| Lance Timothy Washington, | |
|
3131 N Druid Hills Rd Apt 7206, Decatur, GA 30033-2650 | |
| (404) 516-4715 | |
| Not Available |
| Full Name | Lance Timothy Washington |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3131 N Druid Hills Rd Apt 7206, Decatur, 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 |
|---|---|---|---|
| 1033783998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN204600 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ncg Acquisition, Llc | 1850657446 | 11 |
| Entity Name | Capeside Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760891980 PECOS PAC ID: 5991926560 Enrollment ID: O20141023001370 |
| Entity Name | Ncg Acquisition, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578091161 PECOS PAC ID: 1850657446 Enrollment ID: O20171115000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Timothy Washington, 3131 N Druid Hills Rd Apt 7206, Decatur, GA 30033-2650 Ph: (404) 516-4715 | Lance Timothy Washington, 3131 N Druid Hills Rd Apt 7206, Decatur, GA 30033-2650 Ph: (404) 516-4715 |
Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111 | |
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926 | |
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645 | |
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710 | |
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038 | |
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598 | |
Ernest Leonard Gibson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886 |