| Caap Medical Group | |
|
700 Sunset Dr Ste 601 Athens GA 30606-7720 | |
| (706) 549-4155 | |
| Not Available |
| Full Name | Caap Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Sunset Dr Ste 601, Athens, Georgia |
| Authorized Official Name and Position | Katelyn Cole (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7062475605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caap Medical Group 700 Sunset Dr Ste 601 Athens GA 30606-7720 Ph: (706) 549-4155 | Caap Medical Group 700 Sunset Dr Ste 601 Athens GA 30606-7720 Ph: (706) 549-4155 |
| NPI Number | 1962052167 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 12/03/2019 |
| Medicare PECOS PAC ID | 7618209131 |
|---|---|
| Medicare Enrollment ID | O20200109000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962052167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Peter Frandsen Vandyck |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669537197 PECOS PAC ID: 9537340369 Enrollment ID: I20110225000651 |
| Provider Name | Kent Lyon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063476364 PECOS PAC ID: 3971550351 Enrollment ID: I20191031003126 |
| Provider Name | Erica Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679118616 PECOS PAC ID: 2466889191 Enrollment ID: I20200219000625 |
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County Family Planning 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 | |
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