| Carlos A Velazquez, PA-C | |
|
1200 Memorial Dr, Dalton, GA 30720-2529 | |
| (706) 278-2105 | |
| (865) 291-3228 |
| Full Name | Carlos A Velazquez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1200 Memorial Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497786974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004216 (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851569560 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040816000638 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Gordon Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205290467 PECOS PAC ID: 6406149400 Enrollment ID: O20160728001627 |
| Entity Name | Chattanooga Emergency Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174739908 PECOS PAC ID: 0042304032 Enrollment ID: O20210322001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Velazquez, PA-C 26 Landers Rd Ne, Rydal, GA 30171-1657 Ph: Not Available | Carlos A Velazquez, PA-C 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 278-2105 |
Ms. Denise Rene White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1434 Broadrick Dr, Dalton, GA 30720 Phone: 706-278-5961 Fax: 706-529-9302 |
Rebecca Jean Ussery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1114 Professional Blvd, Dalton, GA 30720 Phone: 706-278-0138 |
Jacqueline Arana, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1102 W Waugh St, Dalton, GA 30720 Phone: 706-277-2321 |
Mrs. Elleise Mckenzie Lannom, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1114 Professional Blvd, Dalton, GA 30720 Phone: 706-278-0138 |
Mrs. Cara H Bramlett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 508 E Morris St, Dalton, GA 30721 Phone: 706-264-0630 Fax: 706-272-1648 |
Mr. Joseph Duke Ballard Iii, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 |
Haley Mertz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 300, Dalton, GA 30720 Phone: 706-275-6121 Fax: 706-275-0521 |