| Dr Jerry Lee Walters Ii, MD | |
|
718 Cherokee St Ne, Marietta, GA 30060-7253 | |
| (770) 291-8987 | |
| Not Available |
| Full Name | Dr Jerry Lee Walters Ii |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 13 Years |
| Location | 718 Cherokee St Ne, Marietta, 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 |
|---|---|---|---|
| 1083058291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 85938 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Hospital | Atlanta, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Brain And Spine Llc | 0143595157 | 7 |
| Esop Rehabilitation Llc | 9739305749 | 248 |
| Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Legacy Brain & Spine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033632419 PECOS PAC ID: 0143595157 Enrollment ID: O20171002000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Lee Walters Ii, MD 718 Cherokee St Ne, Marietta, GA 30060-7253 Ph: (770) 291-8987 | Dr Jerry Lee Walters Ii, MD 718 Cherokee St Ne, Marietta, GA 30060-7253 Ph: (770) 291-8987 |
Ovais Inamullah, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Dr. William John Benedict Jr., M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne, Suite 3110 Kennestone Physician's Center, Marietta, GA 30060 Phone: 770-422-2326 | |
Dr. Andrew L Middleton, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 Phone: 770-422-2326 | |
Dr. Said Elshihabi, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 718 Cherokee St Ne, Marietta, GA 30060 Phone: 770-291-8987 Fax: 770-291-8987 | |
Mr. Vincent Timothy Waldron, PA-C Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 Phone: 770-422-2326 | |
Dr. Franklin John Lin, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060 Phone: 404-778-8350 Fax: 404-778-8358 |