| Athens Model Neighborhood Health Center Inc | |
|
675 College Ave Athens GA 30601 | |
| (706) 546-5526 | |
| (706) 546-5687 |
| Full Name | Athens Model Neighborhood Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 675 College Ave, Athens, Georgia |
| Authorized Official Name and Position | Linda M Cherry (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Contact | 7624996960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Model Neighborhood Health Center Inc 675 College Ave Athens GA 30601-2635 Ph: (706) 546-5526 | Athens Model Neighborhood Health Center Inc 675 College Ave Athens GA 30601 Ph: (706) 546-5526 |
| NPI Number | 1093932683 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 0042291270 |
|---|---|
| Medicare Enrollment ID | O20040525001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093932683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Donovan A Gowdie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770749822 PECOS PAC ID: 7315015328 Enrollment ID: I20101021000221 |
| Provider Name | David Lockman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184619587 PECOS PAC ID: 3870524325 Enrollment ID: I20110127000779 |
| Provider Name | Gail L Hurley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356498380 PECOS PAC ID: 2567638794 Enrollment ID: I20120110000191 |
| Provider Name | Stalina C Gowdie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205143716 PECOS PAC ID: 8123285855 Enrollment ID: I20120207000603 |
| Provider Name | Tionya Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901920 PECOS PAC ID: 4183852940 Enrollment ID: I20140124001240 |
| Provider Name | Angela Autumn Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741510 PECOS PAC ID: 8729389754 Enrollment ID: I20151217000341 |
| Provider Name | Paola Polanco |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285040618 PECOS PAC ID: 3971898347 Enrollment ID: I20160824001223 |
| Provider Name | Erika Nikole James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689210320 PECOS PAC ID: 7911335849 Enrollment ID: I20200306002221 |
| Provider Name | Jason Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154685394 PECOS PAC ID: 4789009861 Enrollment ID: I20200806001613 |
| Provider Name | Tiny Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053730325 PECOS PAC ID: 1658785597 Enrollment ID: I20210204000183 |
| Provider Name | Joaquin I Heng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457455750 PECOS PAC ID: 5193810406 Enrollment ID: I20210616002359 |
| Provider Name | Peter J Szeibel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013960566 PECOS PAC ID: 5698787562 Enrollment ID: I20220224002497 |
| Provider Name | Merissa Nelms |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801488465 PECOS PAC ID: 5991191215 Enrollment ID: I20220413000345 |
| Provider Name | Kenny H Esho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003221342 PECOS PAC ID: 0749660934 Enrollment ID: I20220706000991 |
| Provider Name | Kathryn Taylor Ashmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043832298 PECOS PAC ID: 5597138651 Enrollment ID: I20230310001399 |
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 | |
Hillsman Health Center 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 | |
Northeast Health District 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: Medicare Enrolled Practice Location: 700 Sunset Dr, Bldg 500a Suite 502, Athens, GA 30606 Phone: 706-433-0741 Fax: 706-433-0746 |