| John W Gouldman, MD | |
|
960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | |
| (404) 252-9063 | |
| (404) 252-0873 |
| Full Name | John W Gouldman |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 32 Years |
| Location | 960 Johnson Ferry Rd, Atlanta, 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 |
|---|---|---|---|
| 1871511071 | NPI | - | NPPES |
| 185589743F | Medicaid | GA | |
| 185589743A | Medicaid | GA | |
| 185589743C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 049140 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Gouldman, MD 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 Ph: (404) 252-9063 | John W Gouldman, MD 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 Ph: (404) 252-9063 |
Chhaya J Gandhi, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 | |
Peter Walter Barrett, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 95 Collier Road, Nw, Suite 5015, Atlanta, GA 30309 Phone: 404-605-5699 Fax: 404-355-4235 | |
Dr. John David Vega, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A2200, Atlanta, GA 30322 Phone: 404-778-5040 Fax: 404-778-4346 | |
Paul Jubeong Chai, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266 | |
Dr. Eric Louis Sceusi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 95 Collier Rd Nw, Suite 2055, Atlanta, GA 30309 Phone: 404-605-5699 | |
Dr. Robert A Guyton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Suite A2200, Atlanta, GA 30322 Phone: 404-778-5040 Fax: 404-778-4346 | |
Dr. Tarek Mohamed Kandeel, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1365a Clifton Rd Ne, Cardiothoracic Surgery Department, Atlanta, GA 30322 Phone: 404-287-4346 |