| Careperks Llc | |
|
4936 Presidents Way Ste 203 Tucker GA 30084-3038 | |
| (770) 549-0495 | |
| (866) 811-0453 |
| Full Name | Careperks Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4936 Presidents Way Ste 203, Tucker, Georgia |
| Authorized Official Name and Position | Priscilla Madu (OWNER) |
| Authorized Official Contact | 7705490495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careperks Llc 4936 Presidents Way Ste 203 Tucker GA 30084-3038 Ph: (678) 395-7164 | Careperks Llc 4936 Presidents Way Ste 203 Tucker GA 30084-3038 Ph: (770) 549-0495 |
| NPI Number | 1992323398 |
|---|---|
| Provider Enumeration Date | 07/12/2020 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Medicare PECOS PAC ID | 9335551506 |
|---|---|
| Medicare Enrollment ID | O20240314002701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992323398 | NPI | - | NPPES |
| Provider Name | Michelle W Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20051007000815 |
| Provider Name | Maria L Bejacmar-didier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447378971 PECOS PAC ID: 5294831525 Enrollment ID: I20070503000323 |
| Provider Name | Ellis I Efobi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144487018 PECOS PAC ID: 8426185984 Enrollment ID: I20100415000312 |
| Provider Name | Naureen Munawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245420082 PECOS PAC ID: 9931363413 Enrollment ID: I20150721002943 |
| Provider Name | Dinesh R Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568443273 PECOS PAC ID: 1850294364 Enrollment ID: I20200320001511 |
| Provider Name | Ralph Ogwotu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144674581 PECOS PAC ID: 0749694008 Enrollment ID: I20210127002036 |
| Provider Name | Terri Rae Cater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184253163 PECOS PAC ID: 1456742121 Enrollment ID: I20220107000391 |
| Provider Name | Walter Scott Metcalfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225075898 PECOS PAC ID: 6709889934 Enrollment ID: I20231120002638 |
| Provider Name | Michelle Harris Wierson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588326359 PECOS PAC ID: 5294252656 Enrollment ID: I20250508001839 |
| Provider Name | Liza Amanda Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104270164 PECOS PAC ID: 4789194234 Enrollment ID: I20250612001328 |
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