| Pelagie Resource Center | |
|
2055 Gees Mill Rd Ne Ste 326 Conyers GA 30013-1364 | |
| (470) 356-6285 | |
| Not Available |
| Full Name | Pelagie Resource Center |
|---|---|
| Speciality | Case Management |
| Location | 2055 Gees Mill Rd Ne Ste 326, Conyers, Georgia |
| Authorized Official Name and Position | Christ-lee Lizaire-ganthier (CEO) |
| Authorized Official Contact | 4703566285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelagie Resource Center 2055 Gees Mill Rd Ne Ste 326 Conyers GA 30013-1364 Ph: (470) 356-6285 | Pelagie Resource Center 2055 Gees Mill Rd Ne Ste 326 Conyers GA 30013-1364 Ph: (470) 356-6285 |
| NPI Number | 1821582503 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/07/2025 |
| Certification Date | 06/07/2025 |
| Medicare PECOS PAC ID | 6406363670 |
|---|---|
| Medicare Enrollment ID | O20250730004681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821582503 | NPI | - | NPPES |
| Provider Name | Marjorie F Lantum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669537312 PECOS PAC ID: 0345348645 Enrollment ID: I20200423003186 |
| Provider Name | Emery Cason Jamerson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770042962 PECOS PAC ID: 5294198925 Enrollment ID: I20230829002611 |
| Provider Name | Juliet Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235780065 PECOS PAC ID: 2668810979 Enrollment ID: I20240405001315 |
| Provider Name | Valerie Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275267387 PECOS PAC ID: 3870082696 Enrollment ID: I20260109001898 |
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