| Restorathens, Llc | |
|
394 S Milledge Ave Athens GA 30605-5626 | |
| (470) 767-0443 | |
| (762) 356-4331 |
| Full Name | Restorathens, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 394 S Milledge Ave, Athens, Georgia |
| Authorized Official Name and Position | Nicholas Reiter (COO) |
| Authorized Official Contact | 9375451218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorathens, Llc 394 S Milledge Ave Athens GA 30605-5626 Ph: (470) 767-0443 | Restorathens, Llc 394 S Milledge Ave Athens GA 30605-5626 Ph: (470) 767-0443 |
| NPI Number | 1295405488 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 2961800719 |
|---|---|
| Medicare Enrollment ID | O20211007002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295405488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Maresa E Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366452906 PECOS PAC ID: 3173684057 Enrollment ID: I20081210000692 |
| Provider Name | Matthew Stephen Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233323 PECOS PAC ID: 1153543673 Enrollment ID: I20141117000203 |
| Provider Name | Heather Nicole Pickelsimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619336005 PECOS PAC ID: 4486944212 Enrollment ID: I20160608002601 |
| Provider Name | Karen Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401298 PECOS PAC ID: 2961797956 Enrollment ID: I20160830002045 |
| Provider Name | Christopher Lepage Gaunder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811133101 PECOS PAC ID: 8628353042 Enrollment ID: I20190508000626 |
| Provider Name | Jerel Keith Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750843876 PECOS PAC ID: 4688008394 Enrollment ID: I20200103001883 |
| Provider Name | Kelsey Berkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730725276 PECOS PAC ID: 2365877123 Enrollment ID: I20200124000996 |
| Provider Name | Michelle Hynes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538735824 PECOS PAC ID: 2567865587 Enrollment ID: I20210728000551 |
| Provider Name | Chandler Marie Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922763234 PECOS PAC ID: 1658760699 Enrollment ID: I20211115000315 |
| Provider Name | Scott Allen Bickerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104482322 PECOS PAC ID: 0244616027 Enrollment ID: I20220930002670 |
| Provider Name | Natasha L Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665118 PECOS PAC ID: 1254796774 Enrollment ID: I20230504002314 |
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