| Nisha Thomas, | |
|
4778 N Henry Blvd Ste 202, Stockbridge, GA 30281 | |
| (770) 474-8781 | |
| (770) 474-8670 |
| Full Name | Nisha Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 4778 N Henry Blvd Ste 202, 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 |
|---|---|---|---|
| 1568984839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN202547 (Georgia) | Primary |
| Entity Name | S Rao Cheti Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669498192 PECOS PAC ID: 6103861067 Enrollment ID: O20050622000507 |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Thomas, 4385 Riverside Ln Sw, Lilburn, GA 30047-4552 Ph: () - | Nisha Thomas, 4778 N Henry Blvd Ste 202, Stockbridge, GA 30281 Ph: (770) 474-8781 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 | |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |