| Mr Mark Edward Couch, FNP-C | |
|
34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | |
| (770) 907-7222 | |
| Not Available |
| Full Name | Mr Mark Edward Couch |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 34 Upper Riverdale Rd Se, Riverdale, 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 |
|---|---|---|---|
| 1770641953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN124073 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Pmc Long Term Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699396457 PECOS PAC ID: 9638595754 Enrollment ID: O20200819001738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Edward Couch, FNP-C 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 Ph: (770) 907-7222 | Mr Mark Edward Couch, FNP-C 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 Ph: (770) 907-7222 |
Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334 | |
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778 | |
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760 | |
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588 | |
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299 | |
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869 |