| Kevin D Goodlow, MD | |
|
5885 Glenridge Dr Ne, Suite 200, Atlanta, GA 30328-5512 | |
| (404) 252-7526 | |
| (404) 851-1709 |
| Full Name | Kevin D Goodlow |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 5885 Glenridge Dr Ne, 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 |
|---|---|---|---|
| 1659476232 | NPI | - | NPPES |
| 761536854A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 057977 (Georgia) | Primary |
| 208M00000X | Hospitalist | 057977 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Georgia | Atlanta, GA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pruitthealth Therapy Services Inc | 9335159730 | 13 |
| Entity Name | Piedmont Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376624940 PECOS PAC ID: 3274529524 Enrollment ID: O20040423000767 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
| Entity Name | Hni Medical Services Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952926370 PECOS PAC ID: 2961814934 Enrollment ID: O20201216000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin D Goodlow, MD 5885 Glenridge Dr Ne, Suite 200, Atlanta, GA 30328-5512 Ph: (404) 252-7526 | Kevin D Goodlow, MD 5885 Glenridge Dr Ne, Suite 200, Atlanta, GA 30328-5512 Ph: (404) 252-7526 |
Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000 | |
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900 | |
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 |