| Nathan Travis Fant, | |
|
4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101-4181 | |
| (770) 917-8140 | |
| Not Available |
| Full Name | Nathan Travis Fant |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 4550 Cobb Parkway North Nw Ste 101, Acworth, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275183923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN239986 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Travis Fant, 5629 Woolwich Ln Nw, Acworth, GA 30101-6914 Ph: (678) 478-7542 | Nathan Travis Fant, 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101-4181 Ph: (770) 917-8140 |
Evelyn Onunka, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 713-935-0333 | |
Mrs. Jennifer Gayle Carruth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1762 Mars Hill Rd Nw, Acworth, GA 30101 Phone: 678-732-1500 | |
Aminata Barrie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4775 Pastry Ln # 227, Acworth, GA 30101 Phone: 678-357-8171 | |
Teri Pruitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101 Phone: 470-267-0870 | |
Jennifer Bush, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway Nw, Acworth, GA 30301 Phone: 470-956-0150 | |
Erika Mendoza-rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6158 Highway 92, Suite 101, Acworth, GA 30102 Phone: 770-928-8450 Fax: 770-928-8452 | |
Funmilade Oladimeji, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 575 Oakside Pl, Acworth, GA 30102 Phone: 770-241-8091 |