| Dawit Teklemariam Antonios, MD | |
|
2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | |
| (404) 501-5222 | |
| Not Available |
| Full Name | Dawit Teklemariam Antonios |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 35 Years |
| Location | 2801 Dekalb Medical Pkwy, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063461846 | NPI | - | NPPES |
| 580618709F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 055388 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 055388 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Professional Services Llc | 0840291944 | 427 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Symponia Palliative Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750034609 PECOS PAC ID: 6800283417 Enrollment ID: O20221005003674 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawit Teklemariam Antonios, MD Po Box 1170, Lawrenceville, GA 30046-1170 Ph: (470) 325-0159 | Dawit Teklemariam Antonios, MD 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 Ph: (404) 501-5222 |
Louis Lee, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8492 Fax: 404-501-8645 | |
Gebeyaw Alemnew Shiferaw, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8000 |