| Garrett Hart Medley, FNP | |
|
3400 Old Milton Pkwy Ste 575, Alpharetta, GA 30005-3707 | |
| (770) 410-0202 | |
| Not Available |
| Full Name | Garrett Hart Medley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 3400 Old Milton Pkwy Ste 575, 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 |
|---|---|---|---|
| 1659088078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN306175 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN306175 (Georgia) | Primary |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett Hart Medley, FNP 3400 Old Milton Pkwy Ste 575, Alpharetta, GA 30005-3707 Ph: () - | Garrett Hart Medley, FNP 3400 Old Milton Pkwy Ste 575, Alpharetta, GA 30005-3707 Ph: (770) 410-0202 |
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 |