| Mr Clay Ditty, ACNP | |
|
1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | |
| (404) 367-3014 | |
| (404) 367-3558 |
| Full Name | Mr Clay Ditty |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1133 Eagles Landing Pkwy, Stockbridge, 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 |
|---|---|---|---|
| 1316223829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN246944 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Specialty Hospital Billing Llc | 4183986490 | 202 |
| Entity Name | Piedmont Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376624940 PECOS PAC ID: 3274529524 Enrollment ID: O20040423000767 |
| Entity Name | Piedmont Cardiology Of Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
| Entity Name | Piedmont Specialty Hospital Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clay Ditty, ACNP 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (404) 367-3014 | Mr Clay Ditty, ACNP 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (404) 367-3014 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 | |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |