| Donald Maynard, MD | |
|
1612b Milstead Rd Ne, Conyers, GA 30012-3738 | |
| (770) 602-1292 | |
| (770) 602-1296 |
| Full Name | Donald Maynard |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 1612b Milstead Rd Ne, Conyers, 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 |
|---|---|---|---|
| 1194772749 | NPI | - | NPPES |
| 1668867111A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 052463 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Park Hospital | Dublin, GA | Hospital |
| Eastside Medical Center | Snellville, GA | Hospital |
| Piedmont Walton Hospital | Monroe, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dublin Multispecialty Llc | 8820090434 | 6 |
| Piedmont Providers Llc | 9830082825 | 425 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Surgical Assoicates Of Metro Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184872723 PECOS PAC ID: 8325116940 Enrollment ID: O20081009000601 |
| Entity Name | Healogics Specialty Physicians Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265843536 PECOS PAC ID: 7214154392 Enrollment ID: O20140813001916 |
| Entity Name | Piedmont Specialty Hospital Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Entity Name | Piedmont Athens Hospitalist Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Maynard, MD 1612b Milstead Rd Ne, Conyers, GA 30012-3738 Ph: (770) 602-1292 | Donald Maynard, MD 1612b Milstead Rd Ne, Conyers, GA 30012-3738 Ph: (770) 602-1292 |
Andrew S Harper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1364 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-761-7179 | |
Dr. Brett Walker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 Phone: 678-806-3330 Fax: 404-609-5300 | |
Sang Wook Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012 Phone: 770-922-4024 | |
George Isshak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1372 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-922-8143 | |
Carol Angel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 190, Conyers, GA 30012 Phone: 678-806-3566 | |
Carl Gonzales Ii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne, Suite 130, Conyers, GA 30012 Phone: 678-609-4927 Fax: 678-609-4928 |