| John R Destito, DO | |
|
1800 Howell Mill Rd Nw, Suite 130, Atlanta, GA 30318-2538 | |
| (404) 355-8775 | |
| (404) 355-8772 |
| Full Name | John R Destito |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1800 Howell Mill Rd Nw, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770540841 | NPI | - | NPPES |
| 52230468001 | Other | GA | BCBS OF GA |
| 100069810A | Medicaid | OK | |
| 976398941A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 052346 (Georgia) | Primary |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Afc Physicians Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982950671 PECOS PAC ID: 0345493375 Enrollment ID: O20121226000357 |
| Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
| Entity Name | Afc Physicians Of Georgia Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225617525 PECOS PAC ID: 9436554318 Enrollment ID: O20210817000399 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Destito, DO 1800 Howell Mill Rd Nw, Suite 130, Atlanta, GA 30318-2538 Ph: (404) 355-8775 | John R Destito, DO 1800 Howell Mill Rd Nw, Suite 130, Atlanta, GA 30318-2538 Ph: (404) 355-8775 |
Dr. Benjamin Aaron Levy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5665 New Northside Dr Nw, Suite 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Essi I Peers, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 New Northside Dr Ste 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Michael Franczak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309 Phone: 404-605-6517 | |
Dr. Alexander William Kelly, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 404-605-5000 | |
Prince N Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 678-843-7001 | |
Melissa H White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4307 Fax: 404-616-8022 | |
John H Lloyd, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1358 Middlesex Ave Ne, Atlanta, GA 30306 Phone: 404-944-7563 |