Erica Minnion-klyce, NP | |
1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 | |
(470) 444-3134 | |
(470) 276-4370 |
Full Name | Erica Minnion-klyce |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205340080 | NPI | - | NPPES |
209016926 | Other | IL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209016926 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN301375 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oak Street Health Of Georgia Pc | 0345658647 | 24 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
Entity Name | Oak Street Health Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588258024 PECOS PAC ID: 0345658647 Enrollment ID: O20210427001330 |
Mailing Address | Practice Location Address |
---|---|
Erica Minnion-klyce, NP Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 733-9730 | Erica Minnion-klyce, NP 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 Ph: (470) 444-3134 |
Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408 | |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843 | |
Mr. Justin Stewart Kitchens, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5405 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-296-3800 Fax: 404-297-8753 | |
Mrs. Timanika A Dansby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087 Phone: 470-444-3134 Fax: 470-276-4370 |