| Dr John Stites Iv, MD | |
|
1700 Tree Ln Ste 420, Snellville, GA 30078 | |
| (770) 979-9427 | |
| Not Available |
| Full Name | Dr John Stites Iv |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 14 Years |
| Location | 1700 Tree Ln Ste 420, Snellville, 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 |
|---|---|---|---|
| 1114356599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 25MA10013800 (New Jersey) | Secondary |
| 208800000X | Urology | 081057 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Stites Iv, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: () - | Dr John Stites Iv, MD 1700 Tree Ln Ste 420, Snellville, GA 30078 Ph: (770) 979-9427 |
Naveen Kumar Arora, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 404-492-7021 | |
A Paul Sherlag, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln, Suite 420, Snellville, GA 30078 Phone: 770-979-9427 Fax: 770-972-3846 | |
Dr. Jitesh Vinod Patel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1555 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201 | |
Dr. Michael D Funderburk, MD Urology Medicare: Medicare Enrolled Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201 | |
Ronald E Anglade, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 420, Snellville, GA 30078 Phone: 770-979-9427 Fax: 770-972-3846 | |
Dr. Abhijith Dev Mally, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201 |