| Elleni Kebede, NP | |
|
2450 Old Milton Pkwy, Alpharetta, GA 30009-2250 | |
| (470) 267-0360 | |
| Not Available |
| Full Name | Elleni Kebede |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2450 Old Milton Pkwy, Alpharetta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124711064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN205026 (Georgia) | Primary |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Bold Legacy Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972212116 PECOS PAC ID: 5799140430 Enrollment ID: O20230502000666 |
| Entity Name | Bold Primary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275300287 PECOS PAC ID: 6406298249 Enrollment ID: O20240524002775 |
| Mailing Address | Practice Location Address |
|---|---|
| Elleni Kebede, NP 1055 Lyndhurst Way, Roswell, GA 30075-2583 Ph: () - | Elleni Kebede, NP 2450 Old Milton Pkwy, Alpharetta, GA 30009-2250 Ph: (470) 267-0360 |
Kathleen Marie Sklivagkos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009 Phone: 770-274-9511 | |
Mr. Terrance B Henderson, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005 Phone: 404-800-5181 | |
Amy Labib, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy, Alpharetta, GA 30005 Phone: 678-224-8686 | |
Julia Weirbach, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 960 N Point Pkwy Ste 120, Alpharetta, GA 30005 Phone: 770-800-3353 | |
Regan J Kudlata, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy # C, Ste 190, Alpharetta, GA 30005 Phone: 404-832-0300 | |
Joanna M Huff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Milton Ave, Alpharetta, GA 30009 Phone: 425-449-1571 | |
Gina Leeann Bauknecht, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022 Phone: 770-442-1911 |