| Bellaire Wound Care Georgia PC | |
|
12600 Deerfield Pkwy Ste 100 Alpharetta GA 30004-6130 | |
| (470) 422-7029 | |
| (855) 574-0808 |
| Full Name | Bellaire Wound Care Georgia PC |
|---|---|
| Speciality | General Practice |
| Location | 12600 Deerfield Pkwy Ste 100, Alpharetta, Georgia |
| Authorized Official Name and Position | Owen B Ellington (DIRECTOR) |
| Authorized Official Contact | 4704227029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellaire Wound Care Georgia PC 12600 Deerfield Pkwy Ste 100 Alpharetta GA 30004-6130 Ph: (470) 422-7029 | Bellaire Wound Care Georgia PC 12600 Deerfield Pkwy Ste 100 Alpharetta GA 30004-6130 Ph: (470) 422-7029 |
| NPI Number | 1396697991 |
|---|---|
| Provider Enumeration Date | 02/14/2026 |
| Last Update Date | 02/18/2026 |
| Certification Date | 02/18/2026 |
| Medicare PECOS PAC ID | 7113402611 |
|---|---|
| Medicare Enrollment ID | O20260402001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396697991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jane Soyoung Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659530004 PECOS PAC ID: 5597827865 Enrollment ID: I20081219000460 |
| Provider Name | Hugh Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881627545 PECOS PAC ID: 4789570359 Enrollment ID: I20100916000442 |
| Provider Name | Sevara Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770028409 PECOS PAC ID: 5799114906 Enrollment ID: I20200408003296 |
| Provider Name | Donna Ann Marie Hemmings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598305526 PECOS PAC ID: 5496179137 Enrollment ID: I20200728001298 |
| Provider Name | Kavita Jaiswal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881266443 PECOS PAC ID: 0143678029 Enrollment ID: I20231204000733 |
| Provider Name | Jacqueline Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093570483 PECOS PAC ID: 6103268123 Enrollment ID: I20240522002567 |
At&t Alpharetta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Point Pkwy Rm 131a06, Alpharetta, GA 30005 Phone: 404-850-6054 Fax: 404-795-0572 |
Living Well Primary Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Crabapple Rd Ste 202-313, Alpharetta, GA 30004 Phone: 404-819-7660 Fax: 404-393-7788 |
James L. Stewart, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Old Alabama Rd, Suite 230, Alpharetta, GA 30022 Phone: 770-740-8550 Fax: 770-740-9338 |
New Era Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11175 Cicero Drive, Suite 100, Alpharetta, GA 30022 Phone: 678-534-5900 Fax: 678-534-5910 |
Urgent Care Clinics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 Nocturne Dr Unit 2203, Alpharetta, GA 30009 Phone: 216-731-1919 |
Milton Medical Group, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 N Main St, 1100, Alpharetta, GA 30009 Phone: 678-827-9157 Fax: 470-299-6262 |