| Eric Daniel Wellons, MD | |
|
775 Poplar Rd, Suite 260, Newnan, GA 30265-8300 | |
| (404) 524-0095 | |
| (404) 658-9558 |
| Full Name | Eric Daniel Wellons |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 775 Poplar Rd, Newnan, 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 |
|---|---|---|---|
| 1790761799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 049120 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Morgan Medical Center | Madison, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rosenthal, Clark And Matsurra | 8729001938 | 7 |
| Newnan Vascular Center, Llc | 7113043167 | 5 |
| Entity Name | Rosenthal, Clark and Matsurra |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568670180 PECOS PAC ID: 8729001938 Enrollment ID: O20060112000991 |
| Entity Name | Newnan Vascular Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144540519 PECOS PAC ID: 7113043167 Enrollment ID: O20100927001299 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Daniel Wellons, MD 775 Poplar Rd, Suite 260, Newnan, GA 30265-8300 Ph: (404) 524-0095 | Eric Daniel Wellons, MD 775 Poplar Rd, Suite 260, Newnan, GA 30265-8300 Ph: (404) 524-0095 |
Gary Leonard Bernstein, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6628 |
Margaret Pringle Johnson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265 Phone: 404-524-0095 |
Joseph Henry Morris Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 260, Newnan, GA 30265 Phone: 770-502-2150 Fax: 770-502-2103 |
Joseph W. Parks Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 Cavender St, Newnan, GA 30263 Phone: 770-253-6616 Fax: 770-254-6185 |
Kevin Wesley Davis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 775 Poplar Rd, Suite 250, Newnan, GA 30265 Phone: 770-400-4610 Fax: 678-423-2739 |
Dr. Kevin T Watkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 |
Clifford A. Cranford Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 260, Newnan, GA 30265 Phone: 770-502-2150 |