| Ms Adity Dutta, | |
|
3790 Pleasant Hill Rd Ste 150, Duluth, GA 30096-5144 | |
| (770) 979-9427 | |
| Not Available |
| Full Name | Ms Adity Dutta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3790 Pleasant Hill Rd Ste 150, Duluth, 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 |
|---|---|---|---|
| 1134748320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN212745 (Georgia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN-NP212745 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
| Entity Name | Georgia Urology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
| Entity Name | Urological Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Adity Dutta, 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Ms Adity Dutta, 3790 Pleasant Hill Rd Ste 150, Duluth, GA 30096-5144 Ph: (770) 979-9427 |
Christopher Pride, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052 | |
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Crestwood Pkwy Nw, Duluth, GA 30096 Phone: 404-402-7930 | |
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151 | |
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396 | |
Dailan Zhang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131 | |
Alicia Michele Cole, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 Pleasant Hill Rd, Duluth, GA 30096 Phone: 404-943-9996 Fax: 404-943-9975 | |
Juri Kubes, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 480, Duluth, GA 30096 Phone: 770-623-6433 |