| Tanja Phillips, | |
|
4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | |
| (678) 402-9550 | |
| (678) 802-5765 |
| Full Name | Tanja Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4235 Johns Creek Pkwy Ste A, Suwanee, 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 |
|---|---|---|---|
| 1801662382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN265406 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 145 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanja Phillips, Po Box 117598, Atlanta, GA 30368-7598 Ph: (770) 442-1911 | Tanja Phillips, 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 Ph: (678) 402-9550 |
Lindsey Nye Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024 Phone: 770-622-5758 | |
Ms. Kimberly Erika Dowe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 678-937-0300 Fax: 678-405-1660 | |
Christina Nicole Morgan, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Satellite Blvd Nw Bldg 400500, Suwanee, GA 30024 Phone: 678-263-3080 | |
Karen Elizabeth Dunmire, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6918 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024 Phone: 770-622-5758 | |
Linda Esosa Uwakwe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5215 Corbin Ct, Suwanee, GA 30024 Phone: 404-567-9442 | |
Amauwia Okivie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 961 Heathchase Dr, Suwanee, GA 30024 Phone: 678-463-5695 | |
Courtney Esperanza Espina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Peachtree Industrial Blvd Ste 201, Suwanee, GA 30024 Phone: 470-326-5560 |