| Anahid A Ebrahimi, PA-C | |
|
144 Bill Carruth Pkwy, Suite 3600, Hiram, GA 30141 | |
| (678) 486-5500 | |
| (678) 486-5502 |
| Full Name | Anahid A Ebrahimi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 144 Bill Carruth Pkwy, Hiram, 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 |
|---|---|---|---|
| 1508043944 | NPI | - | NPPES |
| 754506157 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002651 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Paulding Medical Center | Hiram, GA | Hospital |
| Wellstar Cobb Medical Center | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aga, Llc | 2365431350 | 138 |
| Aga Professional Services Llc | 3870768997 | 175 |
| Entity Name | Aga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Anahid A Ebrahimi, PA-C 1355 Peachtree St Ne, Suite 1600, Atlanta, GA 30309-3212 Ph: (678) 486-5500 | Anahid A Ebrahimi, PA-C 144 Bill Carruth Pkwy, Suite 3600, Hiram, GA 30141 Ph: (678) 486-5500 |
Brittany Park Jeffers, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 180, Hiram, GA 30141 Phone: 770-445-4915 |
Sarah Forrestal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 Phone: 770-445-5666 |
Blake Anthony Landry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 100, Hiram, GA 30141 Phone: 770-422-1372 Fax: 678-363-5170 |
Manogna Puchhalapalli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 |
Mr. Daniel Marc Toubiana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-331-3240 Fax: 678-385-4594 |
Emily Rose Smith, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 Phone: 943-202-7010 |
Miss Brittany Tara Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 76 Highland Pavilion Ct, Suite 133, Hiram, GA 30141 Phone: 770-439-1172 Fax: 706-378-1204 |