| Tabatha Peshel, NP | |
|
148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 | |
| (678) 324-4444 | |
| (770) 528-9932 |
| Full Name | Tabatha Peshel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 148 Bill Carruth Pkwy, Hiram, 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 |
|---|---|---|---|
| 1821149139 | NPI | - | NPPES |
| 115511749C | Medicaid | GA | |
| 115511749E | Medicaid | GA | |
| 115511749G | Medicaid | GA | |
| 115511749D | Medicaid | GA | |
| 115511749F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 115803 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular Surgical Associates, Pc | 6709862212 | 24 |
| Entity Name | Vascular Surgical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114083532 PECOS PAC ID: 6709862212 Enrollment ID: O20040625000667 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabatha Peshel, NP 60 Chastain Center Blvd Nw Ste 66, Kennesaw, GA 30144-5598 Ph: (770) 423-0595 | Tabatha Peshel, NP 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141-3754 Ph: (678) 324-4444 |
Mrs. Sara Hunlock Temple, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Hiram Dr, Hiram, GA 30141 Phone: 678-945-8300 Fax: 770-445-2060 | |
Gabriel Everson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5604 Wendy Bagwell Pkwy Ste 511, Hiram, GA 30141 Phone: 678-447-5668 | |
Aubree Lauren Tant, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mrs. Lucille Travis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141 Phone: 404-488-9521 Fax: 404-836-8030 | |
Matthew Lee Estes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 Phone: 770-505-0023 Fax: 770-505-9003 | |
Kelsey Sheffer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-938-9772 | |
Joy Horton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Prince Ct, Hiram, GA 30141 Phone: 770-815-7357 |