| Mr Graham Thomas Kittrell, | |
|
745 Poplar Rd, Newnan, GA 30265-1618 | |
| (770) 400-1000 | |
| Not Available |
| Full Name | Mr Graham Thomas Kittrell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 5 Years |
| Location | 745 Poplar Rd, Newnan, 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 |
|---|---|---|---|
| 1942812318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 10224 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Piedmont Anesthesia Associates Llc | 3577457183 | 248 |
| Entity Name | Piedmont Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Graham Thomas Kittrell, 153 Creek Ridge Dr, Lagrange, GA 30240-7725 Ph: (706) 616-4129 | Mr Graham Thomas Kittrell, 745 Poplar Rd, Newnan, GA 30265-1618 Ph: (770) 400-1000 |
Allison Berger, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-351-1745 | |
Cody Baum, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Patricia Sue Kipper, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 |