| Charli Hicks Clements, | |
|
367 Athens Hwy Ste 650, Loganville, GA 30052-7980 | |
| (706) 389-8941 | |
| (706) 389-8942 |
| Full Name | Charli Hicks Clements |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 367 Athens Hwy Ste 650, Loganville, 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 |
|---|---|---|---|
| 1467082214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN238981 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morgan Medical Center | Madison, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arch Orthopedic And Spine, Llc | 0244652782 | 5 |
| Entity Name | Ashford Orthopedic Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477175941 PECOS PAC ID: 0244652782 Enrollment ID: O20200629003951 |
| Mailing Address | Practice Location Address |
|---|---|
| Charli Hicks Clements, 1100 Wanda Ct, Monroe, GA 30655-8354 Ph: () - | Charli Hicks Clements, 367 Athens Hwy Ste 650, Loganville, GA 30052-7980 Ph: (706) 389-8941 |
Gopika Naidu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Road, Loganville, GA 30052 Phone: 770-466-5902 | |
Jennifer Davis, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 770-466-6112 | |
Mrs. Michelle Renee Crumbley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Lori G Roberts, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201 | |
Johanne Dastine-coriolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4344 Grove Lake St, Loganville, GA 30052 Phone: 770-696-1350 | |
Mrs. Kimberly Denise Pegues, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650 | |
Mrs. Amarachi Edom, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Fall Creek Ldg, Loganville, GA 30052 Phone: 404-438-4634 |