| Emsite Wound Care | |
|
1500 Peachtree Industrial Blvd Ste 290 Suwanee GA 30024-8494 | |
| (678) 722-8866 | |
| (678) 233-2121 |
| Full Name | Emsite Wound Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Peachtree Industrial Blvd Ste 290, Suwanee, Georgia |
| Authorized Official Name and Position | Yvener Liberal (MANAGING DIRECTOR) |
| Authorized Official Contact | 6785644658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emsite Wound Care 1500 Peachtree Industrial Blvd Ste 290 Suwanee GA 30024-8494 Ph: (678) 722-8866 | Emsite Wound Care 1500 Peachtree Industrial Blvd Ste 290 Suwanee GA 30024-8494 Ph: (678) 722-8866 |
| NPI Number | 1518586825 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 07/31/2026 |
| Certification Date | 07/31/2026 |
| Medicare PECOS PAC ID | 2567963671 |
|---|---|
| Medicare Enrollment ID | O20250829003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518586825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Rasheed a Singleton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316924558 PECOS PAC ID: 4082636816 Enrollment ID: I20221014000863 |
| Provider Name | Toiquita Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891416376 PECOS PAC ID: 9133592819 Enrollment ID: I20230228000605 |
| Provider Name | Mylene Lilian Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396345948 PECOS PAC ID: 0648645549 Enrollment ID: I20230406001204 |
| Provider Name | Lloydstone Leonard Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881816700 PECOS PAC ID: 0143685909 Enrollment ID: I20230501000025 |
| Provider Name | Dwayne Chance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121567 PECOS PAC ID: 6608004825 Enrollment ID: I20251209004606 |
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