| Pooja Mayur Sampat, MD | |
|
4222 Fairbanks Dr, Oakwood, GA 30566-2811 | |
| (770) 534-6053 | |
| (770) 534-6695 |
| Full Name | Pooja Mayur Sampat |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 4222 Fairbanks Dr, Oakwood, 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 |
|---|---|---|---|
| 1558949347 | NPI | - | NPPES |
| 003254669B | Medicaid | GA | |
| 003311709B | Medicaid | GA | |
| 003311709A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 101460 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncrest Home Health | Gainesville, GA | Home health agency |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Longstreet Clinic, Pc | 2668465733 | 144 |
| Entity Name | The Longstreet Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Pooja Mayur Sampat, MD Po Box 1060, Oakwood, GA 30566-0018 Ph: (770) 534-6053 | Pooja Mayur Sampat, MD 4222 Fairbanks Dr, Oakwood, GA 30566-2811 Ph: (770) 534-6053 |
Sahithi S Sangapu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566 Phone: 770-848-9100 Fax: 770-848-9101 | |
Marti Renee Gibbs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6695 | |
Dr. Tawanna J Strauther, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566 Phone: 770-848-9100 Fax: 770-848-9101 | |
Farhad M Yazdi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4205 Mundy Mill Pl, Suite 1, Oakwood, GA 30566 Phone: 770-287-1140 Fax: 770-534-2700 | |
Robert O Kelly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Mundy Mill Rd., Oakwood, GA 30566 Phone: 770-503-1481 Fax: 770-503-1520 | |
Dr. Kelly Nicole O'dell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566 Phone: 770-534-6053 Fax: 770-534-6050 |