| Cristina Helena Vergara, | |
|
190 Greencastle Rd, Tyrone, GA 30290-2936 | |
| (949) 680-9132 | |
| Not Available |
| Full Name | Cristina Helena Vergara |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 190 Greencastle Rd, Tyrone, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730722851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN268443 (Georgia) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN268443 (Georgia) | Primary |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Helena Vergara, 190 Greencastle Rd, Tyrone, GA 30290-2936 Ph: (949) 680-9132 | Cristina Helena Vergara, 190 Greencastle Rd, Tyrone, GA 30290-2936 Ph: (949) 680-9132 |
Kanarashinque Buchanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Howell Rd Ste C, Tyrone, GA 30290 Phone: 404-643-1913 | |
Jodian White, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1528 Joel Cowan Pkwy, Tyrone, GA 30290 Phone: 678-335-4116 Fax: 833-973-4637 | |
Mrs. Harriet Carleen Hint, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Greencastle Rd Ste A, Tyrone, GA 30290 Phone: 770-631-1040 Fax: 770-631-1019 | |
Mary Montgomery Mobley, NP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 Greencastle Rd, Tyrone, GA 30290 Phone: 770-487-7807 | |
Mrs. Georgina Angeline Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Lloyd Ave, Tyrone, GA 30290 Phone: 770-486-1200 | |
Marcella Marzett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Lauren Schwartz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Lloyd Ave, Tyrone, GA 30290 Phone: 770-486-1200 |