| Mrs Antonia Maisha Harris, FNP-C | |
|
939 Bob Arnold Blvd, Lithia Springs, GA 30122-3258 | |
| (404) 474-7596 | |
| Not Available |
| Full Name | Mrs Antonia Maisha Harris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 939 Bob Arnold Blvd, Lithia Springs, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730828294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | RN276975 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN276975 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 273 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Entity Name | Theramed Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487056586 PECOS PAC ID: 0345564472 Enrollment ID: O20150121001157 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Antonia Maisha Harris, FNP-C 1578 Halbrooke Pl Sw, Marietta, GA 30008-3527 Ph: (706) 761-6553 | Mrs Antonia Maisha Harris, FNP-C 939 Bob Arnold Blvd, Lithia Springs, GA 30122-3258 Ph: (404) 474-7596 |
Esther Onyirimba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr, Lithia Springs, GA 30122 Phone: 678-398-8301 | |
Chinasa Ogbobe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Thornton Rd Ste 120, Lithia Springs, GA 30122 Phone: 678-840-8446 | |
Charlotte Lum Angwabu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Paces Dr, Lithia Springs, GA 30122 Phone: 678-538-7737 | |
Amelia Christiana Reese, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 121, Lithia Springs, GA 30122 Phone: 770-836-9358 | |
Lisa Onokalah, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Thornton Rd, Lithia Springs, GA 30122 Phone: 678-915-9887 | |
Reeves Terris, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Thornton Rd Ste 210, Lithia Springs, GA 30122 Phone: 678-236-0600 | |
Margaret Kay Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 Thornton Rd, Lithia Springs, GA 30122 Phone: 770-739-9292 |