| Ch Specialty Services Ga Llc | |
|
3355 Lenox Rd Ne Ste 750 Atlanta GA 30326-1353 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Ch Specialty Services Ga Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3355 Lenox Rd Ne Ste 750, Atlanta, Georgia |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services Ga Llc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | Ch Specialty Services Ga Llc 3355 Lenox Rd Ne Ste 750 Atlanta GA 30326-1353 Ph: (337) 991-9276 |
| NPI Number | 1306545181 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 8921464579 |
|---|---|
| Medicare Enrollment ID | O20230524000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306545181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luther M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326070772 PECOS PAC ID: 5395640684 Enrollment ID: I20031201000217 |
| Provider Name | George Clark Pursley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093758724 PECOS PAC ID: 6204873045 Enrollment ID: I20050413000154 |
| Provider Name | Solomon Tafari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235128828 PECOS PAC ID: 4587670591 Enrollment ID: I20060301000045 |
| Provider Name | Dana Giarrizzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497784680 PECOS PAC ID: 5395770044 Enrollment ID: I20090630000086 |
| Provider Name | Michael B Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528250388 PECOS PAC ID: 7315085107 Enrollment ID: I20091116000540 |
| Provider Name | Kenneth R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245471879 PECOS PAC ID: 2769507797 Enrollment ID: I20100915000156 |
| Provider Name | Robert R Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194731554 PECOS PAC ID: 2365623931 Enrollment ID: I20110302000506 |
| Provider Name | Terri Maddrey Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201340 PECOS PAC ID: 9335372945 Enrollment ID: I20140506002115 |
| Provider Name | Ronald Faudree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008902 PECOS PAC ID: 1153542659 Enrollment ID: I20141027001987 |
| Provider Name | Betty Riner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740629443 PECOS PAC ID: 3476796988 Enrollment ID: I20150115001758 |
| Provider Name | Patricia Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679025829 PECOS PAC ID: 4880975598 Enrollment ID: I20170111000661 |
| Provider Name | Nekey C Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649632753 PECOS PAC ID: 7315229218 Enrollment ID: I20170130002248 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20181030001090 |
| Provider Name | Catherine Sasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588208813 PECOS PAC ID: 0749615441 Enrollment ID: I20200126000019 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20200410001887 |
| Provider Name | Ashleigh Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730716689 PECOS PAC ID: 2769811298 Enrollment ID: I20201229001521 |
| Provider Name | Gregory Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253294 PECOS PAC ID: 4789937103 Enrollment ID: I20210514002344 |
| Provider Name | Marian Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043562150 PECOS PAC ID: 9436394079 Enrollment ID: I20220223001601 |
| Provider Name | Rosa Marie Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861156457 PECOS PAC ID: 5395132930 Enrollment ID: I20220428001490 |
| Provider Name | Kara Lapin Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235662438 PECOS PAC ID: 6608145800 Enrollment ID: I20220714002920 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20230103002075 |
| Provider Name | Barbara Ann Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205551447 PECOS PAC ID: 1254702483 Enrollment ID: I20230125001799 |
| Provider Name | Deidree Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730816331 PECOS PAC ID: 1850762063 Enrollment ID: I20230126002038 |
| Provider Name | Nakisha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323972 PECOS PAC ID: 5092149237 Enrollment ID: I20230419000247 |
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