Wellbe Senior Medical | |
5 Concourse Pkwy Ste 3100 Sandy Springs GA 30328-7117 | |
(855) 492-7642 | |
Not Available |
Full Name | Wellbe Senior Medical |
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Speciality | Internal Medicine |
Location | 5 Concourse Pkwy Ste 3100, Sandy Springs, Georgia |
Authorized Official Name and Position | Iyad Houshan (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3127762415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellbe Senior Medical 20 W Kinzie St Ste 17 Chicago IL 60654-6393 Ph: (312) 776-2421 | Wellbe Senior Medical 5 Concourse Pkwy Ste 3100 Sandy Springs GA 30328-7117 Ph: (855) 492-7642 |
NPI Number | 1205463163 |
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Provider Enumeration Date | 03/23/2020 |
Last Update Date | 09/26/2024 |
Medicare PECOS PAC ID | 3375972243 |
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Medicare Enrollment ID | O20200601002024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205463163 | NPI | - | NPPES |
Provider Name | Kathalina V Lacoste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255459335 PECOS PAC ID: 9335182211 Enrollment ID: I20050602000553 |
Provider Name | Syamala Devi Erramilli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891706974 PECOS PAC ID: 4486671401 Enrollment ID: I20051031000194 |
Provider Name | Shameka H Mcelhaney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144231598 PECOS PAC ID: 6204854425 Enrollment ID: I20051107000449 |
Provider Name | Andrea L Knowles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548382252 PECOS PAC ID: 6002912912 Enrollment ID: I20070509000129 |
Provider Name | Natoya Nicola Bender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720339682 PECOS PAC ID: 9032369111 Enrollment ID: I20121025000719 |
Provider Name | Yulanda Faison-oyebanji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174707236 PECOS PAC ID: 9638189509 Enrollment ID: I20151005000830 |
Provider Name | Gema Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093257933 PECOS PAC ID: 6507149127 Enrollment ID: I20170206001869 |
Provider Name | Eunice Momeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457724874 PECOS PAC ID: 3678820842 Enrollment ID: I20180718003467 |
Provider Name | Nballu Goba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386169241 PECOS PAC ID: 7618223355 Enrollment ID: I20180724004214 |
Provider Name | Myrlande Cayo Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992293997 PECOS PAC ID: 8224380076 Enrollment ID: I20181006000162 |
Provider Name | Larresia Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013495282 PECOS PAC ID: 0143572628 Enrollment ID: I20181010003840 |
Provider Name | Lisa M West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376824417 PECOS PAC ID: 4789924978 Enrollment ID: I20190326001815 |
Provider Name | Lourdes C Irizar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043496029 PECOS PAC ID: 6507920568 Enrollment ID: I20190613003202 |
Provider Name | Denise Pennicooke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962962530 PECOS PAC ID: 0840622122 Enrollment ID: I20191107003298 |
Provider Name | Rebecca Campbell Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760032494 PECOS PAC ID: 4981037538 Enrollment ID: I20191212000711 |
Provider Name | Magdalene Oziwo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245688613 PECOS PAC ID: 3779919931 Enrollment ID: I20200206000865 |
Provider Name | Monique Dunbar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487886230 PECOS PAC ID: 6608207394 Enrollment ID: I20200513001599 |
Provider Name | Iyad G. Houshan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497773287 PECOS PAC ID: 3274538251 Enrollment ID: I20200601002268 |
Provider Name | Ibijoke Olubunmi Solanke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831677582 PECOS PAC ID: 1658657549 Enrollment ID: I20201228001383 |
Provider Name | Autumn M Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891305165 PECOS PAC ID: 7810303088 Enrollment ID: I20210312001488 |
Provider Name | Melony E Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497369516 PECOS PAC ID: 1658788393 Enrollment ID: I20210325001445 |
Provider Name | Shantrice Bernice Nichols-bates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245603844 PECOS PAC ID: 9335449933 Enrollment ID: I20210407000365 |
Provider Name | Tonia Almanda Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639763154 PECOS PAC ID: 7618375973 Enrollment ID: I20211018001903 |
Provider Name | Demeka Campbell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780715342 PECOS PAC ID: 9335240878 Enrollment ID: I20211104001917 |
Provider Name | Assumpta Ogbedeagu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013561323 PECOS PAC ID: 5799170759 Enrollment ID: I20220310000789 |
Provider Name | Cynthia Denise Humenic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881181584 PECOS PAC ID: 1456748987 Enrollment ID: I20220429002073 |
Provider Name | Giorvanie Fleurme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730714197 PECOS PAC ID: 9931510500 Enrollment ID: I20230106000711 |
Provider Name | Markela Shaney Blassingame |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649984931 PECOS PAC ID: 8224409966 Enrollment ID: I20230117002119 |
Provider Name | Jacqueline Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770024671 PECOS PAC ID: 5092061242 Enrollment ID: I20230411000449 |
Provider Name | Kimberly Hawthorne |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265974505 PECOS PAC ID: 9739554122 Enrollment ID: I20230418000567 |
Provider Name | Sydney O'donnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336836626 PECOS PAC ID: 0941667265 Enrollment ID: I20230601000643 |
Provider Name | Kytrena Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427600469 PECOS PAC ID: 0840657060 Enrollment ID: I20230602002176 |
Provider Name | Erin Chimere James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649909987 PECOS PAC ID: 1456718345 Enrollment ID: I20230608000978 |
Provider Name | Fenny Apondi Okello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316567175 PECOS PAC ID: 7517324270 Enrollment ID: I20230612001599 |
Provider Name | Katherine M Baron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164190146 PECOS PAC ID: 2860859444 Enrollment ID: I20230613002736 |
Provider Name | Cecelin E Fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013475110 PECOS PAC ID: 9436512423 Enrollment ID: I20230823003068 |
Provider Name | Deborah Ann Pritchett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467776740 PECOS PAC ID: 6901154145 Enrollment ID: I20231107001057 |
Provider Name | Janice Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053563106 PECOS PAC ID: 8325105117 Enrollment ID: I20231206003344 |
Provider Name | Naomi C'pamela Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083302038 PECOS PAC ID: 8224488242 Enrollment ID: I20240103000489 |
Provider Name | Anya Wiedenbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417657800 PECOS PAC ID: 2466898622 Enrollment ID: I20240311000331 |
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