| Cody Longfellow, | |
|
1670 Clairmont Rd, Decatur, GA 30033-4004 | |
| (404) 321-6111 | |
| Not Available |
| Full Name | Cody Longfellow |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1670 Clairmont Rd, Decatur, 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 |
|---|---|---|---|
| 1952867012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph's Hospital Of Atlanta, Inc | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Longfellow, 183 Whitefoord Ave Ne, Atlanta, GA 30307-2803 Ph: (330) 256-8081 | Cody Longfellow, 1670 Clairmont Rd, Decatur, GA 30033-4004 Ph: (404) 321-6111 |
Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929 |
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 |
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987 |
Michael C. Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W Ponce De Leon Ave Ste 110, Decatur, GA 30030 Phone: 404-537-2521 |
Allyson Ashton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 |
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678 |
Allison Ely, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 258 Forkner Dr Apt 6, Decatur, GA 30030 Phone: 801-857-9722 |