| Mary J Charlot, FNP-C | |
|
870 Crestmark Dr Ste 200, Lithia Springs, GA 30122-2665 | |
| (770) 927-7341 | |
| (888) 700-9062 |
| Full Name | Mary J Charlot |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 870 Crestmark Dr Ste 200, Lithia Springs, 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 |
|---|---|---|---|
| 1578802286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 187056 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Professional Services Llc | 8921176231 | 117 |
| Entity Name | Piedmont Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J Charlot, FNP-C 618 Thornton Rd Ste 3-440, Lithia Springs, GA 30122-1518 Ph: (770) 927-7341 | Mary J Charlot, FNP-C 870 Crestmark Dr Ste 200, Lithia Springs, GA 30122-2665 Ph: (770) 927-7341 |
Esther Onyirimba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr, Lithia Springs, GA 30122 Phone: 678-398-8301 | |
Chinasa Ogbobe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Thornton Rd Ste 120, Lithia Springs, GA 30122 Phone: 678-840-8446 | |
Charlotte Lum Angwabu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Paces Dr, Lithia Springs, GA 30122 Phone: 678-538-7737 | |
Amelia Christiana Reese, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 121, Lithia Springs, GA 30122 Phone: 770-836-9358 | |
Lisa Onokalah, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Thornton Rd, Lithia Springs, GA 30122 Phone: 678-915-9887 | |
Reeves Terris, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Thornton Rd Ste 210, Lithia Springs, GA 30122 Phone: 678-236-0600 | |
Margaret Kay Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 Thornton Rd, Lithia Springs, GA 30122 Phone: 770-739-9292 |