| Senior Medical Systems, Llc | |
|
650 Henderson Dr Ste 430 Cartersville GA 30120-3760 | |
| (678) 310-3531 | |
| (770) 684-0903 |
| Full Name | Senior Medical Systems, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 650 Henderson Dr Ste 430, Cartersville, Georgia |
| Authorized Official Name and Position | Nicholas Lloyd Morrow (PHYSICIAN) |
| Authorized Official Contact | 6788480722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Medical Systems, Llc 650 Henderson Dr Ste 430 Cartersville GA 30120-3760 Ph: (678) 310-3531 | Senior Medical Systems, Llc 650 Henderson Dr Ste 430 Cartersville GA 30120-3760 Ph: (678) 310-3531 |
| NPI Number | 1427493709 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 9931348752 |
|---|---|
| Medicare Enrollment ID | O20130626000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427493709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21115 (Georgia) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 23242 (Georgia) | Secondary |
| Provider Name | Renee S Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811978380 PECOS PAC ID: 1254323769 Enrollment ID: I20040402000105 |
| Provider Name | John D Engel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922065648 PECOS PAC ID: 7719936244 Enrollment ID: I20050121000380 |
| Provider Name | Raymond Campbell Mckoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295741460 PECOS PAC ID: 7214949197 Enrollment ID: I20060614000022 |
| Provider Name | Keith M Parmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629095369 PECOS PAC ID: 0042318818 Enrollment ID: I20070604000141 |
| Provider Name | Ann Ward |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932121282 PECOS PAC ID: 9638277817 Enrollment ID: I20070612000439 |
| Provider Name | Lisa Munisteri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265887137 PECOS PAC ID: 1355633215 Enrollment ID: I20160713001465 |
| Provider Name | Autumn Nicole Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831618388 PECOS PAC ID: 3870868896 Enrollment ID: I20180605000873 |
| Provider Name | Debra Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677901 PECOS PAC ID: 2860781978 Enrollment ID: I20191205002035 |
| Provider Name | Stacey Marie Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235629171 PECOS PAC ID: 1658700026 Enrollment ID: I20200406002260 |
| Provider Name | Nicholas Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336573757 PECOS PAC ID: 1557782034 Enrollment ID: I20200609002717 |
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