| Kamica Ross Hatchett, CRNA | |
|
4238 Ridgetop Dr, Ellenwood, GA 30294-1908 | |
| (404) 272-2425 | |
| Not Available |
| Full Name | Kamica Ross Hatchett |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4238 Ridgetop Dr, Ellenwood, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336507185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 700506 (Georgia) | Primary |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Entity Name | Jc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821501206 PECOS PAC ID: 1456614627 Enrollment ID: O20180423000731 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamica Ross Hatchett, CRNA 4238 Ridgetop Dr, Ellenwood, GA 30294-1908 Ph: (404) 272-2425 | Kamica Ross Hatchett, CRNA 4238 Ridgetop Dr, Ellenwood, GA 30294-1908 Ph: (404) 272-2425 |
Keandrea Bacon, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 120 Whirlaway Dr, Ellenwood, GA 30294 Phone: 404-444-3887 | |
Dr. Gabriel Salami, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5292 Peachtree Landing Dr, Ellenwood, GA 30294 Phone: 470-875-7731 |