| Atlanta Gastroenterology Associates | |
|
550 Peachtree St Ne Suite 1620 Atlanta GA 30308-2209 | |
| (404) 885-7701 | |
| (404) 885-7777 |
| Full Name | Atlanta Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 Peachtree St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Jung Whun Suh (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4048811094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Gastroenterology Associates 1355 Peachtree St Ne Ste 1600 Atlanta GA 30309-3276 Ph: (404) 888-7575 | Atlanta Gastroenterology Associates 550 Peachtree St Ne Suite 1620 Atlanta GA 30308-2209 Ph: (404) 885-7701 |
| NPI Number | 1124064118 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 04/05/2022 |
| Medicare PECOS PAC ID | 2365431350 |
|---|---|
| Medicare Enrollment ID | O20040506000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124064118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | (* (Not Available)) | Secondary |
| Provider Name | Nicole M Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982686523 PECOS PAC ID: 5597658690 Enrollment ID: I20040203000959 |
| 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 | 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 | Edward C Cameron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447285499 PECOS PAC ID: 6507812583 Enrollment ID: I20050323000231 |
| 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 | Charles A Fox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881685790 PECOS PAC ID: 9032152624 Enrollment ID: I20050606000101 |
| 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 | Enrique J Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245292218 PECOS PAC ID: 7618960832 Enrollment ID: I20051024000427 |
| Provider Name | Stephen J Rashbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467447045 PECOS PAC ID: 3779504733 Enrollment ID: I20051219000174 |
| 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 | Anna V Longacre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118405 PECOS PAC ID: 0042213480 Enrollment ID: I20060824000381 |
| Provider Name | Emilia 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 | 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 | Edward Rydzak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639157266 PECOS PAC ID: 6709839871 Enrollment ID: I20080513000506 |
| 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 | David N Socoloff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295824175 PECOS PAC ID: 1951471457 Enrollment ID: I20080609000889 |
| 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 | Nadia S Sanford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336330414 PECOS PAC ID: 6507910015 Enrollment ID: I20090818000762 |
| Provider Name | Dimple Raina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891918108 PECOS PAC ID: 9830237692 Enrollment ID: I20091116000292 |
| 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 | Anupama Ravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659557668 PECOS PAC ID: 4385776202 Enrollment ID: I20100713000090 |
| Provider Name | Karen Lynne Weiss-schorr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942229729 PECOS PAC ID: 9830214857 Enrollment ID: I20100915000036 |
| Provider Name | Weijian Zhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134138530 PECOS PAC ID: 5799828414 Enrollment ID: I20100923000687 |
| Provider Name | Abraham Steven Mcintosh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164448452 PECOS PAC ID: 8426131269 Enrollment ID: I20100927000260 |
| Provider Name | Charles W Duckworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033199989 PECOS PAC ID: 2163475237 Enrollment ID: I20101018001097 |
| Provider Name | Sanjay R Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679558241 PECOS PAC ID: 5193860443 Enrollment ID: I20101101000943 |
| 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 | 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 | Steven J Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538143847 PECOS PAC ID: 1557322690 Enrollment ID: I20110207000221 |
| Provider Name | Temitope Foster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356538615 PECOS PAC ID: 8921025479 Enrollment ID: I20110209000931 |
| Provider Name | Dale C Holly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053393579 PECOS PAC ID: 1658416904 Enrollment ID: I20110218000844 |
| Provider Name | Mubashar Munir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518971944 PECOS PAC ID: 0749243905 Enrollment ID: I20110325000552 |
| 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 | Lori Woodward |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326336330 PECOS PAC ID: 4082884440 Enrollment ID: I20110823000692 |
| Provider Name | Girish Anand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962616946 PECOS PAC ID: 5890860258 Enrollment ID: I20110824000811 |
| Provider Name | Yasmin Khadija Karim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609000793 PECOS PAC ID: 0244400042 Enrollment ID: I20110906000339 |
| Provider Name | Luis M Galvez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326039231 PECOS PAC ID: 8921143272 Enrollment ID: I20111107000241 |
| Provider Name | Hitesh Ramesh Chokshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356331680 PECOS PAC ID: 5294870549 Enrollment ID: I20111108000175 |
| Provider Name | Angela Marie Holsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750665667 PECOS PAC ID: 0345413209 Enrollment ID: I20111109000682 |
| Provider Name | Ralph C Lyons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740379866 PECOS PAC ID: 6800848862 Enrollment ID: I20111207000634 |
| Provider Name | Andrew J Simpson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417134008 PECOS PAC ID: 3375719818 Enrollment ID: I20120104000445 |
| 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 | Michael Harry Frist |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811164361 PECOS PAC ID: 3274798244 Enrollment ID: I20120626000580 |
| Provider Name | Jeremiah Watkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447431275 PECOS PAC ID: 6608032792 Enrollment ID: I20120717000566 |
| 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 | 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 | Paresh P Kamat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740518612 PECOS PAC ID: 3779726799 Enrollment ID: I20130823000474 |
| Provider Name | Jordan H Weitzner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992026140 PECOS PAC ID: 1951535160 Enrollment ID: I20131001000401 |
| Provider Name | Nirav R Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639339336 PECOS PAC ID: 2668600958 Enrollment ID: I20140113001004 |
| 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 | 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 | Tejas Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225213804 PECOS PAC ID: 1254478639 Enrollment ID: I20150408001109 |
| 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 | Aaron J Leifer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295085686 PECOS PAC ID: 5799094686 Enrollment ID: I20151015000813 |
| Provider Name | Renee B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912371782 PECOS PAC ID: 8426351750 Enrollment ID: I20160120002886 |
| Provider Name | Rachael Bierschenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972903169 PECOS PAC ID: 1759502040 Enrollment ID: I20160309002107 |
| 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 | 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 | Justin Brett Mendel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669791836 PECOS PAC ID: 9335441187 Enrollment ID: I20170511002917 |
| Provider Name | Brent William Acker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407147028 PECOS PAC ID: 8628290806 Enrollment ID: I20170721000235 |
| Provider Name | Eric Dewayne Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598052094 PECOS PAC ID: 0648543454 Enrollment ID: I20170830000525 |
| 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 | Jae Wook Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689803652 PECOS PAC ID: 1658537162 Enrollment ID: I20180619002130 |
| Provider Name | Jai Eun Min |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508123019 PECOS PAC ID: 2961701222 Enrollment ID: I20180806000418 |
| Provider Name | Nitin K Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013113364 PECOS PAC ID: 6608043674 Enrollment ID: I20180901000080 |
| Provider Name | David Aaron Cohen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114361573 PECOS PAC ID: 2860742889 Enrollment ID: I20180912000907 |
| Provider Name | Jennifer Ann Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679982805 PECOS PAC ID: 3375895857 Enrollment ID: I20181010003651 |
| Provider Name | Carolyn M Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699213363 PECOS PAC ID: 6002168408 Enrollment ID: I20181012002143 |
| 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 | Asiya Khan Shakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457790388 PECOS PAC ID: 1052554680 Enrollment ID: I20191216001347 |
| Provider Name | Kelli Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831750926 PECOS PAC ID: 7810323383 Enrollment ID: I20200130003321 |
| Provider Name | Kristen R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013104652 PECOS PAC ID: 4486714680 Enrollment ID: I20200515001636 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861578759 PECOS PAC ID: 8729119375 Enrollment ID: I20200520001652 |
| 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 | Daniel N Castresana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770873465 PECOS PAC ID: 7012133879 Enrollment ID: I20200812002001 |
| 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 | Adam C Nadelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356755763 PECOS PAC ID: 2961791868 Enrollment ID: I20200903003540 |
| Provider Name | Stefanie Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972139566 PECOS PAC ID: 5294153201 Enrollment ID: I20200908001942 |
| Provider Name | Leah G Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841618881 PECOS PAC ID: 2567880685 Enrollment ID: I20200922000573 |
| Provider Name | Julie Thi Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265056352 PECOS PAC ID: 7810309747 Enrollment ID: I20201216003151 |
| Provider Name | Kathryn Anne Yuhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639767833 PECOS PAC ID: 9537574322 Enrollment ID: I20210208001774 |
| Provider Name | Mihajlo Gjeorgjievski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770998577 PECOS PAC ID: 3870719388 Enrollment ID: I20210818000337 |
| Provider Name | Aparna Prasad Shreenath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184972747 PECOS PAC ID: 6709169071 Enrollment ID: I20210907000832 |
| Provider Name | Amanda Guentner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346533213 PECOS PAC ID: 0345554028 Enrollment ID: I20210916000877 |
| Provider Name | Kayin Jeffers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710397104 PECOS PAC ID: 4587882329 Enrollment ID: I20211112000782 |
| Provider Name | Heeyoung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629692637 PECOS PAC ID: 7719377035 Enrollment ID: I20211201000084 |
| Provider Name | Daniel K Mullady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447371034 PECOS PAC ID: 6305914573 Enrollment ID: I20220422001088 |
| Provider Name | Emily Danielle Lacount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518628254 PECOS PAC ID: 1557758281 Enrollment ID: I20220428000726 |
| 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 | Jonathan Kandiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043662463 PECOS PAC ID: 3870879133 Enrollment ID: I20220916001181 |
| Provider Name | Sue Macleod Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558093484 PECOS PAC ID: 9335515352 Enrollment ID: I20221017001937 |
| Provider Name | Jessica Roxanne Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521778 PECOS PAC ID: 3375919160 Enrollment ID: I20221019001879 |
| Provider Name | Diane Patricia Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480643 PECOS PAC ID: 2961727862 Enrollment ID: I20230126000063 |
| Provider Name | Lindsey Elizabeth Grieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649827965 PECOS PAC ID: 7517296254 Enrollment ID: I20230222000928 |
| Provider Name | Bharat Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982040358 PECOS PAC ID: 6103059183 Enrollment ID: I20230322001478 |
| Provider Name | Gordon Todd Robbins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639523608 PECOS PAC ID: 3375975907 Enrollment ID: I20230703001806 |
| 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 | Richard William Mclean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316398472 PECOS PAC ID: 4789940388 Enrollment ID: I20230925002700 |
| Provider Name | Justin Joell Forde |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437512183 PECOS PAC ID: 4082902150 Enrollment ID: I20231010000682 |
| Provider Name | Diana Carolina Cupit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841961950 PECOS PAC ID: 7416307558 Enrollment ID: I20240102001555 |
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 (to Inspire Strong) African Children Fund, Inc. 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 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |