| Atlanta Health Center Pc | |
|
4905 Lavista Rd Ste B Tucker GA 30084-4409 | |
| (770) 680-5740 | |
| (888) 418-8738 |
| Full Name | Atlanta Health Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4905 Lavista Rd Ste B, Tucker, Georgia |
| Authorized Official Name and Position | Ohad Kott (OWNER) |
| Authorized Official Contact | 7706805740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Health Center Pc 4905 Lavista Rd Ste B Tucker GA 30084-4409 Ph: (770) 680-5740 | Atlanta Health Center Pc 4905 Lavista Rd Ste B Tucker GA 30084-4409 Ph: (770) 680-5740 |
| NPI Number | 1063110328 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 05/09/2025 |
| Medicare PECOS PAC ID | 4789023979 |
|---|---|
| Medicare Enrollment ID | O20240422000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063110328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
| Provider Name | Ohad Kott |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699333179 PECOS PAC ID: 4880075621 Enrollment ID: I20220725003250 |
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