| Keri L Minton, PA | |
| 100 Professional Park, Suite 310, Carrollton, GA 30117-3874 | |
| (770) 812-5902 | |
| (770) 812-5903 | 
| Full Name | Keri L Minton | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 100 Professional Park, Carrollton, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932409166 | NPI | - | NPPES | 
| 005947 | Other | GA | GA. LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 005947 (Georgia) | Primary | 
| Entity Name | The Emory Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keri L Minton, PA 69 Jesse Hill Jr Dr Se, Room 314a, Atlanta, GA 30303-3033 Ph: (404) 251-8916 | Keri L Minton, PA 100 Professional Park, Suite 310, Carrollton, GA 30117-3874 Ph: (770) 812-5902 | 
| Mr. David J Scholl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 157 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-333-2220 Fax: 678-581-7180 | |
| Sydney Hope Stone,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
| Allison Leigh Nowacki, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 269 Springflower Dr, Carrollton, GA 30116 Phone: 678-877-9921 | |
| David Allen Scruggs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
| Brittney Buice,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 212 Meadow Run, Carrollton, GA 30116 Phone: 678-615-0531 | |
| Kate Hallie Baskin,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 109 Professional Pl, Carrollton, GA 30117 Phone: 770-838-9333 | |
| Timothy Echols, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 |