| Centennial Joint Care Inc | |
|
4700 Nelson Brogdon Blvd Ste 220 Buford GA 30518-5401 | |
| (770) 904-9014 | |
| Not Available |
| Full Name | Centennial Joint Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4700 Nelson Brogdon Blvd Ste 220, Buford, Georgia |
| Authorized Official Name and Position | Jack Wright (MANAGING PARTNER) |
| Authorized Official Contact | 7062488456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Joint Care Inc 4700 Nelson Brogdon Blvd Ste 210 Buford GA 30518-5401 Ph: (770) 904-9014 | Centennial Joint Care Inc 4700 Nelson Brogdon Blvd Ste 220 Buford GA 30518-5401 Ph: (770) 904-9014 |
| NPI Number | 1063172625 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 01/20/2026 |
| Medicare PECOS PAC ID | 4688066624 |
|---|---|
| Medicare Enrollment ID | O20220125000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063172625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan M Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443713 PECOS PAC ID: 3971493339 Enrollment ID: I20040319000435 |
| Provider Name | Peter Ping Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205828993 PECOS PAC ID: 4981507845 Enrollment ID: I20050106000374 |
| Provider Name | Judith Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134784481 PECOS PAC ID: 3577892157 Enrollment ID: I20190906001634 |
| Provider Name | Alicia Malinda Darby-bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760092134 PECOS PAC ID: 4789088139 Enrollment ID: I20210806000221 |
| Provider Name | Julie Tiegs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641416 PECOS PAC ID: 2860884806 Enrollment ID: I20220125000065 |
| Provider Name | Halimatou Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265189708 PECOS PAC ID: 4587045943 Enrollment ID: I20220715001337 |
| Provider Name | Christina Tyree Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750951349 PECOS PAC ID: 3375915606 Enrollment ID: I20230214001194 |
| Provider Name | Sarina Pakhamma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811601032 PECOS PAC ID: 8729518824 Enrollment ID: I20250204003422 |
| Provider Name | Lela Sandiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958787 PECOS PAC ID: 9739619594 Enrollment ID: I20250207003003 |
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