The Emory Clinic, Inc. | |
22 14th Street Nw Space 129 Atlanta GA 30309 | |
(404) 504-6554 | |
(404) 999-7964 |
Full Name | The Emory Clinic, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 22 14th Street Nw, Atlanta, Georgia |
Authorized Official Name and Position | Stephanie Vicent (DIRECTOR) |
Authorized Official Contact | 4047785352 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Emory Clinic, Inc. Po Box 102404 Pasadena CA 91189-2404 Ph: () - | The Emory Clinic, Inc. 22 14th Street Nw Space 129 Atlanta GA 30309 Ph: (404) 504-6554 |
NPI Number | 1548680796 |
---|---|
Provider Enumeration Date | 04/25/2014 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 6709294804 |
---|---|
Medicare Enrollment ID | O20210408001960 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548680796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael Fite |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255355087 PECOS PAC ID: 8729053798 Enrollment ID: I20070510000494 |
Provider Name | Nailah M Abdulbaaqee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396929873 PECOS PAC ID: 8022202175 Enrollment ID: I20101102001120 |
Provider Name | Monica Denise Chappell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396182879 PECOS PAC ID: 1355569567 Enrollment ID: I20160921000412 |
Provider Name | Samantha Wagner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053756890 PECOS PAC ID: 0345542528 Enrollment ID: I20161003000797 |
Provider Name | Harendra Fernando |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053756254 PECOS PAC ID: 2062702632 Enrollment ID: I20170919001105 |
Provider Name | Marissa Genevieve Parnell Ivery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376810895 PECOS PAC ID: 7911164199 Enrollment ID: I20200728001823 |
Provider Name | Amy Wu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871913541 PECOS PAC ID: 6901162213 Enrollment ID: I20210408002152 |
Provider Name | Manan Bhatt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407381445 PECOS PAC ID: 3274800693 Enrollment ID: I20210408002495 |
Provider Name | Angela Pierce Redding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689878043 PECOS PAC ID: 0244354041 Enrollment ID: I20210423001291 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |