| Gregory Todd Fountain, MD | |
|
766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 | |
| (678) 985-8001 | |
| Not Available |
| Full Name | Gregory Todd Fountain |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 766 Walther Rd, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366456964 | NPI | - | NPPES |
| 314606 | Other | GA | WELLCARE |
| 10045970 | Other | GA | AMERIGROUP |
| 00509594E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 034593 (Georgia) | Primary |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Dhp Of Piedmont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316202609 PECOS PAC ID: 9133378763 Enrollment ID: O20120925000798 |
| Entity Name | Dhp Of Piedmont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316202609 PECOS PAC ID: 9133378763 Enrollment ID: O20201014001431 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Todd Fountain, MD 766 Walther Road, Suite 100, Lawrenceville, GA 30046 Ph: (678) 985-8001 | Gregory Todd Fountain, MD 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 Ph: (678) 985-8001 |
Mrs. Pushpa Lalaji, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2878 Five Forks Trickum Rd, 2a, Lawrenceville, GA 30044 Phone: 678-344-8700 Fax: 678-344-8600 | |
Erica Jin, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043 Phone: 678-775-0600 Fax: 678-377-5284 | |
Dr. Joseph F Pohl, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Center Blvd., Suite 365, Lawrenceville, GA 30046 Phone: 770-962-0972 | |
Dr. Vandene Tamoy Miller-adams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1942 Atkinson Rd Ste 100, Lawrenceville, GA 30043 Phone: 678-775-0600 Fax: 678-377-5284 | |
Denise B Pecht, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr, Ste 580, Lawrenceville, GA 30045 Phone: 770-339-4000 Fax: 770-339-9037 | |
Laura Marie Morgigno, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 761 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 770-513-4000 Fax: 770-995-1604 | |
Daniel Esteves, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2169 Lawrenceville Hwy, Lawrenceville, GA 30044 Phone: 770-676-5878 Fax: 678-585-1136 |