| Oak Street Health Of Georgia Pc | |
|
1825 Rockbridge Rd Ste 15b Stone Mountain GA 30087-3306 | |
| (470) 444-3134 | |
| (470) 276-4370 |
| Full Name | Oak Street Health Of Georgia Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
| Authorized Official Name and Position | Terrance Morton (CMO) |
| Authorized Official Contact | 7046074835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Health Of Georgia Pc Po Box 740015 Atlanta GA 30374-0015 Ph: (312) 733-9730 | Oak Street Health Of Georgia Pc 1825 Rockbridge Rd Ste 15b Stone Mountain GA 30087-3306 Ph: (470) 444-3134 |
| NPI Number | 1588258024 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Medicare PECOS PAC ID | 0345658647 |
|---|---|
| Medicare Enrollment ID | O20210427001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588258024 | NPI | - | NPPES |
| Provider Name | Khaja J Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902910409 PECOS PAC ID: 0446141436 Enrollment ID: I20040320000696 |
| Provider Name | Suzanne Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063470896 PECOS PAC ID: 9830150390 Enrollment ID: I20060525000200 |
| Provider Name | Ifeoma L Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033226832 PECOS PAC ID: 4284665019 Enrollment ID: I20080423000299 |
| Provider Name | Mavis Appiah-kubi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063684363 PECOS PAC ID: 0244309912 Enrollment ID: I20080521000195 |
| Provider Name | Dmitriy M Pelishev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457400251 PECOS PAC ID: 9436246659 Enrollment ID: I20091028000423 |
| Provider Name | Yvonne M Maduka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801061775 PECOS PAC ID: 0648469981 Enrollment ID: I20110118000794 |
| Provider Name | Kathy Lishman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538454368 PECOS PAC ID: 6002094927 Enrollment ID: I20110624000054 |
| Provider Name | Romni Maudann Owens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427294966 PECOS PAC ID: 8729250394 Enrollment ID: I20111004000855 |
| Provider Name | Dianna L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578584256 PECOS PAC ID: 3678579026 Enrollment ID: I20120904000814 |
| Provider Name | Nwamaka M Onuigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497983639 PECOS PAC ID: 7416105473 Enrollment ID: I20140923001492 |
| Provider Name | Sawanarry R Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700284098 PECOS PAC ID: 7315265261 Enrollment ID: I20150406001302 |
| Provider Name | Lakeisha Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053701433 PECOS PAC ID: 1456658251 Enrollment ID: I20160322001558 |
| Provider Name | Adejoke Ojumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164957163 PECOS PAC ID: 3072887751 Enrollment ID: I20170919001797 |
| Provider Name | Carlyn Sainvil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609312909 PECOS PAC ID: 4587917877 Enrollment ID: I20181103000009 |
| Provider Name | William Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639518301 PECOS PAC ID: 6507110996 Enrollment ID: I20181121002805 |
| Provider Name | Rebecca Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710160791 PECOS PAC ID: 9931264454 Enrollment ID: I20190102001925 |
| Provider Name | Elaine C Mininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811460850 PECOS PAC ID: 9436497492 Enrollment ID: I20190218000402 |
| Provider Name | Kristen Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285002188 PECOS PAC ID: 2466760194 Enrollment ID: I20190405002218 |
| Provider Name | Alice J Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042036 PECOS PAC ID: 0143577346 Enrollment ID: I20191116000352 |
| Provider Name | Jamay R Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114489911 PECOS PAC ID: 5991127730 Enrollment ID: I20200623003504 |
| Provider Name | Sheryl Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191249 PECOS PAC ID: 4486956109 Enrollment ID: I20200817003121 |
| Provider Name | Stella Royette Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487292694 PECOS PAC ID: 7517379142 Enrollment ID: I20201223001305 |
| Provider Name | Marisa Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20210427001266 |
| Provider Name | Andrew Lee Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118699 PECOS PAC ID: 3375952385 Enrollment ID: I20210504000730 |
| Provider Name | Jose Donatien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841511797 PECOS PAC ID: 1355509894 Enrollment ID: I20210604002877 |
| Provider Name | Hariharan Athreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851898522 PECOS PAC ID: 6901144807 Enrollment ID: I20210624000249 |
| Provider Name | Erica Minnion-klyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205340080 PECOS PAC ID: 3072872522 Enrollment ID: I20210712004199 |
| Provider Name | Anita Basil Varkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477822 PECOS PAC ID: 2466457700 Enrollment ID: I20210806000374 |
| Provider Name | Emma Kellaway Feinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508268590 PECOS PAC ID: 9335463264 Enrollment ID: I20211216001458 |
| Provider Name | Maryah Truss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851951958 PECOS PAC ID: 8426383548 Enrollment ID: I20220128002121 |
| Provider Name | Annjerald Devance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629437785 PECOS PAC ID: 2163716408 Enrollment ID: I20220202002490 |
| Provider Name | Vivian Gaines-thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790197283 PECOS PAC ID: 9335364538 Enrollment ID: I20220207000374 |
| Provider Name | Bola Falegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609373919 PECOS PAC ID: 8426396474 Enrollment ID: I20220302002690 |
| Provider Name | Tia Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235668153 PECOS PAC ID: 7012286958 Enrollment ID: I20220311001513 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20220729002712 |
| Provider Name | Rachel Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20220803001648 |
| Provider Name | Henny P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336753920 PECOS PAC ID: 0648655217 Enrollment ID: I20220917000103 |
| Provider Name | Kathy Petrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598197667 PECOS PAC ID: 5799919858 Enrollment ID: I20220926002400 |
| Provider Name | Lashonda Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417449554 PECOS PAC ID: 9931576931 Enrollment ID: I20221103002933 |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20221107001281 |
| Provider Name | Tuwanda Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629018528 PECOS PAC ID: 6608817630 Enrollment ID: I20221116001686 |
| Provider Name | Abigail A.o Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851009534 PECOS PAC ID: 4284004961 Enrollment ID: I20221222000586 |
| Provider Name | Timanika Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20230111000190 |
| Provider Name | Sherwanna Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784164 PECOS PAC ID: 5193103257 Enrollment ID: I20230131003708 |
| Provider Name | Sarah Danielle Knafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558068387 PECOS PAC ID: 3173997756 Enrollment ID: I20230322000815 |
| Provider Name | Kari Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467166181 PECOS PAC ID: 9739553298 Enrollment ID: I20230323001655 |
| Provider Name | Katherine O'lone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356983910 PECOS PAC ID: 7517332539 Enrollment ID: I20230405001025 |
| Provider Name | Danielle Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730869298 PECOS PAC ID: 9436510583 Enrollment ID: I20230804002584 |
| Provider Name | Ahmed Mohiuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316264229 PECOS PAC ID: 4385872977 Enrollment ID: I20230919002415 |
| Provider Name | Rachel Sabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20230922003462 |
| Provider Name | Lauren Kennerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699376996 PECOS PAC ID: 3375998685 Enrollment ID: I20231005003483 |
| Provider Name | Jennie Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720629298 PECOS PAC ID: 8820448871 Enrollment ID: I20240103001528 |
| Provider Name | Karina Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376083675 PECOS PAC ID: 5193177863 Enrollment ID: I20240118000360 |
| Provider Name | Sandra Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548264047 PECOS PAC ID: 8224209432 Enrollment ID: I20240514003173 |
| Provider Name | Victoria Ifunanya Williams-ugula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316557929 PECOS PAC ID: 8729520465 Enrollment ID: I20240610000332 |
| Provider Name | Maya Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790146124 PECOS PAC ID: 7416492954 Enrollment ID: I20240709003597 |
| Provider Name | Tigest Teshome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558827162 PECOS PAC ID: 6709119704 Enrollment ID: I20240724000713 |
| Provider Name | Samantha N Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609444959 PECOS PAC ID: 8921400250 Enrollment ID: I20241216003416 |
| Provider Name | Jacqueline Hope Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982441655 PECOS PAC ID: 3870020761 Enrollment ID: I20241216003938 |
| Provider Name | Sanaya Yvette Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275372971 PECOS PAC ID: 2163969684 Enrollment ID: I20241217000844 |
| Provider Name | Marilyn Metz Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194750992 PECOS PAC ID: 2668367327 Enrollment ID: I20241218001139 |
| Provider Name | Story Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982182051 PECOS PAC ID: 3577955913 Enrollment ID: I20241218002686 |
| Provider Name | Freny Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942592787 PECOS PAC ID: 1951610864 Enrollment ID: I20241218002882 |
| Provider Name | Linda Guevara De Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578937264 PECOS PAC ID: 4688979412 Enrollment ID: I20241227000736 |
| Provider Name | Colby Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208524 PECOS PAC ID: 3072913771 Enrollment ID: I20241231000004 |
| Provider Name | Teaondra Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467887059 PECOS PAC ID: 2466686159 Enrollment ID: I20250108000558 |
| Provider Name | Robelyn Barrameda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912588385 PECOS PAC ID: 9830619618 Enrollment ID: I20250224002009 |
| Provider Name | Josette Mendiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780489948 PECOS PAC ID: 4981124625 Enrollment ID: I20250225000846 |
| Provider Name | Ayanna S Jarrett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740816156 PECOS PAC ID: 9133643604 Enrollment ID: I20250404003165 |
Practical Guidance & Psychtherapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 747 Lauren Pkwy, Stone Mountain, GA 30083 Phone: 678-576-3824 | |
Building A Solid Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 N Hairston Rd, 230a, Stone Mountain, GA 30083 Phone: 770-469-3211 | |
Epic Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 Main St, Suite F, Stone Mountain, GA 30083 Phone: 404-447-6007 | |
Solid Foundation Christian Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5140 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-983-0458 | |
Grant Services For The Disabled , Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Hidden Hills Pkwy, Stone Mountain, GA 30088 Phone: 770-879-5507 Fax: 678-691-4082 | |
Greenridge Community Integration Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Greenridge Cir, Stone Mountain, GA 30083 Phone: 404-586-9230 | |
Motivated Path Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2196 Forestglade Dr, Stone Mountain, GA 30087 Phone: 770-569-3865 |