| John Nino, MD | |
|
6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 | |
| (770) 949-4200 | |
| (770) 949-5553 |
| Full Name | John Nino |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 39 Years |
| Location | 6002 Professional Pkwy, Douglasville, 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 |
|---|---|---|---|
| 1689670804 | NPI | - | NPPES |
| 000799202A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 045901 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| John Nino, MD 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 Ph: (770) 949-4200 | John Nino, MD 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 Ph: (770) 949-4200 |
Dr. Cang Trung Nguyen, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 | |
Dr. Neil A Persaud, D.O Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 Fax: 678-838-7454 | |
Dr. Andrew Paul Barak, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 Fax: 678-838-7454 | |
Dr. Vivek Kumar Gupta, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 Phone: 770-949-4200 Fax: 770-949-5553 | |
Dr. Jahmal A Hairston, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 Fax: 678-838-7454 |