| Mrs Debora Ann Goodrich, DO | |
|
1301 Well Brook Circle, Conyers, GA 30012-3873 | |
| (770) 922-3023 | |
| (770) 929-1016 |
| Full Name | Mrs Debora Ann Goodrich |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1301 Well Brook Circle, Conyers, 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 |
|---|---|---|---|
| 1245325968 | NPI | - | NPPES |
| 00691094A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 041125 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeway Home Health | Conyers, GA | Home health agency |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 327 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Debora Ann Goodrich, DO 1301 Well Brook Circle, Conyers, GA 30012-3873 Ph: (770) 922-3023 | Mrs Debora Ann Goodrich, DO 1301 Well Brook Circle, Conyers, GA 30012-3873 Ph: (770) 922-3023 |
Dr. Sitharam Chowdary Nandigam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Marshall David Almand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Ekundayo Adedapo Falase, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Mr. Richard Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818 | |
Osarenomase Egharevba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Kawanjit Surapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 404-350-0009 | |
Dr. Christin-lauren Tanksley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310 |