| Ms Ceretha Thomas, ARNP | |
|
139 Henry Pkwy, Mcdonough, GA 30253 | |
| (770) 358-5252 | |
| Not Available |
| Full Name | Ms Ceretha Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 139 Henry Pkwy, Mcdonough, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124061791 | NPI | - | NPPES |
| 003104504G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 211903NP (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 211903 (Georgia) | Primary |
| Entity Name | Mcintosh Trail Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ceretha Thomas, ARNP 1464 Indian Forest Ct, Stone Mountain, GA 30083-5436 Ph: (404) 740-2870 | Ms Ceretha Thomas, ARNP 139 Henry Pkwy, Mcdonough, GA 30253 Ph: (770) 358-5252 |
Mrs. Brandie Ann Villanova, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Pkwy, Mcdonough, GA 30253 Phone: 678-583-9071 | |
Catherine A Nkongho, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Concord Cir, Mcdonough, GA 30253 Phone: 240-491-6813 | |
Joyce Paulette Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Gladys Ct, Mcdonough, GA 30252 Phone: 404-643-6597 | |
Erica Tonya Newland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Town Center Village Dr Apt 2101, Mcdonough, GA 30253 Phone: 516-605-8477 | |
Mrs. Betty Jean Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Michael Ln, Mcdonough, GA 30252 Phone: 770-401-1901 | |
Emily Il Arthur, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Regency Park Dr Ste 140, Mcdonough, GA 30253 Phone: 770-957-8626 Fax: 770-957-7200 | |
Brad Alan Oglesby, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Oakwood Trl, Mcdonough, GA 30252 Phone: 678-591-6798 |