Village Medical - Medicare Primary Care in Atlanta, GA

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Village Medical is a medicare enrolled primary clinic (Family Medicine) in Atlanta, Georgia. The current practice location for Village Medical is 3445 Peachtree Rd Ne Ste 1200, Atlanta, Georgia. For appointments, you can reach them via phone at (770) 822-6853. The mailing address for Village Medical is 3445 Peachtree Rd Ne Ste 1200, Atlanta, Georgia and phone number is (770) 822-6853.

Village Medical is licensed to practice in Georgia (license number 79130). The clinic also participates in the medicare program and its NPI number is 1558872432. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 822-6853.

Contact Information

Village Medical
3445 Peachtree Rd Ne Ste 1200
Atlanta
GA 30326-3251
(770) 822-6853
(470) 387-1639

Map and Direction


Primary Care Clinic Profile

Full NameVillage Medical
SpecialityFamily Medicine
Location3445 Peachtree Rd Ne Ste 1200, Atlanta, Georgia
Authorized Official Name and PositionKristi I Lee (SENIOR DIRECTOR)
Authorized Official Contact7065134897
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Village Medical
3445 Peachtree Rd Ne Ste 1200
Atlanta
GA 30326-3251

Ph: (770) 822-6853		Village Medical
3445 Peachtree Rd Ne Ste 1200
Atlanta
GA 30326-3251

Ph: (770) 822-6853

NPI Details:

NPI Number1558872432
Provider Enumeration Date10/18/2017
Last Update Date05/26/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8123389277
Medicare Enrollment IDO20180306001224

Medical Identifiers

Medical identifiers for Village Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558872432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 79130 (Georgia)Primary
207R00000XInternal Medicine 79130 (Georgia)Secondary
225100000XPhysical Therapist 79130 (Georgia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Village Medical acts as a billing entity for following providers:
Provider NameTruc Pham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003808312
PECOS PAC ID: 4880589266
Enrollment ID: I20040217000525
Provider NameMohammad A Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194792382
PECOS PAC ID: 8325037997
Enrollment ID: I20040510000125
Provider NameDeborah K Prather
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063690964
PECOS PAC ID: 5991795759
Enrollment ID: I20040513001189
Provider NameShannon T Barton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295738722
PECOS PAC ID: 6800860875
Enrollment ID: I20040825000071
Provider NameClaudia A Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659393106
PECOS PAC ID: 4486628229
Enrollment ID: I20040825001510
Provider NameKevin T Napier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396740288
PECOS PAC ID: 1557311479
Enrollment ID: I20050128000267
Provider NameGary R Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811967797
PECOS PAC ID: 7113955139
Enrollment ID: I20050801000716
Provider NameClyde Watkins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851311856
PECOS PAC ID: 9234164120
Enrollment ID: I20050930000474
Provider NameCarter E Gibson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437181138
PECOS PAC ID: 4587667522
Enrollment ID: I20060814000132
Provider NameDaniel S Goodman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710901640
PECOS PAC ID: 3476658253
Enrollment ID: I20070424000285
Provider NameSophia Saifee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851543086
PECOS PAC ID: 9638238645
Enrollment ID: I20081105000822
Provider NameNishant G Shroff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386808947
PECOS PAC ID: 9739241340
Enrollment ID: I20081216000287
Provider NameJameson A Estes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265567796
PECOS PAC ID: 4688715709
Enrollment ID: I20100111000548
Provider NameKabir K Das
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699955377
PECOS PAC ID: 3476695594
Enrollment ID: I20100127000484
Provider NameAnthony M Omeara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821268012
PECOS PAC ID: 5698800332
Enrollment ID: I20100319000012
Provider NameSaurabh Desai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578626602
PECOS PAC ID: 7214032689
Enrollment ID: I20100916001177
Provider NameTiffany E Edwards
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841497054
PECOS PAC ID: 8426240698
Enrollment ID: I20101006000327
Provider NameMartha House Crenshaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255325536
PECOS PAC ID: 4789876459
Enrollment ID: I20101013000688
Provider NameRobert E Hall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316941396
PECOS PAC ID: 4587694120
Enrollment ID: I20101021000816
Provider NameMahmood Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902800899
PECOS PAC ID: 0446443550
Enrollment ID: I20101021000833
Provider NameBrian Gregory Cross
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720082613
PECOS PAC ID: 0941493654
Enrollment ID: I20101026000331
Provider NameJayashree Chengalath Veliyath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992722920
PECOS PAC ID: 2062601990
Enrollment ID: I20110107000822
Provider NameAbdul O Odemuyiwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528161437
PECOS PAC ID: 3274560735
Enrollment ID: I20110311000692
Provider NameWestly A Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053596296
PECOS PAC ID: 2961672308
Enrollment ID: I20110823000485
Provider NameNakato Bonni Kibuyaga-travis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609031657
PECOS PAC ID: 5092982520
Enrollment ID: I20120124000229
Provider NameJohn Oprysko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700849874
PECOS PAC ID: 5890954903
Enrollment ID: I20120309000099
Provider NameFredrick O Makori
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467688176
PECOS PAC ID: 7719134998
Enrollment ID: I20120822000598
Provider NameYelena Ranika Makori
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861620353
PECOS PAC ID: 2961653688
Enrollment ID: I20121106000382
Provider NameLatanya R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346595378
PECOS PAC ID: 4880846278
Enrollment ID: I20121211000378
Provider NameJessica Kuhn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144575986
PECOS PAC ID: 6800041278
Enrollment ID: I20130311000194
Provider NameSusan Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184826638
PECOS PAC ID: 9537397377
Enrollment ID: I20140124000551
Provider NameUrielle Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679976799
PECOS PAC ID: 1052633112
Enrollment ID: I20141201001811
Provider NameJean R Ferdinand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265744759
PECOS PAC ID: 7618146424
Enrollment ID: I20150115000375
Provider NameRajiv Manhar Tejura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205065604
PECOS PAC ID: 2264743269
Enrollment ID: I20150617001794
Provider NameAllison Brooke Santizo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891112033
PECOS PAC ID: 6103137823
Enrollment ID: I20150623000781
Provider NameAllison Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407247877
PECOS PAC ID: 1557679610
Enrollment ID: I20151009000898
Provider NameRichard Lawrence Antonio
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982998977
PECOS PAC ID: 7810134756
Enrollment ID: I20151124001321
Provider NamePatrick Kindregan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821436999
PECOS PAC ID: 8426358839
Enrollment ID: I20151207002166
Provider NameLatoya Etheridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972762821
PECOS PAC ID: 2466625843
Enrollment ID: I20160106000690
Provider NameShaheen Lakhani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639542491
PECOS PAC ID: 9739482019
Enrollment ID: I20160120000938
Provider NameMaxine Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104970441
PECOS PAC ID: 4385746288
Enrollment ID: I20160209001660
Provider NameReena Vanmali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356607790
PECOS PAC ID: 5799921482
Enrollment ID: I20160218001329
Provider NameLisa Clanton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679932958
PECOS PAC ID: 7012202401
Enrollment ID: I20160824001740
Provider NameKimberly Chambers Glass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497119101
PECOS PAC ID: 8022303114
Enrollment ID: I20160829001942
Provider NameAmanda Jill Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982097564
PECOS PAC ID: 2062708720
Enrollment ID: I20160906001302
Provider NameDeana L Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215471479
PECOS PAC ID: 4688956832
Enrollment ID: I20170123002347
Provider NameJeannie English
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275987554
PECOS PAC ID: 8628347085
Enrollment ID: I20170629000115
Provider NameMelissa Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104370501
PECOS PAC ID: 8022382910
Enrollment ID: I20170915000887
Provider NameClive K Fields
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366447583
PECOS PAC ID: 2961436845
Enrollment ID: I20180328001928
Provider NameWinfred Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578615282
PECOS PAC ID: 4587647839
Enrollment ID: I20180515001753
Provider NameFelicia D Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316040264
PECOS PAC ID: 4183667447
Enrollment ID: I20180707000016
Provider NameCheri Mcclendon Schneider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427554021
PECOS PAC ID: 4688920572
Enrollment ID: I20180707000029
Provider NameAlicia Skye Ledford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073009122
PECOS PAC ID: 1557610938
Enrollment ID: I20180817001159
Provider NameLe Keisha M Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710233309
PECOS PAC ID: 7618211830
Enrollment ID: I20181129000113
Provider NameSylvina K Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306340856
PECOS PAC ID: 9032454152
Enrollment ID: I20181218002770
Provider NameMary Grace Nuega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407342603
PECOS PAC ID: 2466798418
Enrollment ID: I20190111000803
Provider NameLabraile Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639626591
PECOS PAC ID: 0143562496
Enrollment ID: I20190507001086
Provider NameLourdes C Irizar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043496029
PECOS PAC ID: 6507920568
Enrollment ID: I20190613003202
Provider NameMarcia Lanette Timmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336792886
PECOS PAC ID: 6406187103
Enrollment ID: I20191010002247
Provider NameShilpa Shridhara Urs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942682026
PECOS PAC ID: 5698083822
Enrollment ID: I20191106003368
Provider NameIke A Nwaobi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417112475
PECOS PAC ID: 8224218391
Enrollment ID: I20200429000775
Provider NameAudrey Lynn Napier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548886518
PECOS PAC ID: 4587089669
Enrollment ID: I20200806001317
Provider NameAshley Eppinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467064030
PECOS PAC ID: 0941627491
Enrollment ID: I20200828000500
Provider NameLevi Jelks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306333083
PECOS PAC ID: 5193136927
Enrollment ID: I20201130000484
Provider NameAngelyn Levell-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053821777
PECOS PAC ID: 1254740921
Enrollment ID: I20210510001269
Provider NameKaren Whatley Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427593045
PECOS PAC ID: 6709280480
Enrollment ID: I20210803000087
Provider NameMonique Antoinette Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669038303
PECOS PAC ID: 8224420245
Enrollment ID: I20220124001971
Provider NameChristy Watts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215481221
PECOS PAC ID: 2466844485
Enrollment ID: I20220124002151
Provider NameChristal House
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568021038
PECOS PAC ID: 5890123418
Enrollment ID: I20220221001654
Provider NameJessica Melissa Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689258162
PECOS PAC ID: 9739573114
Enrollment ID: I20220301000688
Provider NameErlande Richard-azinord
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164901039
PECOS PAC ID: 5597150896
Enrollment ID: I20220324000105
Provider NameKatina Rene Hope
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720491343
PECOS PAC ID: 6103191879
Enrollment ID: I20220708002729
Provider NameKwanza Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215392964
PECOS PAC ID: 3476831546
Enrollment ID: I20220824002446
Provider NameThang Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144294505
PECOS PAC ID: 3577948595
Enrollment ID: I20220912002370
Provider NameKatie Parker Folds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205416195
PECOS PAC ID: 2668848037
Enrollment ID: I20221026002725
Provider NameErnestina Nyarko French
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265878268
PECOS PAC ID: 2961782271
Enrollment ID: I20221128002181
Provider NameBria Alexia Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144926155
PECOS PAC ID: 2961867726
Enrollment ID: I20230501000036
Provider NameBrian Wallin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336401728
PECOS PAC ID: 3577827203
Enrollment ID: I20240313002885

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.