| Lee Chisolm, MD | |
|
1500 Oglethorpe Ave, Suite 3300, Athens, GA 30606-2179 | |
| (706) 208-1406 | |
| (706) 208-1407 |
| Full Name | Lee Chisolm |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1500 Oglethorpe Ave, Athens, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225130099 | NPI | - | NPPES |
| 648462505A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 55115 (Georgia) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 055115 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Elberton, GA | Home health agency |
| St Mary's Home Health Services | Watkinsville, GA | Home health agency |
| Gentiva Hospice | Athens, GA | Hospice |
| 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 |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Dewitt And Chisolm, Llc | 7517967318 | 2 |
| Entity Name | Dewitt And Chisolm, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910047 PECOS PAC ID: 7517967318 Enrollment ID: O20061229000202 |
| Entity Name | Athens Regional Specialty Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Chisolm, MD 1500 Oglethorpe Ave, Suite 3300, Athens, GA 30606-2179 Ph: (706) 208-1406 | Lee Chisolm, MD 1500 Oglethorpe Ave, Suite 3300, Athens, GA 30606-2179 Ph: (706) 208-1406 |
Dr. Ron Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Dr. Garth Russo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Mr. Errol Duncan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1061 Dowdy Rd, Suite 100, Athens, GA 30606 Phone: 706-621-7575 Fax: 706-621-7557 | |
Samuel C Griffin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Suite 101, Athens, GA 30606 Phone: 706-548-6068 Fax: 706-354-1218 | |
Ruth Adetoun Adene-peter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 485 Highway 29 N, Athens, GA 30601 Phone: 706-438-4080 Fax: 706-438-4081 | |
Jordan Phillips, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Oglethorpe Ave Ste C7, Athens, GA 30606 Phone: 706-425-9445 | |
Michael N Carter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 892 Prince Ave, Athens, GA 30606 Phone: 706-227-2027 Fax: 706-227-2433 |