| Athens Geriatrics And Internal Medicine, Pc | |
|
1500 Oglethorpe Ave Suite 3200 Athens GA 30606-2179 | |
| (706) 549-8931 | |
| (706) 549-0088 |
| Full Name | Athens Geriatrics And Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Oglethorpe Ave, Athens, Georgia |
| Authorized Official Name and Position | Mark Jerome Paradela (PRESIDENT) |
| Authorized Official Contact | 7065498931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Geriatrics And Internal Medicine, Pc 1500 Oglethorpe Ave Suite 3200 Athens GA 30606-2179 Ph: (706) 549-8931 | Athens Geriatrics And Internal Medicine, Pc 1500 Oglethorpe Ave Suite 3200 Athens GA 30606-2179 Ph: (706) 549-8931 |
| NPI Number | 1891918934 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971601899 |
|---|---|
| Medicare Enrollment ID | O20070531000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891918934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 049200 (Georgia) | Primary |
| Provider Name | May Luz F Bullecer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265500862 PECOS PAC ID: 0042120784 Enrollment ID: I20040210000366 |
| Provider Name | Mark J Paradela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437131596 PECOS PAC ID: 0244338168 Enrollment ID: I20070531000060 |
| Provider Name | Lisa A Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982803995 PECOS PAC ID: 4587733498 Enrollment ID: I20080519000464 |
| Provider Name | Kshawnda L Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053082115 PECOS PAC ID: 2860854510 Enrollment ID: I20230814000947 |
| Provider Name | Melissa S Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558047506 PECOS PAC ID: 3779025515 Enrollment ID: I20240607000605 |
James L. Brown, Jr., M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Prince Ave, Building A, Athens, GA 30606 Phone: 706-548-3478 Fax: 706-543-7861 | |
Athens Model Neighborhood Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Gaines School Rd, Athens, GA 30605 Phone: 762-499-6960 | |
Evirtualcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Forest Rd, Athens, GA 30605 Phone: 706-502-0503 | |
County Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Research Dr, Athens, GA 30605 Phone: 706-583-2856 Fax: 706-369-5732 | |
Athens Regional Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Oglethorpe Avenue, Suite 600a, Athens, GA 30606 Phone: 706-369-5440 Fax: 706-369-5490 | |
G. Steven Chesser Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Bldg 500a Suite 502, Athens, GA 30606 Phone: 706-433-0741 Fax: 706-433-0746 | |
Athens Model Neighborhood Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 College Ave, Athens, GA 30601 Phone: 706-546-5526 Fax: 706-546-5687 |