| Mr Sunday Imafidon, | |
|
619 S 8th St Ste 301, Griffin, GA 30224-4260 | |
| (770) 229-6072 | |
| (770) 229-2111 |
| Full Name | Mr Sunday Imafidon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 619 S 8th St Ste 301, Griffin, 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 |
|---|---|---|---|
| 1801487293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN230604 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Douglas Hospital | Douglasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Sports Spine & Rehab Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336583871 PECOS PAC ID: 9739320441 Enrollment ID: O20130723000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sunday Imafidon, 619 S 8th St Ste 301, Griffin, GA 30224-4260 Ph: (770) 229-6072 | Mr Sunday Imafidon, 619 S 8th St Ste 301, Griffin, GA 30224-4260 Ph: (770) 229-6072 |
Angela Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 | |
Kaley Prather, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St Suite 200, Griffin, GA 30224 Phone: 770-227-1587 Fax: 770-227-1485 | |
Deborah Prather, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
Dominique L Bailey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 604a S 8th St, Griffin, GA 30224 Phone: 770-227-1999 | |
Alicia Skye Ledford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St., Suite 200, Griffin, GA 30224 Phone: 770-227-1587 | |
Minh Ngoc Ly Barnett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 | |
Ms. Stephanie Collier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Carver Rd, Griffin, GA 30224 Phone: 770-227-9222 Fax: 678-688-3891 |