| Keerthi Kiran Ponugoti, MD | |
|
2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 | |
| (229) 584-5731 | |
| (229) 584-5941 |
| Full Name | Keerthi Kiran Ponugoti |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 20 Years |
| Location | 2705 E Pinetree Blvd Ste C, Thomasville, 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 |
|---|---|---|---|
| 1013228196 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Augusta, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Consortium Inc | 0244269413 | 444 |
| Gwinnett Physician Group, Llc | 9133211139 | 99 |
| Northside Primary Care Professional Services,llc | 9638343924 | 282 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20101206000106 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Keerthi Kiran Ponugoti, MD 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 Ph: (229) 584-5731 | Keerthi Kiran Ponugoti, MD 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 Ph: (229) 584-5731 |
Dr. Prashant Baliga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Jasmine Mutti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 1l, Thomasville, GA 31792 Phone: 229-228-2410 | |
William W Ellis, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. James Monroe Hunt, DO Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 235 W Jackson St, Thomasville, GA 31792 Phone: 229-236-5455 | |
Dr. Raul Gabriel Santos, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 |