| Dr Prem Kumar, MD | |
|
3300 Greystone Way, Valdosta, GA 31605-1096 | |
| (229) 247-7700 | |
| (229) 247-2666 |
| Full Name | Dr Prem Kumar |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 3300 Greystone Way, Valdosta, 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 |
|---|---|---|---|
| 1124003587 | NPI | - | NPPES |
| 00814107I | Medicaid | GA | |
| 00814107J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 466691 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Primary Care Professional Services,llc | 9638343924 | 282 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prem Kumar, MD 3300 Greystone Way, Valdosta, GA 31605-1096 Ph: (229) 247-7700 | Dr Prem Kumar, MD 3300 Greystone Way, Valdosta, GA 31605-1096 Ph: (229) 247-7700 |
Dr. Asma Yasin, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 | |
Dr. Nikolay Gogin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131 | |
Dr. Felix G Valdez, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Moriamo Adedoyin Fashugba, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Zubair Akram, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Gerald S Light, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 | |
Dr. William C Tidmore Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2418 N Oak St, Valdosta, GA 31602 Phone: 229-219-0247 Fax: 229-219-0837 |