| Kelly C Grow, MD | |
|
340 N Milledge Ave Ste B, Athens, GA 30601-3806 | |
| (706) 548-0008 | |
| (706) 369-9673 |
| Full Name | Kelly C Grow |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 26 Years |
| Location | 340 N Milledge Ave Ste B, Athens, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588690382 | NPI | - | NPPES |
| 382474810H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 051353 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| St Mary's Hospital | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aga, Llc | 2365431350 | 104 |
| Aga Professional Services Llc | 3870768997 | 166 |
| Entity Name | Aga, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Entity Name | Aga Clinical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295193399 PECOS PAC ID: 7719273838 Enrollment ID: O20160915000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly C Grow, MD 1001 Summit Blvd Ste 200, Brookhaven, GA 30319-6410 Ph: (770) 989-1668 | Kelly C Grow, MD 340 N Milledge Ave Ste B, Athens, GA 30601-3806 Ph: (706) 548-0008 |
Bannur Ramanna Nandeesh, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |