| Douglas Medical Group | |
|
6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 | |
| (770) 949-0555 | |
| (770) 949-4424 |
| Full Name | Douglas Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6025 Professional Pkwy, Douglasville, Georgia |
| Authorized Official Name and Position | Girish I Shroff (PRESIDENT) |
| Authorized Official Contact | 7709490555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Medical Group 6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 Ph: (770) 949-0555 | Douglas Medical Group 6025 Professional Pkwy Suite 200 Douglasville GA 30134-5609 Ph: (770) 949-0555 |
| NPI Number | 1992929186 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/08/2010 |
| Medicare PECOS PAC ID | 6103817549 |
|---|---|
| Medicare Enrollment ID | O20040524000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992929186 | NPI | - | NPPES |
| 00305302B | Medicaid | GA | |
| 452595412D | Medicaid | GA | |
| 000137827B | Medicaid | GA | |
| 002528159A | Medicaid | GA |
| Provider Name | Sophia Saifee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851543086 PECOS PAC ID: 9638238645 Enrollment ID: I20081105000822 |
| Provider Name | Nishant G Shroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386808947 PECOS PAC ID: 9739241340 Enrollment ID: I20081216000287 |
| Provider Name | Charisma L Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417324484 PECOS PAC ID: 0042528424 Enrollment ID: I20151005001910 |
| Provider Name | Lucia V Ocanoviciu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659765832 PECOS PAC ID: 5294044228 Enrollment ID: I20151014001311 |
| Provider Name | Kay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790167856 PECOS PAC ID: 3779892419 Enrollment ID: I20151021000727 |
| Provider Name | Morine Woodhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467765628 PECOS PAC ID: 1355685405 Enrollment ID: I20181130001858 |
Michelle A. Huggins, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6934 Broad St, Douglasville, GA 30134 Phone: 770-702-7728 Fax: 770-726-7265 | |
City Of Douglasville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6697 Church St, Douglasville, GA 30134 Phone: 336-515-1313 Fax: 336-804-5903 | |
Mariam George, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Douglas County Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Bwell Medical And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5933 Stewart Pkwy, Douglasville, GA 30135 Phone: 470-331-9468 Fax: 770-234-5717 | |
Atlanta West Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Parkway, Suite #c, Douglasville, GA 30134 Phone: 770-949-6548 Fax: 770-949-9561 | |
Benchmark Of Ga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135 Phone: 678-981-6290 Fax: 678-981-6291 |