Pruitthealth Physicians Services | |
1626 Jeurgens Ct Norcross GA 30093-2219 | |
(770) 279-6200 | |
(770) 925-4619 |
Full Name | Pruitthealth Physicians Services |
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Speciality | Internal Medicine |
Location | 1626 Jeurgens Ct, Norcross, Georgia |
Authorized Official Name and Position | Neil L. Pruitt (CHAIRMAN AND CEO OF MANAGER) |
Authorized Official Contact | 7702796200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pruitthealth Physicians Services 1626 Jeurgens Ct Norcross GA 30093-2219 Ph: (770) 279-6200 | Pruitthealth Physicians Services 1626 Jeurgens Ct Norcross GA 30093-2219 Ph: (770) 279-6200 |
NPI Number | 1043676299 |
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Provider Enumeration Date | 01/04/2016 |
Last Update Date | 12/05/2016 |
Medicare PECOS PAC ID | 8123327061 |
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Medicare Enrollment ID | O20160428000256 |
Identifier | Type | State | Issuer |
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1043676299 | NPI | - | NPPES |
Provider Name | Rayvelle A Stallings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154778629 PECOS PAC ID: 0547252553 Enrollment ID: I20040331000782 |
Provider Name | Christy R Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578573762 PECOS PAC ID: 5092791343 Enrollment ID: I20040628000059 |
Provider Name | Frank David Curvin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457397382 PECOS PAC ID: 1557321353 Enrollment ID: I20041015000638 |
Provider Name | Michael H Groover |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346338720 PECOS PAC ID: 5496709065 Enrollment ID: I20050307000329 |
Provider Name | Margaret A White |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871519629 PECOS PAC ID: 1850300575 Enrollment ID: I20060407000324 |
Provider Name | Kevin Goodlow |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659476232 PECOS PAC ID: 9335147305 Enrollment ID: I20061130000041 |
Provider Name | Willie Landrum |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760653612 PECOS PAC ID: 0345316949 Enrollment ID: I20080905000150 |
Provider Name | Ashley G Giddens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558517839 PECOS PAC ID: 7416024088 Enrollment ID: I20080923000747 |
Provider Name | Emmanuel O Onasile |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336313972 PECOS PAC ID: 3274671573 Enrollment ID: I20091106000096 |
Provider Name | Brenda Gail Tolleson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043402613 PECOS PAC ID: 0648359406 Enrollment ID: I20110414000592 |
Provider Name | Kimberly T Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043591076 PECOS PAC ID: 6800055088 Enrollment ID: I20120307000412 |
Provider Name | Marilyn Elaine Whitening |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730448564 PECOS PAC ID: 2365607868 Enrollment ID: I20120709000306 |
Provider Name | Aundre R Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669754214 PECOS PAC ID: 5496911760 Enrollment ID: I20120801000159 |
Provider Name | Ashley R Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114252848 PECOS PAC ID: 6204089816 Enrollment ID: I20130110000195 |
Provider Name | Carol S Long |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932258274 PECOS PAC ID: 8820231947 Enrollment ID: I20130821000273 |
Provider Name | Latonia Michelle Trawick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912310269 PECOS PAC ID: 1850513383 Enrollment ID: I20141117000995 |
Provider Name | Erika C Kang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639568066 PECOS PAC ID: 2163740911 Enrollment ID: I20150408000610 |
Provider Name | Monifa K Montique |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790188605 PECOS PAC ID: 2163741661 Enrollment ID: I20150505002053 |
Provider Name | N'kema Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720475098 PECOS PAC ID: 8921230145 Enrollment ID: I20150702001920 |
Provider Name | Kay Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790167856 PECOS PAC ID: 3779892419 Enrollment ID: I20151021000727 |
Provider Name | Melissa Kilgore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164881454 PECOS PAC ID: 7416841358 Enrollment ID: I20160811002113 |
Provider Name | April Haefner-birdsong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205289063 PECOS PAC ID: 6406143841 Enrollment ID: I20160928001395 |
Provider Name | Stephanie Bridges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619329661 PECOS PAC ID: 6608163092 Enrollment ID: I20160929000028 |
Provider Name | Cathy A Merritt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306395637 PECOS PAC ID: 0547549461 Enrollment ID: I20161117001075 |
Provider Name | Gema Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093257933 PECOS PAC ID: 6507149127 Enrollment ID: I20170206001869 |
Provider Name | Deborah M Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740568815 PECOS PAC ID: 4183907421 Enrollment ID: I20170210000617 |
Provider Name | Janet Findlay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912443466 PECOS PAC ID: 3476837469 Enrollment ID: I20170313001436 |
Provider Name | Kacie M Proctor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558804971 PECOS PAC ID: 3779868195 Enrollment ID: I20170328001034 |
Provider Name | Phyillis A Kennedy-howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063951408 PECOS PAC ID: 2163709197 Enrollment ID: I20170501001010 |
Provider Name | Shekella D Blanden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396285516 PECOS PAC ID: 3971871732 Enrollment ID: I20170620000856 |
Provider Name | Tiffany Boulanger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700308509 PECOS PAC ID: 4981978376 Enrollment ID: I20170925000300 |
Provider Name | Korpo Kpissay Erawoc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366970139 PECOS PAC ID: 3476818931 Enrollment ID: I20180604001535 |
Provider Name | Miranda Leigh Fitzpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821509241 PECOS PAC ID: 8729334719 Enrollment ID: I20180705001188 |
Provider Name | Jessica Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831607670 PECOS PAC ID: 1052668274 Enrollment ID: I20180719001262 |
Provider Name | Omolara Fyle Thorpe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578532065 PECOS PAC ID: 4880674977 Enrollment ID: I20180901000104 |
Provider Name | Liam Samuel Groseclose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609376763 PECOS PAC ID: 4486905288 Enrollment ID: I20180918001770 |
Provider Name | Nisha Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568984839 PECOS PAC ID: 2567713399 Enrollment ID: I20180918002781 |
Provider Name | Suann Daphna Runshe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871040394 PECOS PAC ID: 8820366693 Enrollment ID: I20181011000945 |
Provider Name | June R Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295233534 PECOS PAC ID: 5193060465 Enrollment ID: I20181214003056 |
Provider Name | Ann Jungsun Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275032781 PECOS PAC ID: 6507193679 Enrollment ID: I20190812004028 |
Provider Name | Olatunde Synthia Olatunji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316455066 PECOS PAC ID: 6103155023 Enrollment ID: I20190830003002 |
Provider Name | Taylor Ann Holeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962904581 PECOS PAC ID: 3779848056 Enrollment ID: I20191101001284 |
Provider Name | James Slatton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699234351 PECOS PAC ID: 8820420177 Enrollment ID: I20191107001668 |
Provider Name | Rebecca Lee Hayes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144861485 PECOS PAC ID: 6901239169 Enrollment ID: I20191203001097 |
Provider Name | Nikki Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821645748 PECOS PAC ID: 9830528892 Enrollment ID: I20200326003552 |
Provider Name | Troy Dennis Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194146720 PECOS PAC ID: 4880025063 Enrollment ID: I20200504002888 |
Provider Name | Shena Ogletree |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457821373 PECOS PAC ID: 7719318617 Enrollment ID: I20200508001993 |
Provider Name | Archie Person |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487296034 PECOS PAC ID: 8921407636 Enrollment ID: I20210601000832 |
Provider Name | Robin M Stinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376108894 PECOS PAC ID: 3274866322 Enrollment ID: I20210803002453 |
Provider Name | Reshna Thapa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598225609 PECOS PAC ID: 8820321383 Enrollment ID: I20210804003172 |
Provider Name | Karen E Lane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336370360 PECOS PAC ID: 1153462767 Enrollment ID: I20210809000697 |
Provider Name | Nicole D Arnold |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386235695 PECOS PAC ID: 6709280068 Enrollment ID: I20210809001495 |
Provider Name | Babak Fayyazi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881297992 PECOS PAC ID: 4880002799 Enrollment ID: I20210830001584 |
Provider Name | Susan Akaya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164192274 PECOS PAC ID: 5597156927 Enrollment ID: I20211220001003 |
Provider Name | Leslie R Curry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891363958 PECOS PAC ID: 6709279987 Enrollment ID: I20220210002652 |
Provider Name | Heather Nicole Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134843998 PECOS PAC ID: 2365819869 Enrollment ID: I20221111001318 |
Provider Name | Vicki L Wild-mcleod |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104229657 PECOS PAC ID: 0840669081 Enrollment ID: I20221212000740 |
Provider Name | Kimberly Crew Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194466623 PECOS PAC ID: 9032588041 Enrollment ID: I20221214002155 |
Provider Name | Scarlet Renee Shiflett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629743216 PECOS PAC ID: 0143699918 Enrollment ID: I20221219000294 |
Provider Name | Eugennie Gloria Williams-rose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710695895 PECOS PAC ID: 7012382245 Enrollment ID: I20230331000690 |
Provider Name | Felicia Renee Adkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164005757 PECOS PAC ID: 4183080476 Enrollment ID: I20230511000010 |
Lifeline Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092 Phone: 678-580-0950 Fax: 678-580-0991 | |
Angelcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5180 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 770-446-1555 Fax: 678-646-1969 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Beaver Ruin Road, Suite 175, Norcross, GA 30071 Phone: 770-441-0444 Fax: 770-449-7962 | |
Johns Creek Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Peachtree Industrial Blvd, Suite 360, Norcross, GA 30071 Phone: 770-441-2300 Fax: 866-910-5954 | |
Care Innovations, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Holcomb Bridge Rd Ste 226, Norcross, GA 30092 Phone: 770-451-7996 Fax: 770-451-7995 | |
Medico Familiar Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5345 Jimmy Carter Blvd, Suite I, Norcross, GA 30093 Phone: 770-409-7338 Fax: 770-409-7339 |