Sf Georgia Medical Services Pc | |
22 Maple Ridge Dr Cartersville GA 30121-2228 | |
(212) 734-6621 | |
Not Available |
Full Name | Sf Georgia Medical Services Pc |
---|---|
Speciality | Internal Medicine |
Location | 22 Maple Ridge Dr, Cartersville, Georgia |
Authorized Official Name and Position | Yitty Falkowitz (OWNER) |
Authorized Official Contact | 2127346621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sf Georgia Medical Services Pc 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 | Sf Georgia Medical Services Pc 22 Maple Ridge Dr Cartersville GA 30121-2228 Ph: (212) 734-6621 |
NPI Number | 1841857794 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 01/19/2023 |
Medicare PECOS PAC ID | 6709110943 |
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Medicare Enrollment ID | O20190622000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841857794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Laurie A Gerhard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962440461 PECOS PAC ID: 8426073909 Enrollment ID: I20090130000045 |
Provider Name | Michelle Lassiter-stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063828739 PECOS PAC ID: 5092024596 Enrollment ID: I20151023001548 |
Provider Name | Gisele Gobre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598113508 PECOS PAC ID: 4981987526 Enrollment ID: I20170206002729 |
Provider Name | Rebecca M Scruggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356893432 PECOS PAC ID: 5496948259 Enrollment ID: I20170222001470 |
Provider Name | Autumn Nicole Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831618388 PECOS PAC ID: 3870868896 Enrollment ID: I20180605000873 |
Provider Name | Susan Dixon-sibley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912426842 PECOS PAC ID: 6709133887 Enrollment ID: I20180719003879 |
Provider Name | Elaine C Mininger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811460850 PECOS PAC ID: 9436497492 Enrollment ID: I20190218000402 |
Provider Name | Felice Ike |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437625860 PECOS PAC ID: 1850624941 Enrollment ID: I20190604002868 |
Provider Name | Simon Fensterszaub |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003077322 PECOS PAC ID: 5890970230 Enrollment ID: I20190622000078 |
Provider Name | Irene Ibenyenwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023661816 PECOS PAC ID: 3678804994 Enrollment ID: I20191016003827 |
Provider Name | Rhonda Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346598679 PECOS PAC ID: 9133552052 Enrollment ID: I20191208000015 |
Provider Name | Janeen Baxter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619337714 PECOS PAC ID: 5890125728 Enrollment ID: I20200416003957 |
Provider Name | William Elmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164824132 PECOS PAC ID: 5092146159 Enrollment ID: I20200506000889 |
Provider Name | Stacey Brinkley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396382321 PECOS PAC ID: 2365863610 Enrollment ID: I20200522001321 |
Provider Name | Sarah R Wissemeier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235514407 PECOS PAC ID: 4183932403 Enrollment ID: I20200817000706 |
Provider Name | Denise Dixon Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235739103 PECOS PAC ID: 9436569027 Enrollment ID: I20201111000335 |
Provider Name | Robin Langmaid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316081854 PECOS PAC ID: 9739138942 Enrollment ID: I20201119001783 |
Provider Name | Christopher Kempf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033461603 PECOS PAC ID: 1850545625 Enrollment ID: I20201119003231 |
Provider Name | Jennifer Lynne Broome |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619500071 PECOS PAC ID: 6305257007 Enrollment ID: I20201202000829 |
Provider Name | Brittany C Sumpter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992188759 PECOS PAC ID: 4789935669 Enrollment ID: I20211217001347 |
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