| Mr Raphael Aswani Atulo, PA | |
|
1831 5th Ave, Columbus, GA 31904-8915 | |
| (706) 320-8750 | |
| (706) 320-8770 |
| Full Name | Mr Raphael Aswani Atulo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1831 5th Ave, Columbus, 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 |
|---|---|---|---|
| 1376018689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 009037 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Specialty Hospital Billing Llc | 4183986490 | 252 |
| Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | The Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255401519 PECOS PAC ID: 9830094077 Enrollment ID: O20040630000391 |
| Entity Name | Statesboro Hma Physician Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028 |
| Entity Name | Southeastern Hospitalist Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160107001140 |
| 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 |
| Entity Name | Hightower Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790285815 PECOS PAC ID: 3577825751 Enrollment ID: O20180328001360 |
| Entity Name | South Georgia ER Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548763899 PECOS PAC ID: 6103285887 Enrollment ID: O20230629001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Raphael Aswani Atulo, PA 1019 Ruth Creek Ct, Columbus, GA 31909-2328 Ph: (706) 393-4758 | Mr Raphael Aswani Atulo, PA 1831 5th Ave, Columbus, GA 31904-8915 Ph: (706) 320-8750 |
Mrs. Fallon E Lotson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 13th St, Suite A, Columbus, GA 31906 Phone: 706-243-7010 Fax: 705-243-7019 |
Eugenia Taras, PAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 705-596-4000 |
Jolene Stewart Fondrk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 |
Ms. Kyndall Denise Grogan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 10th Ave Ste 211, Columbus, GA 31901 Phone: 706-507-0220 |
Deanna South, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3465 Macon Rd Ste D, Columbus, GA 31907 Phone: 706-541-8847 |
Hannah Elizabeth Flatley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
John P Schumacher, PA,CCP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Manchester Expy, Ste 1009, Columbus, GA 31904 Phone: 706-596-8200 Fax: 706-571-0207 |