| Jonae Perrin Richardson, PA-C | |
|
1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | |
| (770) 761-7260 | |
| Not Available |
| Full Name | Jonae Perrin Richardson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1498 Klondike Rd Sw Ste 106, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538611686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 8164 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nsh Cancer Institute Professional Services A, Llc | 1557514247 | 41 |
| Entity Name | Four Corners Primary Care Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265624548 PECOS PAC ID: 1951497494 Enrollment ID: O20080117000193 |
| Entity Name | Nsh Cancer Institute Professional Services A, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215288378 PECOS PAC ID: 1557514247 Enrollment ID: O20130107000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonae Perrin Richardson, PA-C 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 Ph: (770) 761-7260 | Jonae Perrin Richardson, PA-C 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 Ph: (770) 761-7260 |
Valencia Tutein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Sugarmaple Ln Sw, Conyers, GA 30094 Phone: 770-985-4257 Fax: 770-985-4258 |
Ashley Marie Mcguire-tanksley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-922-4024 |
Joli A Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1397 Manchester Dr Ne, Conyers, GA 30012 Phone: 770-284-6161 Fax: 833-455-8366 |
Cameron Taube, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 190, Conyers, GA 30012 Phone: 678-806-3566 |
Stephanie Ingram, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 863 Flat Shoals Rd Se Ste C238, Conyers, GA 30094 Phone: 770-354-6940 |
Krisna Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013 Phone: 770-920-7000 |
Clara A Matthews, BSN,RN, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1930 Windsor Creek Drive Sw, Conyers, GA 30094 Phone: 717-324-0667 |