| Shivanthi Ponniah, FNP | |
|
3889 Fort Trl Ne, Roswell, GA 30075-2079 | |
| (770) 552-6106 | |
| (919) 852-0698 |
| Full Name | Shivanthi Ponniah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 3889 Fort Trl Ne, Roswell, 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 |
|---|---|---|---|
| 1437124740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN196129 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Emory University Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivanthi Ponniah, FNP 3889 Fort Trl Ne, Roswell, GA 30075-2079 Ph: (770) 552-6106 | Shivanthi Ponniah, FNP 3889 Fort Trl Ne, Roswell, GA 30075-2079 Ph: (770) 552-6106 |
Taylor Marie Battaglia, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Upper Hembree Rd Ste D, Roswell, GA 30076 Phone: 770-670-6170 | |
Ms. Barbara L Norvell, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy, Suite 430, Roswell, GA 30076 Phone: 770-255-1069 | |
Corie Johnson Grabowski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11835 Alpharetta Hwy Ste 101, Roswell, GA 30076 Phone: 704-757-5507 | |
Chinwenwa Onwubiko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Colonial Center Pkwy, Roswell, GA 30076 Phone: 404-693-5565 Fax: 920-212-2048 | |
Kendaly Meadows, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Bombay Ln, Roswell, GA 30076 Phone: 770-664-1920 | |
Mary Rose Paris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Anesthesia Department, Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627 | |
Eileen Borkovich, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Holcomb Bridge Rd Ste 129, Roswell, GA 30076 Phone: 678-325-2250 Fax: 678-325-2261 |