| Adam M Sunderland, MD | |
|
705 Dallas Hwy Ste 301, Villa Rica, GA 30180 | |
| (770) 456-0211 | |
| Not Available |
| Full Name | Adam M Sunderland |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 705 Dallas Hwy Ste 301, Villa Rica, 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 |
|---|---|---|---|
| 1609196872 | NPI | - | NPPES |
| 003166316J | Medicaid | GA | |
| 003166316K | Medicaid | GA | |
| 003166316I | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 073845 (Georgia) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 073845 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carrollton Orthopaedic Clinic Pc | 7810989183 | 29 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Carrollton Orthopaedic Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam M Sunderland, MD 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 Ph: (770) 834-0873 | Adam M Sunderland, MD 705 Dallas Hwy Ste 301, Villa Rica, GA 30180 Ph: (770) 456-0211 |