| Aga Professional Services, LLC | |
|
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 | |
| (855) 709-4535 | |
| Not Available |
| Full Name | Aga Professional Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Johnson Ferry 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 Professional Services, LLC 1000 Johnson Fy Rd Ne Sandy Springs GA 30342-1606 Ph: (404) 851-8000 | Aga Professional Services, LLC 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (855) 709-4535 |
| NPI Number | 1063799120 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 3870768997 |
|---|---|
| Medicare Enrollment ID | O20111219000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063799120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Georgia) | Primary |
| Provider Name | Anahid M Ebrahimi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508043944 PECOS PAC ID: 1658273230 Enrollment ID: I20040123000582 |
| Provider Name | Nicole M Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982686523 PECOS PAC ID: 5597658690 Enrollment ID: I20040203000959 |
| Provider Name | Jaime G Ackerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013992544 PECOS PAC ID: 0941291876 Enrollment ID: I20040520000220 |
| Provider Name | Mark D Edge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750372777 PECOS PAC ID: 0446235196 Enrollment ID: I20040618000783 |
| Provider Name | Lori J Lucas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922069129 PECOS PAC ID: 6901882729 Enrollment ID: I20040624000672 |
| Provider Name | Christopher a Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194715813 PECOS PAC ID: 2961489224 Enrollment ID: I20040706000014 |
| Provider Name | Mary E Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871665208 PECOS PAC ID: 0143209833 Enrollment ID: I20040716000086 |
| Provider Name | Jon V Trankina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447206164 PECOS PAC ID: 1658342985 Enrollment ID: I20040809000267 |
| Provider Name | Mahmoud B Barrie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144250770 PECOS PAC ID: 6507834785 Enrollment ID: I20040924000484 |
| Provider Name | Ranvir Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639289465 PECOS PAC ID: 4486623311 Enrollment ID: I20040928000798 |
| Provider Name | Judy Sequeira |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487604849 PECOS PAC ID: 4183693013 Enrollment ID: I20040928000827 |
| Provider Name | Rose L Cesar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952395766 PECOS PAC ID: 1153381512 Enrollment ID: I20041013000332 |
| Provider Name | Michael S Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154305191 PECOS PAC ID: 4486616000 Enrollment ID: I20041027000311 |
| Provider Name | Zoya K Arbiser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396776084 PECOS PAC ID: 1153379250 Enrollment ID: I20050105000710 |
| Provider Name | Jessica E Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760433288 PECOS PAC ID: 5991751984 Enrollment ID: I20050323000305 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20050425000489 |
| Provider Name | Hetal a Karsan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063402881 PECOS PAC ID: 0749221661 Enrollment ID: I20050520000083 |
| Provider Name | Srinivasa R Ayinala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285624148 PECOS PAC ID: 5193766012 Enrollment ID: I20050520000085 |
| Provider Name | Muhamad K Obideen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326081647 PECOS PAC ID: 7810931771 Enrollment ID: I20050613000695 |
| Provider Name | Jay H Garten |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831189950 PECOS PAC ID: 3971533340 Enrollment ID: I20050816000263 |
| Provider Name | Bruce T Kalmin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093805509 PECOS PAC ID: 1355372426 Enrollment ID: I20050829000422 |
| Provider Name | Melanie Banks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093769374 PECOS PAC ID: 6406880137 Enrollment ID: I20050922000444 |
| Provider Name | Enrique J Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245292218 PECOS PAC ID: 7618960832 Enrollment ID: I20051024000427 |
| Provider Name | Tommie Haywood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811979339 PECOS PAC ID: 8729097324 Enrollment ID: I20060410000443 |
| Provider Name | Ryan C Wanamaker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326090358 PECOS PAC ID: 4688686116 Enrollment ID: I20060626000197 |
| Provider Name | Mark R Nyce |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447205695 PECOS PAC ID: 6709898075 Enrollment ID: I20060705000164 |
| Provider Name | Kelly C Grow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588690382 PECOS PAC ID: 4284647637 Enrollment ID: I20060801000254 |
| Provider Name | Eric D High |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730184284 PECOS PAC ID: 1557364338 Enrollment ID: I20060816000515 |
| Provider Name | Regina Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013956044 PECOS PAC ID: 3779586409 Enrollment ID: I20060817000412 |
| Provider Name | Anna V Longacre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118405 PECOS PAC ID: 0042213480 Enrollment ID: I20060824000381 |
| Provider Name | Emilia Paige Espenship |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912914565 PECOS PAC ID: 5799789814 Enrollment ID: I20060905000018 |
| Provider Name | David Neil Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538187240 PECOS PAC ID: 6507853090 Enrollment ID: I20060914000306 |
| Provider Name | Marre P Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891719076 PECOS PAC ID: 6305841578 Enrollment ID: I20060921000226 |
| Provider Name | Girish G Pore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881627800 PECOS PAC ID: 9032116645 Enrollment ID: I20061024000458 |
| Provider Name | Jyotsna Talapaneni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720116494 PECOS PAC ID: 2860584851 Enrollment ID: I20070822000918 |
| Provider Name | Barry J Levitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528169596 PECOS PAC ID: 7214029214 Enrollment ID: I20070822000943 |
| Provider Name | David Finkelman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063485332 PECOS PAC ID: 0143113639 Enrollment ID: I20071012000150 |
| Provider Name | Neal K Osborn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124005442 PECOS PAC ID: 6305865569 Enrollment ID: I20080123000553 |
| Provider Name | Mark E Murphy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396725628 PECOS PAC ID: 9436102506 Enrollment ID: I20080507000309 |
| Provider Name | Steven L Carpenter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952386898 PECOS PAC ID: 1254384324 Enrollment ID: I20080514000064 |
| Provider Name | Charles G Nesmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720263809 PECOS PAC ID: 8729157185 Enrollment ID: I20080527000554 |
| Provider Name | Nicole Tabatha Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205002151 PECOS PAC ID: 4486724895 Enrollment ID: I20080528000237 |
| Provider Name | Lorena D Narvaez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376685651 PECOS PAC ID: 7416028956 Enrollment ID: I20080611000456 |
| Provider Name | Jung W Suh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952512105 PECOS PAC ID: 1355429150 Enrollment ID: I20080805000423 |
| Provider Name | Joyce Choi Peji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538152160 PECOS PAC ID: 3870578313 Enrollment ID: I20081208000133 |
| Provider Name | Tamiko L D'elena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164503108 PECOS PAC ID: 5092863621 Enrollment ID: I20090508000016 |
| Provider Name | Lauren Michelle Becker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659518587 PECOS PAC ID: 5395894729 Enrollment ID: I20090514000212 |
| Provider Name | Vivienne N Nduati-moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801033733 PECOS PAC ID: 4688724743 Enrollment ID: I20090611000005 |
| Provider Name | Nadia S Sanford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336330414 PECOS PAC ID: 6507910015 Enrollment ID: I20090818000762 |
| Provider Name | Ashley S Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649413774 PECOS PAC ID: 2769538669 Enrollment ID: I20090917000597 |
| Provider Name | Dimple Raina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891918108 PECOS PAC ID: 9830237692 Enrollment ID: I20091116000292 |
| Provider Name | Kimberly D Orleck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952632580 PECOS PAC ID: 9133264633 Enrollment ID: I20100309000323 |
| Provider Name | Diane Wisebram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518927110 PECOS PAC ID: 7315953262 Enrollment ID: I20100506000899 |
| Provider Name | Long B Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740480565 PECOS PAC ID: 6002988284 Enrollment ID: I20100709000027 |
| Provider Name | Kavita R Kongara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952370959 PECOS PAC ID: 4981675956 Enrollment ID: I20100712000601 |
| Provider Name | Rachel C Toney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225189780 PECOS PAC ID: 5597897405 Enrollment ID: I20100713000044 |
| Provider Name | Anupama Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659557668 PECOS PAC ID: 4385776202 Enrollment ID: I20100713000090 |
| Provider Name | Charles W Duckworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033199989 PECOS PAC ID: 2163475237 Enrollment ID: I20101018001097 |
| Provider Name | Robert Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679564793 PECOS PAC ID: 4284828567 Enrollment ID: I20101101000154 |
| Provider Name | Sanjay R Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679558241 PECOS PAC ID: 5193860443 Enrollment ID: I20101101000943 |
| Provider Name | Olaitan Adeniji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255321089 PECOS PAC ID: 8729123070 Enrollment ID: I20101102000723 |
| Provider Name | James C Barlow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568465276 PECOS PAC ID: 2668667189 Enrollment ID: I20101110000662 |
| Provider Name | George C Aragon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528229267 PECOS PAC ID: 7911193404 Enrollment ID: I20101123000548 |
| Provider Name | Aja Mccutchen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578609780 PECOS PAC ID: 5991991150 Enrollment ID: I20101130000653 |
| Provider Name | Marc D Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427033083 PECOS PAC ID: 4183769433 Enrollment ID: I20101204000036 |
| Provider Name | Russell H Kramer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861476830 PECOS PAC ID: 7113062464 Enrollment ID: I20101206000782 |
| Provider Name | Robert Eisenband |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053301390 PECOS PAC ID: 2769527019 Enrollment ID: I20101213000203 |
| Provider Name | Douglas Wolf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588649693 PECOS PAC ID: 3577608827 Enrollment ID: I20101221000005 |
| Provider Name | Temitope Y Foster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356538615 PECOS PAC ID: 8921025479 Enrollment ID: I20110209000931 |
| Provider Name | Luis M Galvez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326039231 PECOS PAC ID: 8921143272 Enrollment ID: I20110221000051 |
| Provider Name | Kenya M Ragland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598066011 PECOS PAC ID: 7618158924 Enrollment ID: I20110221000058 |
| Provider Name | Rodney Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326114125 PECOS PAC ID: 7416138458 Enrollment ID: I20110223000623 |
| Provider Name | Mubashar Munir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518971944 PECOS PAC ID: 0749243905 Enrollment ID: I20110325000552 |
| Provider Name | Neil H Edgerton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063695773 PECOS PAC ID: 7810174141 Enrollment ID: I20110614000020 |
| 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 | Cynthea M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700116480 PECOS PAC ID: 4183892532 Enrollment ID: I20110729000444 |
| 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 | Lori L Woodward |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326336330 PECOS PAC ID: 4082884440 Enrollment ID: I20110823000692 |
| Provider Name | Halim O Muslu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639177710 PECOS PAC ID: 1355333683 Enrollment ID: I20110824000641 |
| Provider Name | Girish Anand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962616946 PECOS PAC ID: 5890860258 Enrollment ID: I20110824000811 |
| Provider Name | Gihun Lim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326224791 PECOS PAC ID: 5395915292 Enrollment ID: I20110901000519 |
| Provider Name | Yasmin Khadija Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609000793 PECOS PAC ID: 0244400042 Enrollment ID: I20110906000339 |
| Provider Name | Kerry H King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407839533 PECOS PAC ID: 4880693035 Enrollment ID: I20111104000551 |
| Provider Name | Angela Marie Holsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750665667 PECOS PAC ID: 0345413209 Enrollment ID: I20111109000682 |
| Provider Name | Andrew J Simpson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417134008 PECOS PAC ID: 3375719818 Enrollment ID: I20120104000445 |
| Provider Name | James D Barnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467437194 PECOS PAC ID: 8527234913 Enrollment ID: I20120106000308 |
| Provider Name | Alison Samantha Moe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417227448 PECOS PAC ID: 0648437426 Enrollment ID: I20120206000864 |
| Provider Name | Jennifer S Puckett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245547405 PECOS PAC ID: 4385804947 Enrollment ID: I20120320000351 |
| Provider Name | Mirza a Kajani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306975651 PECOS PAC ID: 7315107679 Enrollment ID: I20120326000098 |
| Provider Name | Michelle Zebrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679847651 PECOS PAC ID: 0941462279 Enrollment ID: I20120503000353 |
| Provider Name | Marc B Sonenshine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376681411 PECOS PAC ID: 6305009275 Enrollment ID: I20120514000370 |
| Provider Name | Ruth D Montalvo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447346721 PECOS PAC ID: 6608976329 Enrollment ID: I20120516000600 |
| Provider Name | Ashley Cornelison Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033476114 PECOS PAC ID: 3274797014 Enrollment ID: I20120607000445 |
| Provider Name | Michael Harry Frist |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811164361 PECOS PAC ID: 3274798244 Enrollment ID: I20120626000580 |
| Provider Name | Nina Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881850261 PECOS PAC ID: 1456517283 Enrollment ID: I20120724000366 |
| Provider Name | Mark Alan Stern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407882459 PECOS PAC ID: 8022059963 Enrollment ID: I20120725000419 |
| Provider Name | Anthony Michael Balistreri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851334692 PECOS PAC ID: 4880879931 Enrollment ID: I20120725000578 |
| Provider Name | Basil Salem Al-awabdy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134336332 PECOS PAC ID: 1951557552 Enrollment ID: I20120815000156 |
| Provider Name | Susan Coe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609033315 PECOS PAC ID: 0244377828 Enrollment ID: I20120830000520 |
| Provider Name | Nandhakumar Kanagarajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902819667 PECOS PAC ID: 1153327036 Enrollment ID: I20121025000051 |
| Provider Name | Susan J Rubio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235199522 PECOS PAC ID: 3173545845 Enrollment ID: I20130510000361 |
| Provider Name | Sarah Y Zhong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366648107 PECOS PAC ID: 9931347820 Enrollment ID: I20130605000257 |
| Provider Name | Huiming Hon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780854109 PECOS PAC ID: 5496996969 Enrollment ID: I20130725000427 |
| Provider Name | Vickie H Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982940797 PECOS PAC ID: 9931341872 Enrollment ID: I20130806000512 |
| Provider Name | Sagar S Garud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912174095 PECOS PAC ID: 6406098540 Enrollment ID: I20130820000382 |
| Provider Name | Shelly Anne Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851738348 PECOS PAC ID: 9931341021 Enrollment ID: I20130820000962 |
| Provider Name | Paresh P Kamat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740518612 PECOS PAC ID: 3779726799 Enrollment ID: I20130823000474 |
| Provider Name | Kingel N Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932539293 PECOS PAC ID: 4486882958 Enrollment ID: I20140107000836 |
| Provider Name | Tara Phelps Gulsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897767 PECOS PAC ID: 9234369885 Enrollment ID: I20140227002188 |
| Provider Name | Neal C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689838575 PECOS PAC ID: 4688852486 Enrollment ID: I20140610002099 |
| Provider Name | Donald M Pham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437319993 PECOS PAC ID: 3476777079 Enrollment ID: I20140623001807 |
| Provider Name | Rayllensons Itacy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174804702 PECOS PAC ID: 2062638042 Enrollment ID: I20140728002589 |
| Provider Name | David S Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861654840 PECOS PAC ID: 5991937799 Enrollment ID: I20140821002077 |
| Provider Name | Naomi Barfield Orsenigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821404146 PECOS PAC ID: 5193945707 Enrollment ID: I20141002001694 |
| Provider Name | Melissa B Baughcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013276518 PECOS PAC ID: 3375860893 Enrollment ID: I20150323000388 |
| Provider Name | Jawad a Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629276159 PECOS PAC ID: 6406922251 Enrollment ID: I20150331002110 |
| Provider Name | Carly W Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336556653 PECOS PAC ID: 2668790528 Enrollment ID: I20150406001735 |
| Provider Name | Joel Camilo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144234733 PECOS PAC ID: 1456458462 Enrollment ID: I20150508001336 |
| Provider Name | Patricia a Sanchez Fermin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225068208 PECOS PAC ID: 9931254414 Enrollment ID: I20150615001716 |
| Provider Name | Neal Ramesh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174767032 PECOS PAC ID: 0345489787 Enrollment ID: I20150923002120 |
| Provider Name | Renee B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912371782 PECOS PAC ID: 8426351750 Enrollment ID: I20160120002886 |
| Provider Name | Naomi Rachelle Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720462724 PECOS PAC ID: 0446554901 Enrollment ID: I20160204000692 |
| Provider Name | Rachael Bierschenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972903169 PECOS PAC ID: 1759502040 Enrollment ID: I20160309002107 |
| Provider Name | Aakashi D Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184069973 PECOS PAC ID: 4385936335 Enrollment ID: I20160712001226 |
| Provider Name | Nitin Jayantilal Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629070289 PECOS PAC ID: 1557434164 Enrollment ID: I20160712002365 |
| Provider Name | Keval Anil Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336469485 PECOS PAC ID: 3870732555 Enrollment ID: I20160812001293 |
| Provider Name | Adam J Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629398979 PECOS PAC ID: 9133357262 Enrollment ID: I20160822000022 |
| Provider Name | Nicole Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174976112 PECOS PAC ID: 7911294525 Enrollment ID: I20160926001887 |
| Provider Name | Erik Person |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609003912 PECOS PAC ID: 0749437440 Enrollment ID: I20160929000980 |
| Provider Name | Vanessa Dang Bridgeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063962892 PECOS PAC ID: 5294016010 Enrollment ID: I20170110000240 |
| Provider Name | Amanda Rae Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730628553 PECOS PAC ID: 8527344662 Enrollment ID: I20170404001626 |
| Provider Name | Heather Rose Van Duys |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003242926 PECOS PAC ID: 8628204922 Enrollment ID: I20170509000640 |
| Provider Name | Justin Brett Mendel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669791836 PECOS PAC ID: 9335441187 Enrollment ID: I20170511002917 |
| Provider Name | Rosirma Corney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306965934 PECOS PAC ID: 3870860588 Enrollment ID: I20170601000289 |
| Provider Name | Brent William Acker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407147028 PECOS PAC ID: 8628290806 Enrollment ID: I20170721000235 |
| Provider Name | Chelsea Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104341247 PECOS PAC ID: 7315213725 Enrollment ID: I20171030000758 |
| Provider Name | Susan Danielle Beitzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134639347 PECOS PAC ID: 0446516181 Enrollment ID: I20171113001214 |
| Provider Name | Sudhisha Kumari Jala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659895373 PECOS PAC ID: 6800152505 Enrollment ID: I20171114000832 |
| Provider Name | Valencia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
| Provider Name | Jae Wook Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689803652 PECOS PAC ID: 1658537162 Enrollment ID: I20180619002130 |
| Provider Name | Nitin K Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013113364 PECOS PAC ID: 6608043674 Enrollment ID: I20180901000080 |
| Provider Name | Jennifer Ann Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679982805 PECOS PAC ID: 3375895857 Enrollment ID: I20181010003651 |
| Provider Name | Elizabeth Chandler Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629556832 PECOS PAC ID: 6608129671 Enrollment ID: I20181022003100 |
| Provider Name | Allison Crawford Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578048872 PECOS PAC ID: 9739420613 Enrollment ID: I20190402001132 |
| Provider Name | Michael F Fry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407943194 PECOS PAC ID: 2163484775 Enrollment ID: I20190528001408 |
| Provider Name | Madeline Rhea Russell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326304478 PECOS PAC ID: 3779850250 Enrollment ID: I20190729003694 |
| Provider Name | Anna L Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407949209 PECOS PAC ID: 2264799394 Enrollment ID: I20191029001540 |
| Provider Name | Vanisha Nirav Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851933865 PECOS PAC ID: 3971936139 Enrollment ID: I20191203000812 |
| Provider Name | Kristen R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013104652 PECOS PAC ID: 4486714680 Enrollment ID: I20200515001636 |
| Provider Name | Deepanshu Jain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215377247 PECOS PAC ID: 1951643782 Enrollment ID: I20200701001050 |
| Provider Name | Mustafa Haroon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473964 PECOS PAC ID: 2062631609 Enrollment ID: I20200805002093 |
| Provider Name | Michelle Patrice Clermont |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174966204 PECOS PAC ID: 3870896186 Enrollment ID: I20200813000602 |
| Provider Name | Angel B Morales-santiago |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285079723 PECOS PAC ID: 7517200058 Enrollment ID: I20200819004300 |
| Provider Name | Leah G Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841618881 PECOS PAC ID: 2567880685 Enrollment ID: I20200922000573 |
| Provider Name | Martina Jane Vis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659922805 PECOS PAC ID: 6103236484 Enrollment ID: I20201028001965 |
| Provider Name | Lauren Alexandra Holtzclaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528665882 PECOS PAC ID: 8729492806 Enrollment ID: I20210201002230 |
| Provider Name | Abigail Huerta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780225664 PECOS PAC ID: 7719395979 Enrollment ID: I20210428001061 |
| Provider Name | Taylor Winslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164015970 PECOS PAC ID: 7214332022 Enrollment ID: I20210817002464 |
| Provider Name | Mihajlo Gjeorgjievski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770998577 PECOS PAC ID: 3870719388 Enrollment ID: I20210818000337 |
| Provider Name | Mckenna Elyse Moe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124691712 PECOS PAC ID: 9032514484 Enrollment ID: I20210823002241 |
| Provider Name | Aparna Prasad Shreenath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184972747 PECOS PAC ID: 6709169071 Enrollment ID: I20210907000832 |
| Provider Name | Samantha Paige Summerlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952076291 PECOS PAC ID: 7719383348 Enrollment ID: I20210908001102 |
| Provider Name | Amanda Guentner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346533213 PECOS PAC ID: 0345554028 Enrollment ID: I20210916000877 |
| Provider Name | Ngoc-tram V Dang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114534492 PECOS PAC ID: 4486042918 Enrollment ID: I20211102001722 |
| Provider Name | Morgan Kate Barwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174112833 PECOS PAC ID: 8426447095 Enrollment ID: I20211119002531 |
| Provider Name | Magen Brennan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497408173 PECOS PAC ID: 0042605040 Enrollment ID: I20220309001444 |
| Provider Name | Danica Pinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225514201 PECOS PAC ID: 7719213750 Enrollment ID: I20220325001682 |
| Provider Name | Daniel K Mullady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447371034 PECOS PAC ID: 6305914573 Enrollment ID: I20220422001088 |
| Provider Name | Elishia Crumwell-mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144863051 PECOS PAC ID: 7012328321 Enrollment ID: I20220711001294 |
| Provider Name | Ammara Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629428537 PECOS PAC ID: 2567759509 Enrollment ID: I20220714003950 |
| 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 | Alix Ya Li Zackon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689309205 PECOS PAC ID: 6406230390 Enrollment ID: I20220825003655 |
| Provider Name | Maggie Nicole Schambach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912645847 PECOS PAC ID: 3870977572 Enrollment ID: I20220830001593 |
| Provider Name | Kristen B Oliver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245984129 PECOS PAC ID: 6002290715 Enrollment ID: I20220830001835 |
| Provider Name | Leia Sarah Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699401463 PECOS PAC ID: 4183009871 Enrollment ID: I20220915003809 |
| Provider Name | Jonathan Wesley Kandiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043662463 PECOS PAC ID: 3870879133 Enrollment ID: I20220916001181 |
| Provider Name | Ninoska M Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053757740 PECOS PAC ID: 3678959053 Enrollment ID: I20221008000476 |
| Provider Name | Jessica Roxanne Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521778 PECOS PAC ID: 3375919160 Enrollment ID: I20221019001879 |
| Provider Name | Adnan Islam Chowdhury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144956525 PECOS PAC ID: 4486022241 Enrollment ID: I20221129000685 |
| Provider Name | Isabelle Loureiro Marin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245814052 PECOS PAC ID: 4082082680 Enrollment ID: I20221201000386 |
| Provider Name | Autumn Venturelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376208033 PECOS PAC ID: 3577932433 Enrollment ID: I20221215001310 |
| Provider Name | Diane Patricia Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480643 PECOS PAC ID: 2961727862 Enrollment ID: I20230126000063 |
| Provider Name | Eliana Suenkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154064012 PECOS PAC ID: 8921472804 Enrollment ID: I20230315002320 |
| Provider Name | Bharat Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982040358 PECOS PAC ID: 6103059183 Enrollment ID: I20230322001478 |
| Provider Name | Jung Min Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366193500 PECOS PAC ID: 5193199503 Enrollment ID: I20230327002540 |
| Provider Name | Michelle Catalina Zedonek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386357465 PECOS PAC ID: 8325404544 Enrollment ID: I20230515000366 |
| Provider Name | Gordon Todd Robbins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639523608 PECOS PAC ID: 3375975907 Enrollment ID: I20230703001806 |
| Provider Name | Savannah Michelle Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407550940 PECOS PAC ID: 3577923549 Enrollment ID: I20230721002797 |
| Provider Name | Camille Mowatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588208706 PECOS PAC ID: 2163884529 Enrollment ID: I20230816003217 |
| Provider Name | Corrie Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376237941 PECOS PAC ID: 6305200411 Enrollment ID: I20230907003403 |
| Provider Name | Lucille Syracuse Von Roemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700573128 PECOS PAC ID: 8426412719 Enrollment ID: I20230920000711 |
| Provider Name | Kimberly Ann Moriles Yi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750979811 PECOS PAC ID: 0547614901 Enrollment ID: I20231004000409 |
| Provider Name | Justin Joell Forde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437512183 PECOS PAC ID: 4082902150 Enrollment ID: I20231010000682 |
| Provider Name | Andrew Jefferson Summers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649958166 PECOS PAC ID: 6608221585 Enrollment ID: I20231012001889 |
| Provider Name | Emily Grace Muliero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023792330 PECOS PAC ID: 7719333517 Enrollment ID: I20231031002166 |
| Provider Name | Taylor R Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306533864 PECOS PAC ID: 7810344967 Enrollment ID: I20231110000137 |
| Provider Name | Rebekah Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447943006 PECOS PAC ID: 5890142525 Enrollment ID: I20231116003196 |
| Provider Name | Alexis Adeojo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336823095 PECOS PAC ID: 9830547827 Enrollment ID: I20231201000854 |
| Provider Name | Diana Carolina Cupit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841961950 PECOS PAC ID: 7416307558 Enrollment ID: I20240102001555 |
| Provider Name | Corie Moussignac-devilme |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720703945 PECOS PAC ID: 1850736364 Enrollment ID: I20240223002656 |
| Provider Name | Mandy De Bruin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033789672 PECOS PAC ID: 5193121309 Enrollment ID: I20240301000314 |
| Provider Name | Samuel D Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255192944 PECOS PAC ID: 2062859598 Enrollment ID: I20240320001545 |
| Provider Name | Samantha Irene Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497479570 PECOS PAC ID: 9739526195 Enrollment ID: I20240320003012 |
| Provider Name | Ramprasad Jegadeesan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437590866 PECOS PAC ID: 5991090821 Enrollment ID: I20240402001451 |
| Provider Name | Abigail Pauline Woodruff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740903731 PECOS PAC ID: 2769821313 Enrollment ID: I20240416002941 |
| Provider Name | Kaizeen Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063135135 PECOS PAC ID: 7911349170 Enrollment ID: I20240521000262 |
| Provider Name | Ashton Brooke Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194440917 PECOS PAC ID: 6204379266 Enrollment ID: I20240618003175 |
| Provider Name | Dane Todd Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497252647 PECOS PAC ID: 0749723724 Enrollment ID: I20240618003649 |
| Provider Name | Hannah Elisabeth Raines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346993979 PECOS PAC ID: 3274929823 Enrollment ID: I20240717003145 |
| Provider Name | Kirsten Weiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588758270 PECOS PAC ID: 6305909656 Enrollment ID: I20240723001767 |
| Provider Name | Haleigh Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679336606 PECOS PAC ID: 5799221958 Enrollment ID: I20240724000472 |
| Provider Name | Kellie Elise Wydrinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184471377 PECOS PAC ID: 3577009489 Enrollment ID: I20240726001358 |
| Provider Name | Fitsum Woldesellassie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194257279 PECOS PAC ID: 3274883939 Enrollment ID: I20240819001900 |
| Provider Name | Osman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606429 PECOS PAC ID: 1557605367 Enrollment ID: I20240822000097 |
| Provider Name | Shana Kothari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992232193 PECOS PAC ID: 2769750215 Enrollment ID: I20241030003262 |
| 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 | Michael Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407389844 PECOS PAC ID: 8123388592 Enrollment ID: I20250313003542 |
| Provider Name | Alison Ann Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417422916 PECOS PAC ID: 1658897889 Enrollment ID: I20250430001345 |
| Provider Name | Jacqueline Elizabeth Tizol-urena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083303226 PECOS PAC ID: 0749707750 Enrollment ID: I20250502002509 |
| Provider Name | Michael Everett Conner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336644459 PECOS PAC ID: 8224433909 Enrollment ID: I20250619002429 |
| Provider Name | Cinthana Kandasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093372690 PECOS PAC ID: 3678809472 Enrollment ID: I20250702000363 |
| Provider Name | Elizabeth Ann Seton Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407224 PECOS PAC ID: 4688902653 Enrollment ID: I20250801001342 |
| Provider Name | Josie Nicole Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023808136 PECOS PAC ID: 7315446630 Enrollment ID: I20250814003857 |
| Provider Name | Sydney Alyssa Kayler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083369961 PECOS PAC ID: 8224530795 Enrollment ID: I20250904002075 |
| Provider Name | James Kirk Campbell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053331421 PECOS PAC ID: 1658356993 Enrollment ID: I20251014003462 |
| Provider Name | Freaw Dejenie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649439050 PECOS PAC ID: 4183817943 Enrollment ID: I20251028000100 |
| Provider Name | Bria Janai Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588419071 PECOS PAC ID: 1355836495 Enrollment ID: I20251216004935 |
| Provider Name | Asia Zennette Watkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881426856 PECOS PAC ID: 9830672997 Enrollment ID: I20260317001601 |
| Provider Name | Mackenzie Erin Manley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730731266 PECOS PAC ID: 4284100660 Enrollment ID: I20260414004264 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 |
Physicians Care Centers of Atlanta, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 |
Tis Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 |
Comfort Medical Center Phoenix Blvd, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 |
Aylo Health, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 |