Sage Health At Home Llc | |
3100 Interstate North Cir Se Ste 200 Atlanta GA 30339-2384 | |
(678) 888-3313 | |
(678) 888-4229 |
Full Name | Sage Health At Home Llc |
---|---|
Speciality | Internal Medicine |
Location | 3100 Interstate North Cir Se Ste 200, Atlanta, Georgia |
Authorized Official Name and Position | Carla Maria Perissinotto (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6786883313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sage Health At Home Llc 3100 Interstate North Cir Se Ste 200 Atlanta GA 30339-2384 Ph: (678) 888-3313 | Sage Health At Home Llc 3100 Interstate North Cir Se Ste 200 Atlanta GA 30339-2384 Ph: (678) 888-3313 |
NPI Number | 1235838624 |
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Provider Enumeration Date | 02/24/2023 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 7517323512 |
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Medicare Enrollment ID | O20230517002364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235838624 | NPI | - | NPPES |
1790963502 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Provider Name | Carla Perissinotto |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1790963502 PECOS PAC ID: 0941324677 Enrollment ID: I20230518001058 |
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