Provident Healthcare Llc - Primary Care in Marietta, GA

Provident Healthcare Llc is a primary clinic (Internal Medicine - Geriatric Medicine) in Marietta, Georgia. The current practice location for Provident Healthcare Llc is 3505 Lassiter Falls Dr Ne, Marietta, Georgia. For appointments, you can reach them via phone at (414) 916-9031. The mailing address for Provident Healthcare Llc is 3063 Peachtree Industrial Blvd, Ste 200, Duluth, Georgia and phone number is (678) 390-0120.

Provident Healthcare Llc is licensed to practice in Georgia (license number 07088) and its NPI number is 1154706075. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (414) 916-9031.

Contact Information

Provident Healthcare Llc
3505 Lassiter Falls Dr Ne
Marietta
GA 30062-4199
(414) 916-9031
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameProvident Healthcare Llc
SpecialityInternal Medicine - Geriatric Medicine
Location3505 Lassiter Falls Dr Ne, Marietta, Georgia
Authorized Official Name and PositionLakshman K Dinavahi (CHIEF MEDICAL OFFICER)
Authorized Official Contact6783900120
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Provident Healthcare Llc
3063 Peachtree Industrial Blvd
Ste 200
Duluth
GA 30097-8639

Ph: (678) 390-0120
Provident Healthcare Llc
3505 Lassiter Falls Dr Ne
Marietta
GA 30062-4199

Ph: (414) 916-9031

NPI Details:

NPI Number1154706075
Provider Enumeration Date07/21/2015
Last Update Date07/22/2015

Medical Identifiers

Medical identifiers for Provident Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154706075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 07088 (Georgia)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 07088 (Georgia)Primary
207RH0002XInternal Medicine - Hospice And Palliative Medicine 07088 (Georgia)Secondary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.