| Evan Grovenstein, DNP, APRN, FNP-C | |
|
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
| (706) 788-2127 | |
| Not Available |
| Full Name | Evan Grovenstein |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 11 Charlie Morris Rd, Colbert, 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 |
|---|---|---|---|
| 1174184030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP241071 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medlink Georgia Inc | 3274442850 | 73 |
| Entity Name | Medlink Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Grovenstein, DNP, APRN, FNP-C 1052 Sourwood Ct, Athens, GA 30606-5250 Ph: (404) 314-5630 | Evan Grovenstein, DNP, APRN, FNP-C 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-2127 |
Mrs. Sarah Sammons, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 067-882-1277 | |
Justin Souter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-521-3113 | |
Karla Coco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Nicole Ford, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 Fax: 706-788-2815 | |
Isabelle Nicole Orlino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-521-3113 | |
Linda Tejada Mahomar, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 |