| Kodjo Vivien Aziamadji, | |
|
6238 Turner Lake Rd Sw, Covington, GA 30014-3057 | |
| (470) 971-2118 | |
| Not Available |
| Full Name | Kodjo Vivien Aziamadji |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6238 Turner Lake Rd Sw, Covington, 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 |
|---|---|---|---|
| 1134703705 | NPI | - | NPPES |
| 1134703705 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | RN242817 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN242817 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanta Plus Primary Care Llc | 3072984111 | 4 |
| South Atlanta Urgent Care Clinic Llc | 4880888247 | 2 |
| Swift Health Medical Group | 5698011211 | 4 |
| Atlanta Plus Urgent Care | 9133453368 | 10 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Georgia Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Entity Name | Swift Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811434210 PECOS PAC ID: 5698011211 Enrollment ID: O20190117003052 |
| Entity Name | Atlanta Plus Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588163638 PECOS PAC ID: 9133453368 Enrollment ID: O20190621002246 |
| Entity Name | Atlanta Plus Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265144414 PECOS PAC ID: 3072984111 Enrollment ID: O20230127000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Kodjo Vivien Aziamadji, 1477 Rogers Crossing Dr, Lithonia, GA 30058-7007 Ph: (678) 993-7263 | Kodjo Vivien Aziamadji, 6238 Turner Lake Rd Sw, Covington, GA 30014-3057 Ph: (470) 971-2118 |
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 85 Providence Pkwy, Covington, GA 30014 Phone: 770-462-9202 | |
Mrs. Melanie Marie Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3792 Kraddle Creek Dr, Covington, GA 30014 Phone: 770-490-3350 | |
Nicole Francis-freckleton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13110 Greywolf Ln, Covington, GA 30014 Phone: 754-551-4480 | |
Shelleyann Beaubrun, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4136 Newton Dr Ne, Covington, GA 30014 Phone: 770-569-3205 | |
Samantha Joi Tait, DNP, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4152 Baker St Ne, Covington, GA 30014 Phone: 770-788-1077 | |
Mrs. Hannah Addis, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014 Phone: 770-728-1901 Fax: 770-728-1907 | |
Dr. Ogochukwu Ojiaku, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Avonlea Dr, Covington, GA 30016 Phone: 404-457-3743 |