Centerwell Senior Primary Care-old National - Medicare Primary Care in South Fulton, GA

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Centerwell Senior Primary Care-old National is a medicare enrolled primary clinic (Internal Medicine) in South Fulton, Georgia. The current practice location for Centerwell Senior Primary Care-old National is 6085 Old National Hwy Ste G, South Fulton, Georgia. For appointments, you can reach them via phone at (470) 754-6360. The mailing address for Centerwell Senior Primary Care-old National is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care-old National is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801463468. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (470) 754-6360.

Contact Information

Centerwell Senior Primary Care-old National
6085 Old National Hwy Ste G
South Fulton
GA 30349-4333
(470) 754-6360
(877) 780-7359

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care-old National
SpecialityInternal Medicine
Location6085 Old National Hwy Ste G, South Fulton, Georgia
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING SPECIALIST)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care-old National
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care-old National
6085 Old National Hwy Ste G
South Fulton
GA 30349-4333

Ph: (470) 754-6360

NPI Details:

NPI Number1801463468
Provider Enumeration Date06/10/2021
Last Update Date10/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3274939061
Medicare Enrollment IDO20210901004313

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care-old National such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801463468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care-old National acts as a billing entity for following providers:
Provider NameGloria A Richards
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043311186
PECOS PAC ID: 1456318088
Enrollment ID: I20041215000899
Provider NameAndrea B Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972509420
PECOS PAC ID: 8527004381
Enrollment ID: I20050718000704
Provider NameAdebukola O Akintoye
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447380019
PECOS PAC ID: 4587696927
Enrollment ID: I20050907000058
Provider NameAbiola Ojewole
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306011077
PECOS PAC ID: 4981769346
Enrollment ID: I20090218000409
Provider NameJohn Joseph Oliga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013021781
PECOS PAC ID: 4688729080
Enrollment ID: I20090909000275
Provider NameDmitriy M Pelishev
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457400251
PECOS PAC ID: 9436246659
Enrollment ID: I20091028000423
Provider NameRita Claxton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306855655
PECOS PAC ID: 9638178148
Enrollment ID: I20110906000535
Provider NameTraci L Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891929162
PECOS PAC ID: 5698947208
Enrollment ID: I20111004000175
Provider NameDenni M Savage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851732416
PECOS PAC ID: 9638311517
Enrollment ID: I20130805000878
Provider NameSherika S Newman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740442599
PECOS PAC ID: 6103993233
Enrollment ID: I20140311001582
Provider NameLenise M Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639595309
PECOS PAC ID: 3476778085
Enrollment ID: I20140715000928
Provider NameWendy Swayne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730580010
PECOS PAC ID: 6103048947
Enrollment ID: I20141112001039
Provider NameMeredith Banks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710386883
PECOS PAC ID: 2860719291
Enrollment ID: I20150324002240
Provider NameBrooke Jones Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265818538
PECOS PAC ID: 5496064545
Enrollment ID: I20151012002390
Provider NameKimberly N Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265987184
PECOS PAC ID: 5890081020
Enrollment ID: I20160914000602
Provider NameEmily Battaglia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508300690
PECOS PAC ID: 2668753708
Enrollment ID: I20170103000771
Provider NameTse-hwa J Yin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053602045
PECOS PAC ID: 2769626126
Enrollment ID: I20170124001771
Provider NameLonnie Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639616089
PECOS PAC ID: 7911281183
Enrollment ID: I20170307002025
Provider NameDonell D Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427499136
PECOS PAC ID: 9032346127
Enrollment ID: I20170901001556
Provider NameVannessa Evans
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467968099
PECOS PAC ID: 9638426216
Enrollment ID: I20180728000079
Provider NameJan Delroy Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023518537
PECOS PAC ID: 8628328234
Enrollment ID: I20180831001238
Provider NameDeborah Ann Travis Honeycutt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316904972
PECOS PAC ID: 4082668769
Enrollment ID: I20181020000798
Provider NameBrandy Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265918742
PECOS PAC ID: 8820342017
Enrollment ID: I20181106001957
Provider NameMelissa Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902263973
PECOS PAC ID: 8628372612
Enrollment ID: I20181120001879
Provider NameErica D Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942692843
PECOS PAC ID: 2062717341
Enrollment ID: I20190218003055
Provider NameMichelle Rochard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265890487
PECOS PAC ID: 5890078620
Enrollment ID: I20191228000391
Provider NameSara Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861984759
PECOS PAC ID: 9638504327
Enrollment ID: I20200128001031
Provider NameDebra Ann Stover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679076525
PECOS PAC ID: 9133556269
Enrollment ID: I20200229000199
Provider NameLeisa Covington
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700339728
PECOS PAC ID: 3274962121
Enrollment ID: I20200330000139
Provider NameChae Life
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619330164
PECOS PAC ID: 2668766551
Enrollment ID: I20200410000920
Provider NameJamay R Logan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114489911
PECOS PAC ID: 5991127730
Enrollment ID: I20200623003504
Provider NameAllyson Blue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184288730
PECOS PAC ID: 3375961220
Enrollment ID: I20200909003499
Provider NameStella Royette Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487292694
PECOS PAC ID: 7517379142
Enrollment ID: I20201223001305
Provider NameOuida Deedra Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326649351
PECOS PAC ID: 3274946744
Enrollment ID: I20201231000681
Provider NameApril Jonita Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619514437
PECOS PAC ID: 2466865878
Enrollment ID: I20210104000625
Provider NameShonkeisha L Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043828106
PECOS PAC ID: 2668885567
Enrollment ID: I20210114001444
Provider NameLilian Pereira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851915631
PECOS PAC ID: 1850706789
Enrollment ID: I20210226000778
Provider NameJarvis Jeffrey Sanchez-rivera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659521797
PECOS PAC ID: 8628263696
Enrollment ID: I20210910000667
Provider NameDonessa A Fraser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255561379
PECOS PAC ID: 5698923019
Enrollment ID: I20210915000112
Provider NameRanda Pycard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851809529
PECOS PAC ID: 0840552550
Enrollment ID: I20211006003226
Provider NameJodine Sejour Donatien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275562332
PECOS PAC ID: 6800819368
Enrollment ID: I20211014000063
Provider NameElaine Grimes-dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790453934
PECOS PAC ID: 5799173530
Enrollment ID: I20211027000669
Provider NameTamika Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902357510
PECOS PAC ID: 8628321213
Enrollment ID: I20211115001118
Provider NameOladunni Funmi Faminu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861040479
PECOS PAC ID: 6709276264
Enrollment ID: I20211124001653
Provider NameLindsay Patlewicz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841523784
PECOS PAC ID: 2163569187
Enrollment ID: I20220119000490
Provider NameJustin Zaghi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427476654
PECOS PAC ID: 7911275136
Enrollment ID: I20220120002095
Provider NameTia Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235668153
PECOS PAC ID: 7012286958
Enrollment ID: I20220311001513
Provider NameKiana Rosella Green
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114539764
PECOS PAC ID: 3577959949
Enrollment ID: I20220412000896
Provider NameJoseph Fowlkes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568661320
PECOS PAC ID: 3678960911
Enrollment ID: I20220505000153
Provider NameNeva R Allison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346759974
PECOS PAC ID: 9133509615
Enrollment ID: I20220629003313
Provider NameHenny P Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336753920
PECOS PAC ID: 0648655217
Enrollment ID: I20220917000103

Reviews and Comments


Internal Medicine in South Fulton, GA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.