| Mrs Takatso Moyo, | |
|
475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736 | |
| (770) 995-3300 | |
| (770) 995-0794 |
| Full Name | Mrs Takatso Moyo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 475 Philip Blvd Ste 100, Lawrenceville, 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 |
|---|---|---|---|
| 1952809774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F05170157 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Medical Pc | 8325477656 | 67 |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
| Entity Name | Hardy Renew Wellness,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201119003156 |
| Entity Name | Georgia Mso Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Takatso Moyo, 475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736 Ph: (770) 995-3300 | Mrs Takatso Moyo, 475 Philip Blvd Ste 100, Lawrenceville, GA 30046-8736 Ph: (770) 995-3300 |
Mrs. Katherine Elaine Campbell Thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: -- | |
Christa Joiner, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr # 200, Lawrenceville, GA 30046 Phone: 770-513-4000 | |
Solomon Gezahgn Abebe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 229-299-7476 | |
Chinwe Ogbodo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-5280 | |
Lataneya Pingue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1888 Lacebark Elm Way, Lawrenceville, GA 30045 Phone: 404-916-1512 | |
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 | |
Ashley Lydia Mullican, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999 |