| Michelle Angie Covalt, MD | |
| 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Comprehensive Medical Center, Duluth, GA 30096-4506 | |
| (770) 496-3419 | |
| (719) 380-8087 | 
| Full Name | Michelle Angie Covalt | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 3650 Steve Reynolds Blvd, Duluth, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902024797 | NPI | - | NPPES | 
| 60839279 | Medicaid | CO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 49001 (Colorado) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | 076803 (Georgia) | Primary | 
| Entity Name | The Southeast Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle Angie Covalt, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678 | Michelle Angie Covalt, MD 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Comprehensive Medical Center, Duluth, GA 30096-4506 Ph: (770) 496-3419 | 
| Kelley Wages Starnes, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6110 Fax: 404-252-6794 | |
| Dr. Jacqueline Mache Walters, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3630 Savannah Pl Ste 100, Duluth, GA 30096 Phone: 678-474-0203 Fax: 678-474-0207 | |
| Dr. Pearl Gem Hwang, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-931-6110 | |
| Dr. Vanessa Theresa Rigaud, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Duluth, GA 30096 Phone: 404-365-0966 | |
| Dr. Thaddeus Ivory Lancaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096 Phone: 678-312-7800 Fax: 678-312-7818 | |
| Dr. Andrea Lenore Christian Parks, MD/MBA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Office - Ob/gyn, Duluth, GA 30096 Phone: 770-931-6012 | |
| Dr. Jodi-anne Stewart, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd, Duluth, GA 30096 Phone: 770-931-6012 |