Resurgia Health Solutions Pc | |
1100 Peachtree St Ne Suite 200 Atlanta GA 30309-4501 | |
(404) 445-5304 | |
(404) 445-5173 |
Full Name | Resurgia Health Solutions Pc |
---|---|
Speciality | Internal Medicine |
Location | 1100 Peachtree St Ne, Atlanta, Georgia |
Authorized Official Name and Position | Kevin Charles (GM) |
Authorized Official Contact | 4044455304 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resurgia Health Solutions Pc 1100 Peachtree St Ne Suite 200 Atlanta GA 30309-4501 Ph: (404) 445-5304 | Resurgia Health Solutions Pc 1100 Peachtree St Ne Suite 200 Atlanta GA 30309-4501 Ph: (404) 445-5304 |
NPI Number | 1851702153 |
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Provider Enumeration Date | 05/08/2014 |
Last Update Date | 03/03/2022 |
Medicare PECOS PAC ID | 2668699760 |
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Medicare Enrollment ID | O20140813002730 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851702153 | NPI | - | NPPES |
003238842A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 066574 (Georgia) | Primary |
Provider Name | Anastasia Thomas |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740227859 PECOS PAC ID: 3476562448 Enrollment ID: I20061025000443 |
Provider Name | Brandi Jouett Patrickson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124292800 PECOS PAC ID: 3476735309 Enrollment ID: I20110314000426 |
Provider Name | Mark R Bradshaw |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316107428 PECOS PAC ID: 6608049275 Enrollment ID: I20111026000362 |
Provider Name | Claire Douglas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326369331 PECOS PAC ID: 5799924437 Enrollment ID: I20130610000640 |
Provider Name | Carol S Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932258274 PECOS PAC ID: 8820231947 Enrollment ID: I20130821000273 |
Provider Name | Christy H Gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407133291 PECOS PAC ID: 8123293990 Enrollment ID: I20141008001492 |
Provider Name | Scott Akins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437464799 PECOS PAC ID: 3779778287 Enrollment ID: I20141110001880 |
Provider Name | Allison Danielle Bowden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114393717 PECOS PAC ID: 8325349996 Enrollment ID: I20151228000439 |
Provider Name | Simone Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184176356 PECOS PAC ID: 9739464777 Enrollment ID: I20170314001184 |
Provider Name | Imani Rashiyd-williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336649862 PECOS PAC ID: 4587900840 Enrollment ID: I20190108003064 |
Provider Name | Zakia Simpson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780132787 PECOS PAC ID: 7416294061 Enrollment ID: I20190122000279 |
Provider Name | Antoinette Denise Palomino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174916621 PECOS PAC ID: 4082952197 Enrollment ID: I20190215001173 |
Provider Name | Michael Lee Johnson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1730562083 PECOS PAC ID: 1153669981 Enrollment ID: I20190220002066 |
Provider Name | Scheri-lyn A Makombe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295022036 PECOS PAC ID: 6204073836 Enrollment ID: I20190227002220 |
Provider Name | Timothy Peter Daniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538635255 PECOS PAC ID: 1658611694 Enrollment ID: I20190328002851 |
Provider Name | Robbie W Geiselman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346349784 PECOS PAC ID: 2769432095 Enrollment ID: I20200401001942 |
Provider Name | Mary Arthur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114564754 PECOS PAC ID: 2860814217 Enrollment ID: I20200612000956 |
Provider Name | Bradley Gaydos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275985798 PECOS PAC ID: 1254629215 Enrollment ID: I20200804003139 |
Provider Name | Jacqueline Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578118048 PECOS PAC ID: 7618396367 Enrollment ID: I20200929002106 |
Provider Name | Yvona W Butts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144834284 PECOS PAC ID: 8325459381 Enrollment ID: I20201123001750 |
Provider Name | Toya Turner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588215354 PECOS PAC ID: 5395150924 Enrollment ID: I20210212000821 |
Provider Name | Bryan B Collins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164774543 PECOS PAC ID: 5597984922 Enrollment ID: I20210401000434 |
Provider Name | Mohammed Qureshi |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1578057642 PECOS PAC ID: 4688921828 Enrollment ID: I20210713002005 |
Provider Name | Tami Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407147754 PECOS PAC ID: 8022231257 Enrollment ID: I20210818002625 |
Provider Name | Grayson Myers Loveless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396412458 PECOS PAC ID: 5193114544 Enrollment ID: I20211105001323 |
Provider Name | Sarah Mcmillan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962017343 PECOS PAC ID: 7315337169 Enrollment ID: I20211209001503 |
Provider Name | Olufemi Fanusi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003561705 PECOS PAC ID: 4284015215 Enrollment ID: I20220721001872 |
Provider Name | Toccara Hudson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346606134 PECOS PAC ID: 6901288265 Enrollment ID: I20220802004131 |
Provider Name | Shenika Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043340169 PECOS PAC ID: 9537541891 Enrollment ID: I20220802004148 |
Provider Name | Markela Shaney Blassingame |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649984931 PECOS PAC ID: 8224409966 Enrollment ID: I20230117002119 |
Provider Name | Kayatana Ramsby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245937929 PECOS PAC ID: 5395117584 Enrollment ID: I20230216002098 |
Provider Name | Michael Crouse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952037061 PECOS PAC ID: 4183087141 Enrollment ID: I20230824001614 |
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