South Atlanta Area Primary Care is a medicare enrolled "Family Medicine" provider in Atlanta, Georgia. Their current practice location is
777 Cleveland Ave Sw Ste 500, Atlanta, Georgia. You can reach out to their office (for appointments etc.) via phone at
(404) 755-2291.
South Atlanta Area Primary Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. South Atlanta Area Primary Care
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376952069.
Healthcare Provider's Profile
Full Name | South Atlanta Area Primary Care |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 777 Cleveland Ave Sw Ste 500, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376952069
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547580201
- Enrollment ID: O20150520000447
Medical Identifiers
Medical identifiers for South Atlanta Area Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376952069 | NPI | - | NPPES |
003188149A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South Atlanta Area Primary Care acts as a billing entity for following providers:
Provider Name | Otis S Powell |
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Provider Type | Practitioner - Family Practice |
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Provider Identifiers | NPI Number: 1285654301 PECOS PAC ID: 6103804554 Enrollment ID: I20040713000109 |
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Provider Name | Jimmy L Gregory |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1073574083 PECOS PAC ID: 0446238729 Enrollment ID: I20040713000131 |
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Provider Name | Herretta Pickens |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1982988028 PECOS PAC ID: 8527224617 Enrollment ID: I20120717000546 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. South Atlanta Area Primary Care is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
South Atlanta Area Primary Care 777 Cleveland Ave Sw Ste 500, Atlanta, GA 30315-7115 Ph: (404) 755-2291 | South Atlanta Area Primary Care 777 Cleveland Ave Sw Ste 500, Atlanta, GA 30315-7115 Ph: (404) 755-2291 |
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