| Family Medical And Urgent Care Clinic Of Mcdonough, Llc | |
|
1631 Hwy 20 W Mcdonough GA 30253-7311 | |
| (770) 288-2822 | |
| (770) 288-2820 |
| Full Name | Family Medical And Urgent Care Clinic Of Mcdonough, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1631 Hwy 20 W, Mcdonough, Georgia |
| Authorized Official Name and Position | Danielle O Eidson (ADMINISTRATIVE OPERATIONS MANAGER) |
| Authorized Official Contact | 7702882822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical And Urgent Care Clinic Of Mcdonough, Llc 1631 Hwy 20 W Mcdonough GA 30253-7311 Ph: (770) 288-2822 | Family Medical And Urgent Care Clinic Of Mcdonough, Llc 1631 Hwy 20 W Mcdonough GA 30253-7311 Ph: (770) 288-2822 |
| NPI Number | 1043440530 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 01/12/2026 |
| Medicare PECOS PAC ID | 7113054131 |
|---|---|
| Medicare Enrollment ID | O20100423000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043440530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056874 (Georgia) | Primary |
| 363AM0700X | Physician Assistant - Medical | 004088 (Georgia) | Secondary |
| Provider Name | Robert J Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942250477 PECOS PAC ID: 4486558871 Enrollment ID: I20031126000466 |
| Provider Name | Rajendra K Maharaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235237611 PECOS PAC ID: 0547160418 Enrollment ID: I20040109000079 |
| Provider Name | Sheryl L Strange-canady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144214438 PECOS PAC ID: 4082699087 Enrollment ID: I20040623000675 |
| Provider Name | Karen B Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760463517 PECOS PAC ID: 7810961232 Enrollment ID: I20040823000472 |
| Provider Name | Alicia Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235113002 PECOS PAC ID: 8628030434 Enrollment ID: I20041103000007 |
| Provider Name | Isaac C Adiele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790728863 PECOS PAC ID: 8325088271 Enrollment ID: I20050510000619 |
| Provider Name | Rebecca A Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407866775 PECOS PAC ID: 3577593417 Enrollment ID: I20050819000455 |
| Provider Name | David Brian Remington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326045881 PECOS PAC ID: 3375571425 Enrollment ID: I20060407000127 |
| Provider Name | Jeffrey S Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427146125 PECOS PAC ID: 5799785275 Enrollment ID: I20070106000123 |
| Provider Name | Onika Popo-james |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295972032 PECOS PAC ID: 6305983040 Enrollment ID: I20091028000618 |
| Provider Name | Chetan Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763011 PECOS PAC ID: 7113195082 Enrollment ID: I20110720000133 |
| Provider Name | Sara Knabe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740501881 PECOS PAC ID: 4082870118 Enrollment ID: I20120718000305 |
| Provider Name | Rachel S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982764437 PECOS PAC ID: 1658508833 Enrollment ID: I20131213000858 |
| Provider Name | Crystal A Preston Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831242544 PECOS PAC ID: 5395842124 Enrollment ID: I20151111001185 |
| Provider Name | Stephanie E Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406162 PECOS PAC ID: 8820389224 Enrollment ID: I20170322000902 |
| Provider Name | Brandy Stevens Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871018937 PECOS PAC ID: 6800152380 Enrollment ID: I20171116001385 |
| Provider Name | Alicia Skye Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009122 PECOS PAC ID: 1557610938 Enrollment ID: I20180817001159 |
| Provider Name | Amanda Gail Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528416542 PECOS PAC ID: 7113279688 Enrollment ID: I20181010003473 |
| Provider Name | Caridad Monteilh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346333986 PECOS PAC ID: 8123198298 Enrollment ID: I20181113001390 |
| Provider Name | Serwah Amponsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194350546 PECOS PAC ID: 5193146082 Enrollment ID: I20200601002730 |
| Provider Name | Kashondra Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104458751 PECOS PAC ID: 7416369541 Enrollment ID: I20201215001298 |
| Provider Name | Susan Melinda Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137562 PECOS PAC ID: 0749659944 Enrollment ID: I20221209002405 |
| Provider Name | Lorenetta Louise Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407321144 PECOS PAC ID: 5698013431 Enrollment ID: I20230317001662 |
| Provider Name | Jordan Taylor Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942900394 PECOS PAC ID: 5395100473 Enrollment ID: I20230424003143 |
| Provider Name | Monique Elise Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659062883 PECOS PAC ID: 2567821366 Enrollment ID: I20230711001453 |
| Provider Name | Lychannel Ticole Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871163097 PECOS PAC ID: 8729435490 Enrollment ID: I20231117001015 |
| Provider Name | Lauren Makenna Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144009705 PECOS PAC ID: 0547619363 Enrollment ID: I20231205003236 |
| Provider Name | Daniel Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699509372 PECOS PAC ID: 2466977103 Enrollment ID: I20250416000050 |
Phoenix Medical Group Of Ga Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 Jonesboro Road, Mcdonough, GA 30253 Phone: 678-814-4901 Fax: 678-814-4908 | |
Thrive Healthcare Functional & Integrative Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1961 Highway 42 N, Mcdonough, GA 30253 Phone: 770-286-6597 | |
Healthy Happier Living Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Huntington Place Ct, Mcdonough, GA 30253 Phone: 770-731-3513 Fax: 678-610-6025 | |
Open Hearts & Hands, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Gambier Cv, Mcdonough, GA 30252 Phone: 904-536-3032 | |
Anglyn Family Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Sims St, Mcdonough, GA 30253 Phone: 770-957-3922 Fax: 770-957-5477 | |
Southern Grace Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Racetrack Rd, Mcdonough, GA 30252 Phone: 678-432-8811 Fax: 678-432-8821 |