| Paul Lawrence Douglass, MD | |
|
4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080-6442 | |
| (470) 956-9480 | |
| Not Available |
| Full Name | Paul Lawrence Douglass |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 49 Years |
| Location | 4441 Atlanta Rd Se Ste 213, Smyrna, 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 |
|---|---|---|---|
| 1063406262 | NPI | - | NPPES |
| 060017368/CM0845 | Other | GA | RAILROAD MEDICARE |
| 00241788A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 019205 (Georgia) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 019205 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Metropolitan Atlanta Cardiology Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285771253 PECOS PAC ID: 8527056910 Enrollment ID: O20040504001177 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Lawrence Douglass, MD 4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080-6442 Ph: (470) 956-9480 | Paul Lawrence Douglass, MD 4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080-6442 Ph: (470) 956-9480 |
Madhu Vishwanath, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 South Cobb Drive Se, Suite 205, Smyrna, GA 30080 Phone: 770-438-9723 Fax: 770-431-9733 | |
Dr. Chitra Jana Kanyadan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Dr. Karina Khouri Belinfante, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se, Suite 110, Smyrna, GA 30080 Phone: 770-438-1002 Fax: 770-438-7223 | |
Kaushang A Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080 Phone: 470-956-9480 Fax: 678-842-5539 | |
Dawn Marie Wolak, ANP-BC Internal Medicine Medicare: Medicare Enrolled Practice Location: 3903 S Cobb Dr Se, Suite 110, Smyrna, GA 30080 Phone: 404-778-6532 | |
Thomas John Demarco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se Ste 202, Smyrna, GA 30080 Phone: 770-432-5326 Fax: 770-432-5740 |