| Aga Clinical Services, LLC | |
|
1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 | |
| (800) 858-1014 | |
| Not Available |
| Full Name | Aga Clinical Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Johnson Fy Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Amy E Fouts (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 4048516968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aga Clinical Services, LLC 1000 Johnson Fy Rd Ne Sandy Springs GA 30342-1606 Ph: (404) 851-6378 | Aga Clinical Services, LLC 1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 Ph: (800) 858-1014 |
| NPI Number | 1295193399 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 7719273838 |
|---|---|
| Medicare Enrollment ID | O20160915000872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295193399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Mark D Edge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750372777 PECOS PAC ID: 0446235196 Enrollment ID: I20040618000783 |
| Provider Name | Christopher a Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194715813 PECOS PAC ID: 2961489224 Enrollment ID: I20040706000014 |
| Provider Name | Jessica E Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760433288 PECOS PAC ID: 5991751984 Enrollment ID: I20050323000305 |
| Provider Name | Enrique J Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245292218 PECOS PAC ID: 7618960832 Enrollment ID: I20051024000427 |
| Provider Name | Kelly C Grow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588690382 PECOS PAC ID: 4284647637 Enrollment ID: I20060801000254 |
| Provider Name | David Neil Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538187240 PECOS PAC ID: 6507853090 Enrollment ID: I20060914000306 |
| Provider Name | Rachel C Toney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225189780 PECOS PAC ID: 5597897405 Enrollment ID: I20100713000044 |
| Provider Name | Karen Lynne Weiss-schorr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942229729 PECOS PAC ID: 9830214857 Enrollment ID: I20100915000036 |
| Provider Name | Mubashar Munir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518971944 PECOS PAC ID: 0749243905 Enrollment ID: I20110325000552 |
| Provider Name | Deborah a Scarborough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316233695 PECOS PAC ID: 3072781731 Enrollment ID: I20110722000705 |
| Provider Name | William Bradley Creel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447461116 PECOS PAC ID: 7315115086 Enrollment ID: I20110725000146 |
| Provider Name | Ngozi I Okoro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730367756 PECOS PAC ID: 4880752591 Enrollment ID: I20110801000820 |
| Provider Name | Bradley Shepherd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649327594 PECOS PAC ID: 3577647858 Enrollment ID: I20110808000205 |
| Provider Name | Hitesh Ramesh Chokshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356331680 PECOS PAC ID: 5294870549 Enrollment ID: I20111108000175 |
| Provider Name | Ralph C Lyons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740379866 PECOS PAC ID: 6800848862 Enrollment ID: I20111207000634 |
| Provider Name | Vickie H Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982940797 PECOS PAC ID: 9931341872 Enrollment ID: I20130806000512 |
| Provider Name | Tara Phelps Gulsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897767 PECOS PAC ID: 9234369885 Enrollment ID: I20140227002188 |
| Provider Name | David S Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861654840 PECOS PAC ID: 5991937799 Enrollment ID: I20140821002077 |
| Provider Name | Melissa B Baughcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013276518 PECOS PAC ID: 3375860893 Enrollment ID: I20150323000388 |
| Provider Name | Carly W Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336556653 PECOS PAC ID: 2668790528 Enrollment ID: I20150406001735 |
| Provider Name | Naomi Rachelle Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720462724 PECOS PAC ID: 0446554901 Enrollment ID: I20160204000692 |
| Provider Name | Keval Anil Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336469485 PECOS PAC ID: 3870732555 Enrollment ID: I20160812001293 |
| Provider Name | Erik Person |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609003912 PECOS PAC ID: 0749437440 Enrollment ID: I20160929000980 |
| Provider Name | Amanda Rae Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730628553 PECOS PAC ID: 8527344662 Enrollment ID: I20170404001626 |
| Provider Name | Rosirma Corney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306965934 PECOS PAC ID: 3870860588 Enrollment ID: I20170601000289 |
| Provider Name | Eric Dewayne Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598052094 PECOS PAC ID: 0648543454 Enrollment ID: I20170830000525 |
| Provider Name | Susan Danielle Beitzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134639347 PECOS PAC ID: 0446516181 Enrollment ID: I20171113001214 |
| Provider Name | Valencia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
| Provider Name | Jai Eun Min |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508123019 PECOS PAC ID: 2961701222 Enrollment ID: I20180806000418 |
| Provider Name | Caitlin Krieger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558764548 PECOS PAC ID: 7810246964 Enrollment ID: I20180822001888 |
| Provider Name | Carolyn M Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699213363 PECOS PAC ID: 6002168408 Enrollment ID: I20181012002143 |
| Provider Name | Elizabeth Chandler Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629556832 PECOS PAC ID: 6608129671 Enrollment ID: I20181022003100 |
| Provider Name | Anna L Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407949209 PECOS PAC ID: 2264799394 Enrollment ID: I20191029001540 |
| Provider Name | Phong Chau Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407404072 PECOS PAC ID: 6709219389 Enrollment ID: I20191212002135 |
| Provider Name | Mustafa Haroon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473964 PECOS PAC ID: 2062631609 Enrollment ID: I20200805002093 |
| Provider Name | Martina Jane Vis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659922805 PECOS PAC ID: 6103236484 Enrollment ID: I20201028001965 |
| Provider Name | Emma a Goldman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093389801 PECOS PAC ID: 9234539644 Enrollment ID: I20210607001188 |
| Provider Name | Ashley D Wise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912668799 PECOS PAC ID: 0941697882 Enrollment ID: I20220425001161 |
| Provider Name | Mariana Anderson Varner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093276867 PECOS PAC ID: 2062742745 Enrollment ID: I20220801001550 |
| Provider Name | Pooja Ramesh Javia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548905326 PECOS PAC ID: 8729460043 Enrollment ID: I20220803002690 |
| Provider Name | Adnan Islam Chowdhury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144956525 PECOS PAC ID: 4486022241 Enrollment ID: I20221129000685 |
| Provider Name | Diane Patricia Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480643 PECOS PAC ID: 2961727862 Enrollment ID: I20230126000063 |
| Provider Name | Michelle Catalina Zedonek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386357465 PECOS PAC ID: 8325404544 Enrollment ID: I20230515000366 |
| Provider Name | Richard William Mclean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316398472 PECOS PAC ID: 4789940388 Enrollment ID: I20230925002700 |
| Provider Name | Taylor R Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306533864 PECOS PAC ID: 7810344967 Enrollment ID: I20231110000137 |
| Provider Name | Samantha Irene Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497479570 PECOS PAC ID: 9739526195 Enrollment ID: I20240320003012 |
| Provider Name | Paula Maria Woll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942923065 PECOS PAC ID: 9830538339 Enrollment ID: I20240417000568 |
| Provider Name | Kaizeen Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063135135 PECOS PAC ID: 7911349170 Enrollment ID: I20240521000262 |
| Provider Name | Kellie Elise Wydrinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184471377 PECOS PAC ID: 3577009489 Enrollment ID: I20240726001358 |
| Provider Name | Alyssa Walters Haas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770323305 PECOS PAC ID: 8628515285 Enrollment ID: I20240801001341 |
| Provider Name | Shana Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992232193 PECOS PAC ID: 2769750215 Enrollment ID: I20241001000969 |
| Provider Name | Ramsha Rehan Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417785999 PECOS PAC ID: 4284165713 Enrollment ID: I20241008001142 |
| Provider Name | Neal Dhananjay Dharmadhikari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528597689 PECOS PAC ID: 1052680733 Enrollment ID: I20241104002951 |
| Provider Name | Seetha Lakshmanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972099463 PECOS PAC ID: 2769812049 Enrollment ID: I20241106003242 |
| Provider Name | Adriana Nicole Garrido |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922834365 PECOS PAC ID: 5496282956 Enrollment ID: I20241220003714 |
| Provider Name | Allison Paige Gallagher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700601671 PECOS PAC ID: 8123558889 Enrollment ID: I20250211000081 |
| Provider Name | Alison Ann Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417422916 PECOS PAC ID: 1658897889 Enrollment ID: I20250430001345 |
| Provider Name | Bria Janai Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588419071 PECOS PAC ID: 1355836495 Enrollment ID: I20251216004935 |
| Provider Name | Han Ngoc Bui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982587499 PECOS PAC ID: 4688157829 Enrollment ID: I20260316001662 |
| Provider Name | Sonia Neelam Kashyap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407712649 PECOS PAC ID: 2860963428 Enrollment ID: I20260604000617 |
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