| Shontreka Akisha Glover, NP | |
|
150 N Park Trl Ste B, Stockbridge, GA 30281-7372 | |
| (770) 507-0909 | |
| (770) 507-1919 |
| Full Name | Shontreka Akisha Glover |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 150 N Park Trl Ste B, 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 |
|---|---|---|---|
| 1134541097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN 155519 (Georgia) | Primary |
| 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 Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Minuteclinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
| Entity Name | Physiatry Consultants of Ga LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609468248 PECOS PAC ID: 5698182616 Enrollment ID: O20210318001050 |
| Entity Name | Community Care Health Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210730002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Shontreka Akisha Glover, NP 1001 Summit Blvd Ste 200, Brookhaven, GA 30319-6410 Ph: (770) 989-1668 | Shontreka Akisha Glover, NP 150 N Park Trl Ste B, Stockbridge, GA 30281-7372 Ph: (770) 507-0909 |
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 |
Romin Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 000-000-0000 |
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: Accepting Medicare Assignments 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 |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |