| Ms Kianna Lawson, PA-C | |
|
1050 Eagles Landing Pkwy, Ste 302, Stockbridge, GA 30281-9250 | |
| (770) 389-9494 | |
| (770) 357-2511 |
| Full Name | Ms Kianna Lawson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1050 Eagles Landing Pkwy, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932239993 | NPI | - | NPPES |
| P00401481 | Other | GA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4947 (Georgia) | Primary |
| Entity Name | Eagles Landing Diabetes and Endocrinology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376725978 PECOS PAC ID: 5496788705 Enrollment ID: O20050916000580 |
| Entity Name | Peachtree Immediate Care FP, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kianna Lawson, PA-C 1050 Eagles Landing Pkwy, Ste 302, Stockbridge, GA 30281-9250 Ph: (770) 389-9494 | Ms Kianna Lawson, PA-C 1050 Eagles Landing Pkwy, Ste 302, Stockbridge, GA 30281-9250 Ph: (770) 389-9494 |
Charles Everett Coppinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 404-255-1933 Fax: 404-553-9830 |
Briana Stith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281 Phone: 770-506-4350 |
James Vincent Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281 Phone: 770-506-4350 Fax: 770-506-9860 |
Isaiah Antonio Boyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 226 Willis Dr, Stockbridge, GA 30281 Phone: 770-389-0200 |
Janet Holland, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281 Phone: 770-507-1414 Fax: 770-507-5150 |
Charla V Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281 Phone: 404-307-3062 |
Elizabeth Matheny Wolfe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014 |