| Saint Joseph's Mercy Care Chamblee | |
|
5134 Peachtree Rd Chamblee GA 30341-2724 | |
| (678) 843-8700 | |
| (404) 633-0502 |
| Full Name | Saint Joseph's Mercy Care Chamblee |
|---|---|
| Speciality | Clinic/Center |
| Location | 5134 Peachtree Rd, Chamblee, Georgia |
| Authorized Official Name and Position | Earl Thomas Andrews (PRESIDENT) |
| Authorized Official Contact | 6788438502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph's Mercy Care Chamblee 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care Chamblee 5134 Peachtree Rd Chamblee GA 30341-2724 Ph: (678) 843-8700 |
| NPI Number | 1568818151 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 9931191525 |
|---|---|
| Medicare Enrollment ID | O20170222000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568818151 | NPI | - | NPPES |
| 11-1053 | Other | GA | MEDICARE |
| 0031868004A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
| Provider Name | Renee Alli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003870874 PECOS PAC ID: 1254622020 Enrollment ID: I20230711003184 |
Yager Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3645 Chamblee Dunwoody Rd, Chamblee, GA 30341 Phone: 770-451-4478 Fax: 770-457-4415 | |
Kufahl & Peeples Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Barry Pl, Chamblee, GA 30341 Phone: 470-545-1490 | |
Kpm, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Barry Pl, Chamblee, GA 30341 Phone: 404-819-5518 | |
Doctor Lis Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3576 Shallowford Rd Ne, Ste A, Chamblee, GA 30341 Phone: 770-451-9940 Fax: 770-451-6996 | |
Family First Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3644 Chamblee Tucker Rd, Unit B, Chamblee, GA 30341 Phone: 404-474-3301 Fax: 404-474-2705 | |
Dekalb Family Practice And Geriatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4961 Buford Hwy Ste 100, Chamblee, GA 30341 Phone: 606-356-9322 | |
Consultorio Medico Hispano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3182 Shallowford Rd Ne, Chamblee, GA 30341 Phone: 678-557-8292 |