| Mrs Mercy B Manga, NP-C | |
|
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | |
| (770) 603-3649 | |
| (770) 962-2400 |
| Full Name | Mrs Mercy B Manga |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 2400 Mt. Zion Parkway, Jonesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104875525 | NPI | - | NPPES |
| 433023341 | Other | GA | TRICARE |
| 500030757 | Other | GA | RAILROAD MEDICARE PROV # |
| 942031013A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | RN100057 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mercy B Manga, NP-C 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 504-5678 | Mrs Mercy B Manga, NP-C 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (770) 603-3649 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 | |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 | |
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 | |
Jana Elizabeth Yates, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7813 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-268-6000 | |
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885 | |
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387 |