| Sumona Smith, | |
|
1404 River Pl, Suite 201, Braselton, GA 30517-5600 | |
| (770) 219-4000 | |
| (770) 219-4001 |
| Full Name | Sumona Smith |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 23 Years |
| Location | 1404 River Pl, Braselton, 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 |
|---|---|---|---|
| 1750566493 | NPI | - | NPPES |
| P01006900 | Other | MS | RAILROAD MEDICARE PTAN |
| P01251951 | Other | MS | RAILROAD MEDICARE |
| 174387 | Medicaid | AL | |
| 2359673 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 054343 (Georgia) | Secondary |
| 208600000X | Surgery | 21693 (Mississippi) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 054343 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanta Heart Associates Pc | 6204737216 | 21 |
| Entity Name | Atlanta Heart Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851327241 PECOS PAC ID: 6204737216 Enrollment ID: O20040114000144 |
| 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 |
|---|---|
| Sumona Smith, Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Sumona Smith, 1404 River Pl, Suite 201, Braselton, GA 30517-5600 Ph: (770) 219-4000 |
Dr. Samer Othman Alharthi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-848-8000 | |
Christopher William Soika, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 201, Braselton, GA 30517 Phone: 770-219-9200 | |
Lya Crichlow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 201, Braselton, GA 30517 Phone: 770-219-9200 | |
J Christopher Brandys, MD FRCS FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 1404 River Pl, Suite 201, Braselton, GA 30517 Phone: 770-219-9200 Fax: 770-219-9274 | |
Hasco William Craver Iii, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 494 Gold Crest Dr, Braselton, GA 30517 Phone: 706-654-3354 | |
James George Chambers Iv, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl, Suite 201, Braselton, GA 30517 Phone: 770-219-9200 Fax: 770-219-9273 |