| Mr Anthony J Mercurio, RN | |
|
2200 Medical Center Blvd Ste 230, Lawrenceville, GA 30046-7766 | |
| (678) 312-3500 | |
| Not Available |
| Full Name | Mr Anthony J Mercurio |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2200 Medical Center Blvd Ste 230, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649034448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN294015 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN294015 (Georgia) | Primary |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony J Mercurio, RN 3345 Forest Trace Dr, Dacula, GA 30019-4544 Ph: (631) 903-0446 | Mr Anthony J Mercurio, RN 2200 Medical Center Blvd Ste 230, Lawrenceville, GA 30046-7766 Ph: (678) 312-3500 |
Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: -- | |
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000 | |
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476 | |
Chinwe Ogbodo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-5280 | |
Lataneya Pingue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1888 Lacebark Elm Way, Lawrenceville, GA 30045 Phone: 404-916-1512 | |
Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225 | |
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 |