| Dr Asim Kidwai, MD | |
|
97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | |
| (706) 635-1400 | |
| (706) 635-1411 |
| Full Name | Dr Asim Kidwai |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 97 Hefner St, East Ellijay, 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 |
|---|---|---|---|
| 1841483823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 002817 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Northwest Home Health | Jasper, GA | Home health agency |
| Pruitthealth At Home - Gainesville | Gainesville, GA | Home health agency |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Piedmont Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 327 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Asim Kidwai, MD 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 Ph: (706) 635-1400 | Dr Asim Kidwai, MD 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 Ph: (706) 635-1400 |
Anne Berry Todd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 Highland Pkwy Ste 101, East Ellijay, GA 30540 Phone: 706-698-8400 Fax: 706-698-8401 | |
Dr. Islam G Eltarawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St, Suite 202, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 | |
Dr. David Romesh Persaud, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 772 Maddox Dr, Ste. 122, East Ellijay, GA 30540 Phone: 706-635-6898 Fax: 706-635-6888 | |
Dr. Thomas A Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Hefner St Ste 202, East Ellijay, GA 30540 Phone: 706-635-5177 Fax: 706-635-5171 | |
Brittany Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 Industrial Blvd Ste 100, East Ellijay, GA 30540 Phone: 706-515-7010 |