| Atlanta South Nephrology,pc | |
|
1275 Cleveland Ave East Point GA 30344-3433 | |
| (404) 761-0819 | |
| (047) 682-3134 |
| Full Name | Atlanta South Nephrology,pc |
|---|---|
| Speciality | Legal Medicine |
| Location | 1275 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | Muhammed A Muhammedi (CEO) |
| Authorized Official Contact | 4047610819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta South Nephrology,pc 1275 Cleveland Ave East Point GA 30344-3433 Ph: (404) 761-0819 | Atlanta South Nephrology,pc 1275 Cleveland Ave East Point GA 30344-3433 Ph: (404) 761-0819 |
| NPI Number | 1922145788 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 9739137795 |
|---|---|
| Medicare Enrollment ID | O20050106000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922145788 | NPI | - | NPPES |
| 0441911A | Medicaid | GA | |
| 57785870A | Medicaid | GA | |
| 157444445A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 173000000X | Legal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Bertrand Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659467140 PECOS PAC ID: 8921084039 Enrollment ID: I20040629000411 |
| Provider Name | Charmaine Ifeoma Emelife |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811987209 PECOS PAC ID: 7618925355 Enrollment ID: I20050110000138 |
| Provider Name | Khalid Iqbal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598755993 PECOS PAC ID: 2466408067 Enrollment ID: I20050328000231 |
| Provider Name | Dinesh K Bhatia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407941008 PECOS PAC ID: 1658391206 Enrollment ID: I20051129000309 |
| Provider Name | Muhammed Muhammedi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871584896 PECOS PAC ID: 5193725521 Enrollment ID: I20071114000082 |
| Provider Name | Abduljalil Elfasi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154685550 PECOS PAC ID: 5799055539 Enrollment ID: I20170726003703 |
| Provider Name | Constance Ofundem Takang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316555642 PECOS PAC ID: 9931528080 Enrollment ID: I20200923002092 |
| Provider Name | Ravi Dinesh Bhatia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508211376 PECOS PAC ID: 6901191154 Enrollment ID: I20210709002713 |
| Provider Name | Courtney Elaine Buck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538727342 PECOS PAC ID: 9739586090 Enrollment ID: I20210929001373 |
| Provider Name | Sarah Atkinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902229586 PECOS PAC ID: 9335363928 Enrollment ID: I20230406000058 |
Strong Healthcare And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 Washington Ave, East Point, GA 30344 Phone: 404-835-2891 Fax: 404-835-2899 | |
East Point Primary Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Cleveland Ave, Suite 2-d, East Point, GA 30344 Phone: 404-684-7111 Fax: 404-684-7112 | |
Port-a-wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Washington Ave, East Point, GA 30344 Phone: 678-705-1691 Fax: 855-289-7475 | |
South Atlanta Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Cleveland Ave, East Point, GA 30344 Phone: 404-768-4626 Fax: 404-768-4631 | |
Yssa Saad Dine M D P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Cleveland Ave, Ste#209, East Point, GA 30344 Phone: 404-762-8211 Fax: 404-762-9182 | |
Dean Hunter Medical Consultant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 Lake Ter, East Point, GA 30344 Phone: 404-344-0051 | |
Sound Physicians Of Georgia Iii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 |