| Angella E Henry, NURSE PRACTITIONER | |
|
101 Quartz Dr Ste 201, Villa Rica, GA 30180-3256 | |
| (770) 812-3839 | |
| (770) 456-3785 |
| Full Name | Angella E Henry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 101 Quartz Dr Ste 201, Villa Rica, 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 |
|---|---|---|---|
| 1255875167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP171201 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Medical Group Inc | 2769536143 | 111 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Angella E Henry, NURSE PRACTITIONER 433 Baywood Way, Hiram, GA 30141-4125 Ph: (770) 818-9150 | Angella E Henry, NURSE PRACTITIONER 101 Quartz Dr Ste 201, Villa Rica, GA 30180-3256 Ph: (770) 812-3839 |
Anson Chin, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3283 | |
Thomas Stuckey, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-812-3294 | |
Jennifer Lee Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803 | |
Rahab Mona Muthoni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Main St, Villa Rica, GA 30180 Phone: 770-462-1170 | |
Mr. John Kamau Kiarie, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 | |
Jacqueline Brown, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Quartz Dr Ste 103b, Villa Rica, GA 30180 Phone: 770-812-3530 Fax: 770-812-3579 | |
William Thomas Carroll Iii, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-812-3000 |