| Michael Lipscomb, | |
|
3000 Hospital Blvd, Roswell, GA 30076-4915 | |
| (770) 751-2567 | |
| Not Available |
| Full Name | Michael Lipscomb |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3000 Hospital Blvd, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124128376 | NPI | - | NPPES |
| 000889721A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 49463 (Georgia) | Primary |
| Entity Name | North Fulton Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053456954 PECOS PAC ID: 6800981986 Enrollment ID: O20071004000272 |
| Entity Name | Georgia Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lipscomb, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400 | Michael Lipscomb, 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2567 |
Damon C. Kimes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Upper Hembree Rd Ste B, Roswell, GA 30076 Phone: 678-736-7680 Fax: 888-537-5362 | |
Samuel Lorenzo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 678-672-5100 Fax: 678-672-5101 | |
Angela Keel, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2505 | |
Charles V Pollack Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 Wilde Run Ct, Roswell, GA 30075 Phone: 610-329-2986 Fax: 888-959-8345 | |
Dr. Lisa M Perez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Bombay Ln, Roswell, GA 30076 Phone: 678-869-5158 Fax: 678-869-5159 | |
Jonathan Mills, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2567 |