Piedmont Professional Services, Llc | |
1855 Hudson Bridge Rd Stockbridge GA 30281-5000 | |
(770) 801-2500 | |
(770) 803-2121 |
Full Name | Piedmont Professional Services, Llc |
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Speciality | Internal Medicine |
Location | 1855 Hudson Bridge Rd, Stockbridge, 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 Professional Services, Llc Po Box 102038 Atlanta GA 30368-2038 Ph: () - | Piedmont Professional Services, Llc 1855 Hudson Bridge Rd Stockbridge GA 30281-5000 Ph: (770) 801-2500 |
NPI Number | 1104088905 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 08/10/2021 |
Medicare PECOS PAC ID | 8921176231 |
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Medicare Enrollment ID | O20081014000187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104088905 | NPI | - | NPPES |
Provider Name | Stanley P Coe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942384953 PECOS PAC ID: 3779495023 Enrollment ID: I20031104000553 |
Provider Name | Kevin Trapnell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083796619 PECOS PAC ID: 3476537697 Enrollment ID: I20040615001782 |
Provider Name | Barbara L Norvell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023028842 PECOS PAC ID: 2860478773 Enrollment ID: I20040629001245 |
Provider Name | Lawrence G Seiden |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295709772 PECOS PAC ID: 5698718369 Enrollment ID: I20050603000203 |
Provider Name | Joretta A Buckner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851316665 PECOS PAC ID: 7113961285 Enrollment ID: I20050620000492 |
Provider Name | Julie P Hicks |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306889068 PECOS PAC ID: 0345278362 Enrollment ID: I20050801000763 |
Provider Name | Melody K Werner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023184850 PECOS PAC ID: 3870518954 Enrollment ID: I20051007000387 |
Provider Name | Kelleen M Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295924058 PECOS PAC ID: 3274559224 Enrollment ID: I20051019000144 |
Provider Name | Olubunkola M Olubi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1962496992 PECOS PAC ID: 5193741155 Enrollment ID: I20051019000231 |
Provider Name | Amy D Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962560102 PECOS PAC ID: 5991724965 Enrollment ID: I20051118000404 |
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 | Teresa O Snider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508816505 PECOS PAC ID: 8426078932 Enrollment ID: I20051129000886 |
Provider Name | Kanniammal Ramasamy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922025899 PECOS PAC ID: 3779586532 Enrollment ID: I20060816000353 |
Provider Name | Tiffany B Richey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619035136 PECOS PAC ID: 1850495060 Enrollment ID: I20070328000261 |
Provider Name | Ngozi Okeani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447318936 PECOS PAC ID: 7113021262 Enrollment ID: I20070329000041 |
Provider Name | Cindy J Bowen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982789293 PECOS PAC ID: 8527163104 Enrollment ID: I20070411000088 |
Provider Name | Chai Y Yi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528126786 PECOS PAC ID: 8123123544 Enrollment ID: I20070413000179 |
Provider Name | Victoria M Wermers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689732190 PECOS PAC ID: 4284739616 Enrollment ID: I20070413000284 |
Provider Name | Amy E Warner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922166172 PECOS PAC ID: 4082719414 Enrollment ID: I20070413000295 |
Provider Name | Nancy Mcroyal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316916141 PECOS PAC ID: 6406951797 Enrollment ID: I20070416000153 |
Provider Name | Deborah A Brewer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891854303 PECOS PAC ID: 9032214341 Enrollment ID: I20070416000272 |
Provider Name | Helen W Ngigi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568503761 PECOS PAC ID: 9335247196 Enrollment ID: I20070604000010 |
Provider Name | Susan M Towner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386845881 PECOS PAC ID: 5698861680 Enrollment ID: I20071023000081 |
Provider Name | Renea Doughton-johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780864793 PECOS PAC ID: 0345327359 Enrollment ID: I20080401000587 |
Provider Name | Cynthia C Decamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346326493 PECOS PAC ID: 6608953682 Enrollment ID: I20080402000221 |
Provider Name | Theresa O Oparah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083732978 PECOS PAC ID: 8921185497 Enrollment ID: I20080408000442 |
Provider Name | Jacquelyn H Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659434876 PECOS PAC ID: 1557448693 Enrollment ID: I20080414000340 |
Provider Name | Andrei I Serbanescu |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528032703 PECOS PAC ID: 5698854552 Enrollment ID: I20080502000377 |
Provider Name | Angela Huff Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689618472 PECOS PAC ID: 5698854594 Enrollment ID: I20080505000021 |
Provider Name | Iris D Amaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962545731 PECOS PAC ID: 3779652003 Enrollment ID: I20080513000388 |
Provider Name | Maria R Sostre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104019165 PECOS PAC ID: 4183703648 Enrollment ID: I20080516000442 |
Provider Name | Natasha R Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902072945 PECOS PAC ID: 7416018593 Enrollment ID: I20081208000437 |
Provider Name | Stephen M Barnett |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598879108 PECOS PAC ID: 5092863308 Enrollment ID: I20090424000284 |
Provider Name | Denise Lowman-kedzierski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093954562 PECOS PAC ID: 6608925516 Enrollment ID: I20090526000403 |
Provider Name | Sheryl A Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528297736 PECOS PAC ID: 0446390215 Enrollment ID: I20091230000043 |
Provider Name | Andrew Sanders |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538112347 PECOS PAC ID: 5193852440 Enrollment ID: I20100420000009 |
Provider Name | Lillian Nagaddya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932306099 PECOS PAC ID: 8325175037 Enrollment ID: I20100428000373 |
Provider Name | Bozeman K Sherwood |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1043325467 PECOS PAC ID: 4486733748 Enrollment ID: I20101015000332 |
Provider Name | Ermina Mujadzic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588790794 PECOS PAC ID: 5698822476 Enrollment ID: I20101116000354 |
Provider Name | Linda Gay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508164468 PECOS PAC ID: 2668655465 Enrollment ID: I20110331000201 |
Provider Name | Melissa Cave |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912217423 PECOS PAC ID: 7810173515 Enrollment ID: I20110513000362 |
Provider Name | Jennifer G Carruth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033408331 PECOS PAC ID: 9335325448 Enrollment ID: I20110525000112 |
Provider Name | Esohe G Idusuyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992080436 PECOS PAC ID: 6709053267 Enrollment ID: I20120124000589 |
Provider Name | Safiah Vafaeian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871842427 PECOS PAC ID: 8921257635 Enrollment ID: I20121012000133 |
Provider Name | Venyette A Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508129438 PECOS PAC ID: 9931351871 Enrollment ID: I20121128000674 |
Provider Name | Brandy G Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336385475 PECOS PAC ID: 5799930889 Enrollment ID: I20130220000457 |
Provider Name | Judith Namakula |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932467768 PECOS PAC ID: 5294980850 Enrollment ID: I20130305000178 |
Provider Name | Mary Charlot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578802286 PECOS PAC ID: 0840436010 Enrollment ID: I20130412000170 |
Provider Name | Finda Kaimachiande |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447591771 PECOS PAC ID: 6002052248 Enrollment ID: I20130415000120 |
Provider Name | Katherine L Steele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144455643 PECOS PAC ID: 2466698501 Enrollment ID: I20130417000007 |
Provider Name | Tricia W Thackston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801136593 PECOS PAC ID: 9638317258 Enrollment ID: I20130521000229 |
Provider Name | Natalie Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912209214 PECOS PAC ID: 8628240157 Enrollment ID: I20130716000668 |
Provider Name | Selena Fuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598102733 PECOS PAC ID: 5597908277 Enrollment ID: I20130828000271 |
Provider Name | Divyalata Vishal Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134462740 PECOS PAC ID: 9436393675 Enrollment ID: I20130910000405 |
Provider Name | Tali Golan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629401831 PECOS PAC ID: 4981838174 Enrollment ID: I20131001000116 |
Provider Name | Renai Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790872158 PECOS PAC ID: 9830344399 Enrollment ID: I20131018001750 |
Provider Name | Mirose P Verme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629404009 PECOS PAC ID: 2365679727 Enrollment ID: I20131211000963 |
Provider Name | Julie B Banares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235554346 PECOS PAC ID: 5294968756 Enrollment ID: I20140507001732 |
Provider Name | Latrese A Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861810749 PECOS PAC ID: 6002030947 Enrollment ID: I20140616000080 |
Provider Name | Sarah Sabri Tripp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538417548 PECOS PAC ID: 0941443600 Enrollment ID: I20140619001278 |
Provider Name | Kathryn Foley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487752028 PECOS PAC ID: 2961627856 Enrollment ID: I20140709001784 |
Provider Name | Sara B Keeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053600650 PECOS PAC ID: 2365663721 Enrollment ID: I20141028001818 |
Provider Name | Lyna B. Ashu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932500600 PECOS PAC ID: 2961728688 Enrollment ID: I20150224000341 |
Provider Name | Paula C Barlow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033532023 PECOS PAC ID: 4183942824 Enrollment ID: I20150409001585 |
Provider Name | Thea Lettley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942538293 PECOS PAC ID: 4981876802 Enrollment ID: I20150420000096 |
Provider Name | Frances O Idowu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235529611 PECOS PAC ID: 3779802343 Enrollment ID: I20150501001970 |
Provider Name | Michelle Crumbley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023445418 PECOS PAC ID: 9032422159 Enrollment ID: I20150817002059 |
Provider Name | Payal Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679994693 PECOS PAC ID: 0345558615 Enrollment ID: I20151006002638 |
Provider Name | Hope V Bussenius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124216296 PECOS PAC ID: 9638488612 Enrollment ID: I20151013001768 |
Provider Name | Gopika Naidu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003226069 PECOS PAC ID: 1951610435 Enrollment ID: I20151023000867 |
Provider Name | Tanielle D Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427433432 PECOS PAC ID: 6901115492 Enrollment ID: I20151023001085 |
Provider Name | Angela Haynes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932405537 PECOS PAC ID: 7719141290 Enrollment ID: I20151110000668 |
Provider Name | Mae A Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679977227 PECOS PAC ID: 0749506681 Enrollment ID: I20160126000759 |
Provider Name | Alison Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295833176 PECOS PAC ID: 9133151772 Enrollment ID: I20160412001817 |
Provider Name | Ivy A Fenin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780039131 PECOS PAC ID: 1850681271 Enrollment ID: I20160526000390 |
Provider Name | Theresa D Stembridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740647148 PECOS PAC ID: 0749584506 Enrollment ID: I20160914001973 |
Provider Name | Marlon L Sharpe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174888366 PECOS PAC ID: 6305084989 Enrollment ID: I20161003002030 |
Provider Name | Jessica N Lynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598124380 PECOS PAC ID: 7911294103 Enrollment ID: I20161003002427 |
Provider Name | Ratika Gunturi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831439595 PECOS PAC ID: 3072747609 Enrollment ID: I20161019001503 |
Provider Name | Erinn Beasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326498387 PECOS PAC ID: 8325326309 Enrollment ID: I20161026000315 |
Provider Name | Susan E Austin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427005354 PECOS PAC ID: 9931102902 Enrollment ID: I20161116002683 |
Provider Name | Erich Heinz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1902886724 PECOS PAC ID: 4486891330 Enrollment ID: I20161228001339 |
Provider Name | Rhonda Tisdale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508315102 PECOS PAC ID: 0648551994 Enrollment ID: I20161229000922 |
Provider Name | Manisha A Ruhani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710334495 PECOS PAC ID: 1153603659 Enrollment ID: I20170118000555 |
Provider Name | Jenean A Gardner Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588108922 PECOS PAC ID: 5890071948 Enrollment ID: I20170404002201 |
Provider Name | Maritess Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013461425 PECOS PAC ID: 6406132166 Enrollment ID: I20170411002379 |
Provider Name | Michael Posada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730626508 PECOS PAC ID: 9032495494 Enrollment ID: I20170419001660 |
Provider Name | Robin P Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487193777 PECOS PAC ID: 4789960006 Enrollment ID: I20170420001487 |
Provider Name | Pei Tan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851827893 PECOS PAC ID: 6800164963 Enrollment ID: I20170613001671 |
Provider Name | Lauren Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447786892 PECOS PAC ID: 0042589152 Enrollment ID: I20170705003036 |
Provider Name | Mark Chua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659819563 PECOS PAC ID: 8628341088 Enrollment ID: I20170906002391 |
Provider Name | Vida Umstead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366471914 PECOS PAC ID: 6002811478 Enrollment ID: I20171012002662 |
Provider Name | Kelly Perdomo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669917985 PECOS PAC ID: 3779869680 Enrollment ID: I20171023001316 |
Provider Name | Tiffany E Wells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821509183 PECOS PAC ID: 4587922554 Enrollment ID: I20171220002412 |
Provider Name | Carolyne N Katongole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437667896 PECOS PAC ID: 6800151200 Enrollment ID: I20180606002699 |
Provider Name | Victoria L Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972773331 PECOS PAC ID: 3274602933 Enrollment ID: I20180609000122 |
Provider Name | Julie A Oglesby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023528460 PECOS PAC ID: 4486916855 Enrollment ID: I20180724003894 |
Provider Name | Latonia Melissa Collier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366951741 PECOS PAC ID: 1759522832 Enrollment ID: I20180724004216 |
Provider Name | Ashley Marie Yates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104337153 PECOS PAC ID: 9234491614 Enrollment ID: I20180731003893 |
Provider Name | Jaine Samuel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700129681 PECOS PAC ID: 4183973241 Enrollment ID: I20180822002350 |
Provider Name | Pranam Kokilakumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376938696 PECOS PAC ID: 2567746274 Enrollment ID: I20180905003725 |
Provider Name | Daniela Hazelwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528501269 PECOS PAC ID: 6608126586 Enrollment ID: I20180914000432 |
Provider Name | Lise-stephana Francois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336510205 PECOS PAC ID: 9931450749 Enrollment ID: I20180918002256 |
Provider Name | Vanessa Marie Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205325586 PECOS PAC ID: 4789936832 Enrollment ID: I20181017003588 |
Provider Name | Sharonda Shontrell Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033605118 PECOS PAC ID: 5092069120 Enrollment ID: I20181108001221 |
Provider Name | Ashley Atkinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578003133 PECOS PAC ID: 1355627100 Enrollment ID: I20190103003289 |
Provider Name | Olga Matipe Nen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669998159 PECOS PAC ID: 6800136045 Enrollment ID: I20190325002684 |
Provider Name | Natasha Carpio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750640025 PECOS PAC ID: 3577707017 Enrollment ID: I20190909000798 |
Provider Name | Hannah Timmerman Cofer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356907596 PECOS PAC ID: 5890026835 Enrollment ID: I20191007000833 |
Provider Name | Meredith Carr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720634397 PECOS PAC ID: 2163856832 Enrollment ID: I20200106001776 |
Provider Name | Cindy Liberal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659922508 PECOS PAC ID: 1658706239 Enrollment ID: I20200109001471 |
Provider Name | Millicent Porter Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770723579 PECOS PAC ID: 3870624232 Enrollment ID: I20200115000908 |
Provider Name | Lisa Ann Patton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578103008 PECOS PAC ID: 9234567348 Enrollment ID: I20200323002500 |
Provider Name | Sibilla K Blair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407400260 PECOS PAC ID: 0648609362 Enrollment ID: I20200401001156 |
Provider Name | Domineque Ariane Chhun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275016776 PECOS PAC ID: 3870923683 Enrollment ID: I20200420000225 |
Provider Name | Kathleen C Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972560266 PECOS PAC ID: 4880675743 Enrollment ID: I20200421003226 |
Provider Name | Marisa Elise-guerette Chorney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558727925 PECOS PAC ID: 6305130139 Enrollment ID: I20200609003278 |
Provider Name | Sara Chandler Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689288599 PECOS PAC ID: 0840618252 Enrollment ID: I20200917000824 |
Provider Name | Brandy L Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922620798 PECOS PAC ID: 0042630089 Enrollment ID: I20201013003164 |
Provider Name | Rebecca Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902423254 PECOS PAC ID: 9234559659 Enrollment ID: I20201022003921 |
Provider Name | Idrissatu Bah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083237069 PECOS PAC ID: 5092125021 Enrollment ID: I20201103002225 |
Provider Name | Jessica A Nicoletti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215542329 PECOS PAC ID: 2466863261 Enrollment ID: I20201130003055 |
Provider Name | Katrina Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376037507 PECOS PAC ID: 0042623308 Enrollment ID: I20210105001095 |
Provider Name | Sherri Reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659650695 PECOS PAC ID: 7618382490 Enrollment ID: I20210209002753 |
Provider Name | Dzintra Leblanc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619576931 PECOS PAC ID: 2062820830 Enrollment ID: I20210415000569 |
Provider Name | Sierra Belcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528653920 PECOS PAC ID: 5294134888 Enrollment ID: I20210602001492 |
Provider Name | Nickolas Leaf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245904200 PECOS PAC ID: 1254729676 Enrollment ID: I20211130001665 |
Provider Name | Kenesia Genas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134685118 PECOS PAC ID: 3476944455 Enrollment ID: I20211230000334 |
Provider Name | Tolulope Arowosegbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174283386 PECOS PAC ID: 8729470646 Enrollment ID: I20220126000570 |
Provider Name | Kaythrine Ramp Leonard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023769098 PECOS PAC ID: 5193118677 Enrollment ID: I20220204000633 |
Provider Name | Caitlin Culver Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679243182 PECOS PAC ID: 2365837028 Enrollment ID: I20220315002194 |
Provider Name | Camille Marie Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811049448 PECOS PAC ID: 6305904111 Enrollment ID: I20220414001831 |
Provider Name | David Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699158154 PECOS PAC ID: 1759670029 Enrollment ID: I20220613001396 |
Provider Name | Xala Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962923292 PECOS PAC ID: 2961773296 Enrollment ID: I20220616000012 |
Provider Name | Lynn Bui |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215527700 PECOS PAC ID: 1658762430 Enrollment ID: I20220725000605 |
Provider Name | Ashley N Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225763469 PECOS PAC ID: 2567845787 Enrollment ID: I20220819001717 |
Provider Name | Leah Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841706652 PECOS PAC ID: 7810236866 Enrollment ID: I20220823003710 |
Provider Name | Jacquelene L Vargas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659084366 PECOS PAC ID: 5597137612 Enrollment ID: I20230217000992 |
Provider Name | Amanda Marten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326534504 PECOS PAC ID: 4880938380 Enrollment ID: I20230503001031 |
Provider Name | Mary Melissa Mathes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235824160 PECOS PAC ID: 2062878077 Enrollment ID: I20230517002799 |
Provider Name | Jennifer M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609594720 PECOS PAC ID: 0941667976 Enrollment ID: I20230607001723 |
Provider Name | Virginia Marie Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679040240 PECOS PAC ID: 6901264803 Enrollment ID: I20230626001803 |
Provider Name | Sarina Atul Desai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568098069 PECOS PAC ID: 5193135143 Enrollment ID: I20230712000799 |
Provider Name | Virginia Blount |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770360620 PECOS PAC ID: 2264885409 Enrollment ID: I20240124002562 |
Advocacy Healthcare Adult Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Country Club Dr, Suite 100 D, Stockbridge, GA 30281 Phone: 615-430-7877 | |
The Doctor's Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-506-3386 Fax: 770-506-3381 | |
The Doctor's Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3579 Highway 138 Se, Suite 201, Stockbridge, GA 30281 Phone: 770-507-0029 Fax: 770-507-9990 | |
Rediclinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 N Henry Blvd, Stockbridge, GA 30281 Phone: 713-935-0333 | |
Zam Zam Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Surge Stone Ln, Stockbridge, GA 30281 Phone: 520-262-9979 | |
Premier Family Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7444 Hannover Pkwy S Ste 225, Stockbridge, GA 30281 Phone: 404-981-3376 | |
Alpha Medical Wellness And Walk In Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Medical Way, Suite B, Stockbridge, GA 30281 Phone: 678-759-0059 Fax: 678-623-8054 |