| Samuel O Teniola, MD | |
| 
					285 Boulevard Ne, Suite 435, Atlanta, GA 30312-4205  | |
| (404) 524-8950 | |
| Not Available | 
| Full Name | Samuel O Teniola | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 285 Boulevard Ne, Atlanta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518965938 | NPI | - | NPPES | 
| 000891514B | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 049349 (Georgia) | Primary | 
| Entity Name | 24 On Physicians Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444  | 
| Entity Name | Northeast Georgia Physicians Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samuel O Teniola, MD 945 Linsley Way, Stone Mountain, GA 30087-6083 Ph: (770) 879-9659  | Samuel O Teniola, MD 285 Boulevard Ne, Suite 435, Atlanta, GA 30312-4205 Ph: (404) 524-8950  | 
Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290  | |
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553  | |
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000  | |
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700  | |
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950  | |
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464  | |
John J Doran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322 Phone: 404-778-5380  |