| Dr Sandea Anessa Greene-harris, MD | |
|
203 Medical Blvd, Stockbridge, GA 30281-7218 | |
| (678) 289-7710 | |
| Not Available |
| Full Name | Dr Sandea Anessa Greene-harris |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 29 Years |
| Location | 203 Medical Blvd, Stockbridge, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295784429 | NPI | - | NPPES |
| 297119976C | Medicaid | GA | |
| 297119976A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 53450 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 513 |
| Matrix Rehabilitation-georgia Inc | 2567379498 | 44 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandea Anessa Greene-harris, MD 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 Ph: (770) 979-8080 | Dr Sandea Anessa Greene-harris, MD 203 Medical Blvd, Stockbridge, GA 30281-7218 Ph: (678) 289-7710 |
Shahram Rezaiamiri, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Eagles Landing Pkwy, South Atlanta Neurosurgery, Stockbridge, GA 30281 Phone: 770-997-0600 Fax: 770-991-5576 |