| Antonio Tombo Lopez Jr, NP | |
|
1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 | |
| (404) 918-2320 | |
| (833) 605-2563 |
| Full Name | Antonio Tombo Lopez Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1412 Milstead Ave Ne Ste 300, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952183774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN-NP249427 (Georgia) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | APRN-NP249427 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3507 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Tombo Lopez Jr, NP 2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 Ph: (404) 482-9325 | Antonio Tombo Lopez Jr, NP 1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 Ph: (404) 918-2320 |
Yanique Latoya Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094 Phone: 770-706-7260 Fax: 678-413-1818 |
Turquoise Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094 Phone: 770-285-6699 Fax: 770-285-6510 |
Assumpta Ogbedeagu, MS-FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013 Phone: 303-214-8017 |
Jan Delroy Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3754 |
Danielle Evette Street, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Cedar Brook Dr Se, Conyers, GA 30094 Phone: 561-308-1998 |
Meetali Crowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 678-369-6934 |
Ms. Judith T Chabot, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012 Phone: 678-413-2026 Fax: 678-413-2030 |