID: I20110127000477 |
| Provider Name | Kwon Su Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752349 PECOS PAC ID: 9830164201 Enrollment ID: I20110127000489 |
| Provider Name | Kevin Daniel Lanclos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297793 PECOS PAC ID: 4284609660 Enrollment ID: I20110202000103 |
| Provider Name | Henry M Patton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396742144 PECOS PAC ID: 1658346036 Enrollment ID: I20110211000257 |
| Provider Name | Jose G Rossello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831299007 PECOS PAC ID: 6507041613 Enrollment ID: I20110504000391 |
| Provider Name | Denise Deveranez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659409043 PECOS PAC ID: 4385812445 Enrollment ID: I20110718000245 |
| Provider Name | Nancy W Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376861823 PECOS PAC ID: 3678743655 Enrollment ID: I20110830000703 |
| Provider Name | Yasmeen Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649206962 PECOS PAC ID: 8628058807 Enrollment ID: I20111108000709 |
| Provider Name | Carolyn Harris Sigman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184762585 PECOS PAC ID: 9133394463 Enrollment ID: I20111214000643 |
| Provider Name | Charles A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982638557 PECOS PAC ID: 5991893471 Enrollment ID: I20120327000078 |
| Provider Name | Danielle M Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992968291 PECOS PAC ID: 0749438117 Enrollment ID: I20120911000215 |
| Provider Name | Sabrina J Wyllie-adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548428519 PECOS PAC ID: 4688730310 Enrollment ID: I20120920000393 |
| Provider Name | Elizziebeth C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640114 PECOS PAC ID: 4082865845 Enrollment ID: I20121105000270 |
| Provider Name | Angelica M De Lisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720267263 PECOS PAC ID: 4587754981 Enrollment ID: I20130430000082 |
| Provider Name | Tricia W Thackston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136593 PECOS PAC ID: 9638317258 Enrollment ID: I20130521000229 |
| Provider Name | Hima Bindu Kadiyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235187071 PECOS PAC ID: 9335175876 Enrollment ID: I20130613000300 |
| Provider Name | David C Rowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366763070 PECOS PAC ID: 4385892728 Enrollment ID: I20130619000432 |
| Provider Name | Elisha Poynter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477789493 PECOS PAC ID: 6002063971 Enrollment ID: I20130715000472 |
| Provider Name | Joel K Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649618570 PECOS PAC ID: 1052552692 Enrollment ID: I20130724000899 |
| Provider Name | Celeste M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870020 PECOS PAC ID: 8628219045 Enrollment ID: I20130729000270 |
| Provider Name | Megan M Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275965634 PECOS PAC ID: 3476787748 Enrollment ID: I20130930000411 |
| Provider Name | Anne M Lindsay-allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013083708 PECOS PAC ID: 6103712385 Enrollment ID: I20131002000521 |
| Provider Name | David J Poynter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033376439 PECOS PAC ID: 8820268972 Enrollment ID: I20131106001985 |
| Provider Name | Tommy C Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134546831 PECOS PAC ID: 0840418570 Enrollment ID: I20140821001754 |
| Provider Name | Mary K Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912165317 PECOS PAC ID: 6406026772 Enrollment ID: I20140910001454 |
| Provider Name | Omotayo O Akinmade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467629964 PECOS PAC ID: 3375611841 Enrollment ID: I20140929001267 |
| Provider Name | Christopher Eric Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871688697 PECOS PAC ID: 8224054408 Enrollment ID: I20141108000124 |
| Provider Name | Vini Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346642386 PECOS PAC ID: 2163745092 Enrollment ID: I20141230001398 |
| Provider Name | Adil M Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730366378 PECOS PAC ID: 0941492102 Enrollment ID: I20150505001777 |
| Provider Name | Kaylin N Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610056 PECOS PAC ID: 0648590075 Enrollment ID: I20150526001607 |
| Provider Name | Kinzi Shewmake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568473809 PECOS PAC ID: 3577633791 Enrollment ID: I20150716000494 |
| Provider Name | Rashi Kanjira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457619249 PECOS PAC ID: 8325276959 Enrollment ID: I20150727002266 |
| Provider Name | Lauren E Bolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659758688 PECOS PAC ID: 5092029488 Enrollment ID: I20150729008340 |
| Provider Name | Bernadette Alexis-destin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356623466 PECOS PAC ID: 3577793868 Enrollment ID: I20150806010607 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285997700 PECOS PAC ID: 8022326545 Enrollment ID: I20151002001819 |
| Provider Name | Ashley Shearer Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124404017 PECOS PAC ID: 0547579302 Enrollment ID: I20151016001534 |
| Provider Name | Jasmine J Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233836 PECOS PAC ID: 2062721806 Enrollment ID: I20151019001646 |
| Provider Name | Erica Quiterra Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851758163 PECOS PAC ID: 9032413257 Enrollment ID: I20160209002056 |
| Provider Name | Lorene Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023408283 PECOS PAC ID: 7810201936 Enrollment ID: I20160308001863 |
| Provider Name | Sandra L Castle-oh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992716443 PECOS PAC ID: 3476735283 Enrollment ID: I20160502000301 |
| Provider Name | Lindsey Meagher Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285093443 PECOS PAC ID: 0042519589 Enrollment ID: I20160504001453 |
| Provider Name | Ivy A Fenin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780039131 PECOS PAC ID: 1850681271 Enrollment ID: I20160526000390 |
| Provider Name | Rebecca L Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699133256 PECOS PAC ID: 1456643915 Enrollment ID: I20160705000264 |
| Provider Name | Joi Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699110205 PECOS PAC ID: 4688983331 Enrollment ID: I20160822002861 |
| Provider Name | Dusty Ray Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477007219 PECOS PAC ID: 6709172109 Enrollment ID: I20160912001395 |
| Provider Name | John Caldwell Moultrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417393893 PECOS PAC ID: 6608017306 Enrollment ID: I20160912001514 |
| Provider Name | Erik D Zarandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700148293 PECOS PAC ID: 1759503741 Enrollment ID: I20160916000694 |
| Provider Name | Vicky L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396116034 PECOS PAC ID: 1658661582 Enrollment ID: I20160920001894 |
| Provider Name | India K. Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912346115 PECOS PAC ID: 6507090156 Enrollment ID: I20160923001489 |
| Provider Name | Joel Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720426695 PECOS PAC ID: 0143517599 Enrollment ID: I20160928001724 |
| Provider Name | Marlon L Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174888366 PECOS PAC ID: 6305084989 Enrollment ID: I20161003002030 |
| Provider Name | Ambreen A Mardhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043657521 PECOS PAC ID: 2365665635 Enrollment ID: I20161004002587 |
| Provider Name | Zahidul I Chowdhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023458890 PECOS PAC ID: 3779719190 Enrollment ID: I20161005002632 |
| Provider Name | Latrenda S Perkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659717569 PECOS PAC ID: 9739486218 Enrollment ID: I20161011001370 |
| Provider Name | Jocelyn Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558704049 PECOS PAC ID: 6305146325 Enrollment ID: I20161021000390 |
| Provider Name | Lacey Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386908143 PECOS PAC ID: 4688823792 Enrollment ID: I20161216001411 |
| Provider Name | David August Schulte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255680096 PECOS PAC ID: 5799092243 Enrollment ID: I20170110001883 |
| Provider Name | Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711871 PECOS PAC ID: 0042474827 Enrollment ID: I20170315000922 |
| Provider Name | Brett Prylinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205254687 PECOS PAC ID: 7517256605 Enrollment ID: I20170724001068 |
| Provider Name | Brittany Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871906081 PECOS PAC ID: 5193039055 Enrollment ID: I20170905001478 |
| Provider Name | Lauren Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275947483 PECOS PAC ID: 1153541495 Enrollment ID: I20170907003747 |
| Provider Name | Sunaina Jhurani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598047110 PECOS PAC ID: 4385949650 Enrollment ID: I20170913002037 |
| Provider Name | Courtney Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036832 PECOS PAC ID: 6800118191 Enrollment ID: I20170915003276 |
| Provider Name | Erika Martinez-uribe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077358 PECOS PAC ID: 2860614849 Enrollment ID: I20170918000633 |
| Provider Name | Sathish Kannan Shanmuga Sundara Perumal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659583938 PECOS PAC ID: 6709067242 Enrollment ID: I20170926000728 |
| Provider Name | Neetu Pannala-lakshma Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124062534 PECOS PAC ID: 3274555313 Enrollment ID: I20171011003621 |
| Provider Name | Vida Umstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366471914 PECOS PAC ID: 6002811478 Enrollment ID: I20171012002662 |
| Provider Name | Bich Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689088841 PECOS PAC ID: 9234356007 Enrollment ID: I20171013001457 |
| Provider Name | Clarke Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700041290 PECOS PAC ID: 3971641093 Enrollment ID: I20171030002372 |
| Provider Name | Tonya Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982120408 PECOS PAC ID: 6406112465 Enrollment ID: I20171107001689 |
| Provider Name | Elizabeth Jane Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376928770 PECOS PAC ID: 1850659269 Enrollment ID: I20171212002795 |
| Provider Name | Bania Gabriela Calero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056307 PECOS PAC ID: 1759670581 Enrollment ID: I20180219001209 |
| Provider Name | Victoria L Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972773331 PECOS PAC ID: 3274602933 Enrollment ID: I20180609000122 |
| Provider Name | Veronica S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645037 PECOS PAC ID: 0345597514 Enrollment ID: I20180718003347 |
| 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 | Adam Anglyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215321971 PECOS PAC ID: 6406148295 Enrollment ID: I20180813003144 |
| Provider Name | Dana M. Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679071260 PECOS PAC ID: 5193075976 Enrollment ID: I20180829003135 |
| Provider Name | Anitha Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689803785 PECOS PAC ID: 1153558820 Enrollment ID: I20180831000762 |
| Provider Name | Pranam Kokilakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376938696 PECOS PAC ID: 2567746274 Enrollment ID: I20180905003725 |
| Provider Name | Daniel Michael Feckoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659516367 PECOS PAC ID: 6800038993 Enrollment ID: I20180919004189 |
| Provider Name | Matthew B Mote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154623940 PECOS PAC ID: 7810218187 Enrollment ID: I20181010002410 |
| Provider Name | Jensil Philip Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295765 PECOS PAC ID: 7911223417 Enrollment ID: I20181015001268 |
| Provider Name | William Eanes Courson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720427388 PECOS PAC ID: 7416251921 Enrollment ID: I20181015001417 |
| Provider Name | Diondra Burney Atoyebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255712337 PECOS PAC ID: 7618256546 Enrollment ID: I20181101001188 |
| Provider Name | Johnny Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497166623 PECOS PAC ID: 0941577571 Enrollment ID: I20181109001784 |
| Provider Name | Matthew B Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871976803 PECOS PAC ID: 0143565267 Enrollment ID: I20181218003104 |
| Provider Name | Ashley Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003133 PECOS PAC ID: 1355627100 Enrollment ID: I20190103003289 |
| Provider Name | Saurabh Gulati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144511197 PECOS PAC ID: 2769720259 Enrollment ID: I20190207001694 |
| Provider Name | Ashli D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689145781 PECOS PAC ID: 2961742374 Enrollment ID: I20190321002256 |
| Provider Name | Estubdenke Areaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790233120 PECOS PAC ID: 2769724541 Enrollment ID: I20190426001476 |
| Provider Name | Tashinea Bernadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922454701 PECOS PAC ID: 5991097610 Enrollment ID: I20190723002456 |
| Provider Name | Loreli Garnica Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912361809 PECOS PAC ID: 7416246681 Enrollment ID: I20190723003890 |
| Provider Name | Kristin Leann Nation |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005506 PECOS PAC ID: 6406182674 Enrollment ID: I20190725001397 |
| Provider Name | Hayden Koehler Aaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699139246 PECOS PAC ID: 0143559724 Enrollment ID: I20190906001496 |
| Provider Name | Shannon Leigh Whitwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437619277 PECOS PAC ID: 2860722329 Enrollment ID: I20190925003164 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164873261 PECOS PAC ID: 9436480456 Enrollment ID: I20191004003230 |
| Provider Name | Hannah Timmerman Cofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356907596 PECOS PAC ID: 5890026835 Enrollment ID: I20191007000833 |
| Provider Name | Yvonne Ukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073963229 PECOS PAC ID: 2365874534 Enrollment ID: I20191111000975 |
| Provider Name | Monica Renea Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972092583 PECOS PAC ID: 6305279415 Enrollment ID: I20191203003230 |
| Provider Name | Brittany Elisa Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690561 PECOS PAC ID: 1759715816 Enrollment ID: I20191223002000 |
| Provider Name | Meredith Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720634397 PECOS PAC ID: 2163856832 Enrollment ID: I20200106001776 |
| Provider Name | Brooke Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184408 PECOS PAC ID: 9133452816 Enrollment ID: I20200311000616 |
| Provider Name | Miguel Carmona Pires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720514540 PECOS PAC ID: 5991126211 Enrollment ID: I20200521003097 |
| Provider Name | Pratik H Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174054894 PECOS PAC ID: 7214208818 Enrollment ID: I20200720003537 |
| Provider Name | Hannah Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376178798 PECOS PAC ID: 5890119143 Enrollment ID: I20200721000795 |
| Provider Name | Brandon Kyle Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220292 PECOS PAC ID: 1951692730 Enrollment ID: I20201104001614 |
| Provider Name | Meghan Anne Monsrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417555483 PECOS PAC ID: 9537570874 Enrollment ID: I20201118000636 |
| Provider Name | Yvona W Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144834284 PECOS PAC ID: 8325459381 Enrollment ID: I20201123001750 |
| Provider Name | Angela Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768785 PECOS PAC ID: 2769894120 Enrollment ID: I20201209002157 |
| Provider Name | Caroline Bekele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935767 PECOS PAC ID: 4587076641 Enrollment ID: I20201214001817 |
| Provider Name | Dora R Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174051015 PECOS PAC ID: 9638448467 Enrollment ID: I20210120003423 |
| Provider Name | Emily Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647254 PECOS PAC ID: 3274947957 Enrollment ID: I20210121001629 |
| Provider Name | Merlyn Kaalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316470594 PECOS PAC ID: 2365793916 Enrollment ID: I20210202003210 |
| Provider Name | Rozina Allibhoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497102073 PECOS PAC ID: 4385051697 Enrollment ID: I20210405001219 |
| Provider Name | Abraham Mathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215468483 PECOS PAC ID: 0042576514 Enrollment ID: I20210621002321 |
| Provider Name | Akua E Asiamah-mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447741269 PECOS PAC ID: 6305247727 Enrollment ID: I20210623001444 |
| Provider Name | Sonya J Chelliah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811480411 PECOS PAC ID: 9133478399 Enrollment ID: I20210628003317 |
| Provider Name | Patrice D. Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164722468 PECOS PAC ID: 4082016308 Enrollment ID: I20210709000285 |
| Provider Name | Marsha-gail Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285081349 PECOS PAC ID: 5597059121 Enrollment ID: I20210713002828 |
| Provider Name | Christan M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053988691 PECOS PAC ID: 6800299538 Enrollment ID: I20210719003028 |
| Provider Name | David Moise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734367 PECOS PAC ID: 1850794116 Enrollment ID: I20210723001199 |
| Provider Name | Cindy Laing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033606876 PECOS PAC ID: 9537419486 Enrollment ID: I20210802002338 |
| Provider Name | Karen E Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336370360 PECOS PAC ID: 1153462767 Enrollment ID: I20210809000697 |
| Provider Name | Lonnie Nicholas Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053873612 PECOS PAC ID: 3870828692 Enrollment ID: I20210812002014 |
| Provider Name | Paula A Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467074203 PECOS PAC ID: 5991100885 Enrollment ID: I20210816000865 |
| Provider Name | Miles Chia-hung Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750886768 PECOS PAC ID: 8325391386 Enrollment ID: I20210816001675 |
| Provider Name | Leland Gyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558856518 PECOS PAC ID: 1052655263 Enrollment ID: I20210817002311 |
| Provider Name | Puja Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093212375 PECOS PAC ID: 1355690637 Enrollment ID: I20210818004247 |
| Provider Name | Lindsey A Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942613765 PECOS PAC ID: 7810292612 Enrollment ID: I20210823003213 |
| Provider Name | Orvenie Bernardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528565892 PECOS PAC ID: 0345645677 Enrollment ID: I20210824002207 |
| Provider Name | Melissa Rienstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407351117 PECOS PAC ID: 1759632011 Enrollment ID: I20210826001885 |
| Provider Name | Deanna Joe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740789338 PECOS PAC ID: 5092061085 Enrollment ID: I20210831001894 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376037697 PECOS PAC ID: 9931456498 Enrollment ID: I20210903000812 |
| Provider Name | Charles Chacha Maroa Babere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447754197 PECOS PAC ID: 6002155793 Enrollment ID: I20210927003401 |
| Provider Name | Rachel Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992302699 PECOS PAC ID: 2860800802 Enrollment ID: I20211001001132 |
| Provider Name | Robert Kuo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801208657 PECOS PAC ID: 3476864117 Enrollment ID: I20211019002020 |
| Provider Name | Haley Jones Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407523277 PECOS PAC ID: 3173911203 Enrollment ID: I20211022000935 |
| Provider Name | Christina Rochelle Escalante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881123891 PECOS PAC ID: 7416375308 Enrollment ID: I20211203001409 |
| Provider Name | Berly Sojan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609413152 PECOS PAC ID: 3173914108 Enrollment ID: I20211229000802 |
| Provider Name | Jemese Richards-boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985085 PECOS PAC ID: 9739504309 Enrollment ID: I20220207002223 |
| Provider Name | Victoria Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649864117 PECOS PAC ID: 8527451434 Enrollment ID: I20220216001733 |
| Provider Name | Krishnaveni Ayyagari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457758823 PECOS PAC ID: 0840686234 Enrollment ID: I20220412001851 |
| Provider Name | Eunice Theodor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720471147 PECOS PAC ID: 5991011579 Enrollment ID: I20220420000024 |
| Provider Name | Yasmin Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801390851 PECOS PAC ID: 5698017952 Enrollment ID: I20220420002772 |
| Provider Name | Julia Grace Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558018952 PECOS PAC ID: 0446647101 Enrollment ID: I20220427001148 |
| Provider Name | Kimberly Nichole Eide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908937 PECOS PAC ID: 5294158556 Enrollment ID: I20220620000741 |
| Provider Name | Ifunanya Ojukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518525708 PECOS PAC ID: 9032443056 Enrollment ID: I20220720000468 |
| Provider Name | Janice A Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992368187 PECOS PAC ID: 5294061354 Enrollment ID: I20220725001219 |
| Provider Name | Besong Ebob Ogork |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851954440 PECOS PAC ID: 7911388814 Enrollment ID: I20220725001275 |
| Provider Name | Nadine Cyrilla Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073003364 PECOS PAC ID: 4789066150 Enrollment ID: I20220802000036 |
| Provider Name | Jean-philippe Morisset |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316409063 PECOS PAC ID: 6901131937 Enrollment ID: I20220810000077 |
| Provider Name | Timothy Ryan Erdei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621016 PECOS PAC ID: 9133456650 Enrollment ID: I20220816001905 |
| Provider Name | Shalini Chowdavarapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609434281 PECOS PAC ID: 6103154448 Enrollment ID: I20220817001943 |
| Provider Name | Augusta Essuman-nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558927707 PECOS PAC ID: 0547643603 Enrollment ID: I20220823000755 |
| Provider Name | Clarissa Diann Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568092518 PECOS PAC ID: 5991180036 Enrollment ID: I20220909002947 |
| Provider Name | Janice Althia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780327353 PECOS PAC ID: 1456727627 Enrollment ID: I20221013002444 |
| Provider Name | Endia Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750851937 PECOS PAC ID: 1456728997 Enrollment ID: I20221114000039 |
| Provider Name | Hawwa S Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881889277 PECOS PAC ID: 7810154135 Enrollment ID: I20221209002502 |
| Provider Name | Jacqueline Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255040663 PECOS PAC ID: 2264802479 Enrollment ID: I20230104003201 |
| Provider Name | Kallan Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124550736 PECOS PAC ID: 1355761305 Enrollment ID: I20230302001273 |
| Provider Name | Jennifer Monsrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699335810 PECOS PAC ID: 7416320692 Enrollment ID: I20230309000702 |
| Provider Name | Kishore Sathiraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184289993 PECOS PAC ID: 0941535157 Enrollment ID: I20230410002705 |
| Provider Name | Yasmin Rosshandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689203754 PECOS PAC ID: 4688096555 Enrollment ID: I20230503002665 |
| Provider Name | Darryel Alexander Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285291286 PECOS PAC ID: 5799015483 Enrollment ID: I20230511000535 |
| Provider Name | Janinne Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427359843 PECOS PAC ID: 2567634181 Enrollment ID: I20230606000603 |
| Provider Name | Erika Maria Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740897644 PECOS PAC ID: 1658738612 Enrollment ID: I20230606003079 |
| Provider Name | Latoya L Ajileye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386154540 PECOS PAC ID: 4981062312 Enrollment ID: I20230616001916 |
| Provider Name | Chinwendu Catherine Korie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727544 PECOS PAC ID: 9739549940 Enrollment ID: I20230720000138 |
| Provider Name | Yerie Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960498 PECOS PAC ID: 0244525012 Enrollment ID: I20230726002479 |
| Provider Name | Briana Toatley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908846 PECOS PAC ID: 6901229285 Enrollment ID: I20230727003768 |
| Provider Name | Liyun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932713658 PECOS PAC ID: 5799146106 Enrollment ID: I20230802000679 |
| Provider Name | Miriam M Onyegbula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306462619 PECOS PAC ID: 3678934692 Enrollment ID: I20230807001874 |
| Provider Name | Angie Marie Pagano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265794135 PECOS PAC ID: 8729238357 Enrollment ID: I20230810002989 |
| Provider Name | Cullen Driscoll Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326686775 PECOS PAC ID: 1254754153 Enrollment ID: I20230821002202 |
| Provider Name | Rachel Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975685 PECOS PAC ID: 2466842687 Enrollment ID: I20230825002036 |
| Provider Name | Raven T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568041168 PECOS PAC ID: 9234593690 Enrollment ID: I20230919000486 |
| Provider Name | Tangel Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881395382 PECOS PAC ID: 9537513528 Enrollment ID: I20230925002511 |
| Provider Name | Jeannette Frei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679549125 PECOS PAC ID: 9133170541 Enrollment ID: I20231004002741 |
| Provider Name | Belinda Doreen Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578240974 PECOS PAC ID: 0042665598 Enrollment ID: I20231018002674 |
| Provider Name | Hannah Marie Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508543380 PECOS PAC ID: 9537516133 Enrollment ID: I20231102003764 |
| Provider Name | Patricia Efua Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841906278 PECOS PAC ID: 0648627869 Enrollment ID: I20231109002523 |
| Provider Name | Sara Elizabeth Bobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346025749 PECOS PAC ID: 8820447642 Enrollment ID: I20231205003216 |
| Provider Name | Connor Lloyd Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221469 PECOS PAC ID: 5395101059 Enrollment ID: I20240118003724 |
| Provider Name | Hedy Urueta Mazzilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811074370 PECOS PAC ID: 7517966526 Enrollment ID: I20240124000193 |
| Provider Name | Quincy Alvin Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316574346 PECOS PAC ID: 1658714530 Enrollment ID: I20240207002962 |
| Provider Name | Nwamaka Dike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858143 PECOS PAC ID: 8022452242 Enrollment ID: I20240215002801 |
| Provider Name | Elizabeth Gafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477320620 PECOS PAC ID: 3577907716 Enrollment ID: I20240215003578 |
| Provider Name | Corey M Carson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245599778 PECOS PAC ID: 9133442528 Enrollment ID: I20240301003206 |
| Provider Name | Ji Hye Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356978852 PECOS PAC ID: 7113340878 Enrollment ID: I20240326000277 |
| Provider Name | Sang Ha Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265069769 PECOS PAC ID: 8224450176 Enrollment ID: I20240326001667 |
| Provider Name | Kimiko Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750843637 PECOS PAC ID: 9436533734 Enrollment ID: I20240424003697 |
| Provider Name | Roschel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780247353 PECOS PAC ID: 7719363001 Enrollment ID: I20240503001610 |
| Provider Name | Christabel Obumneke Okoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049969 PECOS PAC ID: 2668813270 Enrollment ID: I20240514002830 |
| Provider Name | Barbara Ibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063095859 PECOS PAC ID: 4082005137 Enrollment ID: I20240523002710 |
| Provider Name | Parisa Biazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033792908 PECOS PAC ID: 9739586934 Enrollment ID: I20240715002828 |
| Provider Name | Stephanie Okeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306424403 PECOS PAC ID: 3072913847 Enrollment ID: I20240726000895 |
| Provider Name | Young Il Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730765595 PECOS PAC ID: 0143621805 Enrollment ID: I20240726003383 |
| Provider Name | Oluwabukola Naomi Famakinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508430943 PECOS PAC ID: 5294139655 Enrollment ID: I20240801003352 |
| Provider Name | Taylor Nicole Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235971755 PECOS PAC ID: 5092252122 Enrollment ID: I20240806003824 |
| Provider Name | Ashton Griffith Mccranie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386487890 PECOS PAC ID: 7012454119 Enrollment ID: I20240807002221 |
| Provider Name | Mutiat Enikanolaiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679142111 PECOS PAC ID: 1759782535 Enrollment ID: I20240809003100 |
| Provider Name | Jasbir Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912584608 PECOS PAC ID: 5991106957 Enrollment ID: I20240809003535 |
| Provider Name | Advija Ibrisimovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831775873 PECOS PAC ID: 1052719911 Enrollment ID: I20240814002265 |
| Provider Name | Princy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922842608 PECOS PAC ID: 0749729796 Enrollment ID: I20240822001763 |
| Provider Name | Chrystal Gayle Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922714211 PECOS PAC ID: 0244779205 Enrollment ID: I20240822002436 |
| Provider Name | Afua Dufie Addo Vanderpuije |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346826302 PECOS PAC ID: 8729476841 Enrollment ID: I20240903000079 |
| Provider Name | Soumya Meda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356928451 PECOS PAC ID: 7517369200 Enrollment ID: I20240909002696 |
| Provider Name | Savannah M Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447824420 PECOS PAC ID: 0143623405 Enrollment ID: I20240918001022 |
| Provider Name | Jalessa J Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316528805 PECOS PAC ID: 3577962059 Enrollment ID: I20241007002040 |
| Provider Name | Hina Durani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598053654 PECOS PAC ID: 6901027408 Enrollment ID: I20241014003962 |
| Provider Name | Ledia Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801279120 PECOS PAC ID: 8224341086 Enrollment ID: I20241016004610 |
| Provider Name | Victoria Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336727304 PECOS PAC ID: 7416358775 Enrollment ID: I20241025000079 |
| Provider Name | Thomasina L. Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306674486 PECOS PAC ID: 2062945983 Enrollment ID: I20241031000580 |
| Provider Name | Robert Favrot Vickers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891372199 PECOS PAC ID: 1254736911 Enrollment ID: I20241121000673 |
| Provider Name | Katherine Mcfarlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831753243 PECOS PAC ID: 5294111795 Enrollment ID: I20241205002143 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |