Georgia Mso Llc - Medicare Primary Care in Atlanta, GA

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Georgia Mso Llc is a medicare enrolled primary clinic (Family Medicine) in Atlanta, Georgia. The current practice location for Georgia Mso Llc is 3343 Peachtree Rd Ne, Ste 145 Pmb 3034, Atlanta, Georgia. For appointments, you can reach them via phone at (212) 734-6621. The mailing address for Georgia Mso Llc is 4770 White Plains Rd, Bronx, New York and phone number is () -.

Georgia Mso Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952196164. 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 (212) 734-6621.

Contact Information

Georgia Mso Llc
3343 Peachtree Rd Ne
Ste 145 Pmb 3034
Atlanta
GA 30326
(212) 734-6621
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameGeorgia Mso Llc
SpecialityFamily Medicine
Location3343 Peachtree Rd Ne, Atlanta, Georgia
Authorized Official Name and PositionSamuel Kohn (OWNER)
Authorized Official Contact7189319700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Georgia Mso Llc
4770 White Plains Rd
Bronx
NY 10470-1136

Ph: () -		Georgia Mso Llc
3343 Peachtree Rd Ne
Ste 145 Pmb 3034
Atlanta
GA 30326

Ph: (212) 734-6621

NPI Details:

NPI Number1952196164
Provider Enumeration Date04/10/2025
Last Update Date07/09/2025

Medicare PECOS Information:

Medicare PECOS PAC ID3173041639
Medicare Enrollment IDO20250519001080

Medical Identifiers

Medical identifiers for Georgia Mso Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952196164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Georgia Mso Llc acts as a billing entity for following providers:
Provider NameRondrick E Williamson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1902821242
PECOS PAC ID: 6901792043
Enrollment ID: I20040225000532
Provider NameJames Rogan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982704300
PECOS PAC ID: 5597740217
Enrollment ID: I20040618000574
Provider NameLeanthony A Hardy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629053277
PECOS PAC ID: 5395722185
Enrollment ID: I20040630000359
Provider NameXavier C Moore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982787297
PECOS PAC ID: 7810924594
Enrollment ID: I20050725000692
Provider NameIris A Castro Revoredo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801984562
PECOS PAC ID: 1052312311
Enrollment ID: I20070130000046
Provider NameTerry L Dickerson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1598766313
PECOS PAC ID: 7012070741
Enrollment ID: I20090107000209
Provider NameChristina Daniels Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871666404
PECOS PAC ID: 6204964943
Enrollment ID: I20100517000599
Provider NameEmem B Udo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801073465
PECOS PAC ID: 0749476299
Enrollment ID: I20101123000150
Provider NameLinda J Wynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124268784
PECOS PAC ID: 5496937252
Enrollment ID: I20110315000849
Provider NameRoxanne E Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396942256
PECOS PAC ID: 9133215361
Enrollment ID: I20111031000162
Provider NameConstance B Knowles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821372236
PECOS PAC ID: 1951574037
Enrollment ID: I20111107000005
Provider NameMichele Asa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922376417
PECOS PAC ID: 5294986584
Enrollment ID: I20121114000363
Provider NameAbhay J Deshmukh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861726481
PECOS PAC ID: 6305087834
Enrollment ID: I20140506000387
Provider NameMonifa K Montique
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790188605
PECOS PAC ID: 2163741661
Enrollment ID: I20150505002053
Provider NameErica T Isom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285991588
PECOS PAC ID: 7618286287
Enrollment ID: I20151021002353
Provider NameMariana Sirbu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629445192
PECOS PAC ID: 0244540466
Enrollment ID: I20151030000297
Provider NameBenjamin Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104212869
PECOS PAC ID: 4385930924
Enrollment ID: I20160908001685
Provider NameNicole L Mosley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700324043
PECOS PAC ID: 4183908346
Enrollment ID: I20170307001595
Provider NameKedric J Naylor
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1023375607
PECOS PAC ID: 6406176692
Enrollment ID: I20170803003372
Provider NameDebra D Durden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568997914
PECOS PAC ID: 0941573752
Enrollment ID: I20170830000779
Provider NameRoberta A Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053840959
PECOS PAC ID: 6103190491
Enrollment ID: I20170926001310
Provider NameDina Adimora-onwuka
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1568780252
PECOS PAC ID: 4587886056
Enrollment ID: I20171219000689
Provider NameAritha Geraldine Francis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902328297
PECOS PAC ID: 8325306137
Enrollment ID: I20171228001670
Provider NameJodie J Salo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215078902
PECOS PAC ID: 8224355268
Enrollment ID: I20180510002579
Provider NameLilian Mugwede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629580196
PECOS PAC ID: 6002198611
Enrollment ID: I20180518002524
Provider NameSasha Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518488972
PECOS PAC ID: 2769739937
Enrollment ID: I20180718003461
Provider NameTarsha Chamaine Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497244875
PECOS PAC ID: 3476800301
Enrollment ID: I20180723003146
Provider NameTakatso Moyo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952809774
PECOS PAC ID: 2769739507
Enrollment ID: I20180724004142
Provider NameChantal Cesar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992214068
PECOS PAC ID: 6002165438
Enrollment ID: I20180819000007
Provider NameCarroll G Odem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144224957
PECOS PAC ID: 0143289249
Enrollment ID: I20180906003344
Provider NameMyrlande Cayo Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992293997
PECOS PAC ID: 8224380076
Enrollment ID: I20181006000162
Provider NameMarla Kiser Buie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275049322
PECOS PAC ID: 3274886908
Enrollment ID: I20181026001999
Provider NameChristie E Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730664582
PECOS PAC ID: 1355695057
Enrollment ID: I20181115002463
Provider NameStephanie Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467920355
PECOS PAC ID: 5395089981
Enrollment ID: I20181210000329
Provider NameCharlotte David
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700358140
PECOS PAC ID: 0143560664
Enrollment ID: I20190320001689
Provider NameChristen Weber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619395506
PECOS PAC ID: 7618219502
Enrollment ID: I20190424002033
Provider NameMelina Sanders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003374885
PECOS PAC ID: 5698008068
Enrollment ID: I20190618000840
Provider NameJohanna Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295202323
PECOS PAC ID: 2769716786
Enrollment ID: I20190625003728
Provider NameEmily Elizabeth Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063053478
PECOS PAC ID: 4587096086
Enrollment ID: I20191122000068
Provider NameNathan Duffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801431333
PECOS PAC ID: 9537595228
Enrollment ID: I20200128001089
Provider NameKaynessa Celena Providence
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013303650
PECOS PAC ID: 0547683484
Enrollment ID: I20200709003415
Provider NamePamela Bethel-wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013404292
PECOS PAC ID: 1850645540
Enrollment ID: I20200730002214
Provider NameJoan Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154785335
PECOS PAC ID: 2668763855
Enrollment ID: I20210127003264
Provider NameLynn Marie Marsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588285639
PECOS PAC ID: 0941618912
Enrollment ID: I20210413001566
Provider NameDana Michele Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174111892
PECOS PAC ID: 3375951957
Enrollment ID: I20210420001853
Provider NameAndrea Lynne Maloy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447845243
PECOS PAC ID: 3971912999
Enrollment ID: I20210504001320
Provider NameSamuel Ikechukwu Ogbuchi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912403320
PECOS PAC ID: 0042610537
Enrollment ID: I20210621003384
Provider NameHeather M. Mclaughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861032187
PECOS PAC ID: 2062840812
Enrollment ID: I20210726002596
Provider NameBarbara Terica Dunbar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588872253
PECOS PAC ID: 3779825708
Enrollment ID: I20210827000281
Provider NameBriana Watkins Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548937618
PECOS PAC ID: 2668861204
Enrollment ID: I20211119001172
Provider NameAmy Elizabeth Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518564525
PECOS PAC ID: 9931590445
Enrollment ID: I20211216002488
Provider NamePamela Jo Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386206126
PECOS PAC ID: 9436541737
Enrollment ID: I20220119000172
Provider NameLaura Barber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417618273
PECOS PAC ID: 2365835279
Enrollment ID: I20220216001652
Provider NamePriti V Jindal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003850322
PECOS PAC ID: 3375592322
Enrollment ID: I20220329000694
Provider NameEtoy N Flemmings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750038659
PECOS PAC ID: 2769879022
Enrollment ID: I20220505000526
Provider NameMarrissa Lynn Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558964684
PECOS PAC ID: 5799163549
Enrollment ID: I20220607000826
Provider NameGuertone Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376138909
PECOS PAC ID: 2567841604
Enrollment ID: I20220621002706
Provider NameNedege Raybourne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386125516
PECOS PAC ID: 2668854480
Enrollment ID: I20220726003438
Provider NameMarie Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396470688
PECOS PAC ID: 0941683767
Enrollment ID: I20220811001952
Provider NameNakesha Wilkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639549868
PECOS PAC ID: 9537544135
Enrollment ID: I20220919000890
Provider NameWilliam Patton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417670662
PECOS PAC ID: 3577949254
Enrollment ID: I20221004000516
Provider NameSharika Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154057990
PECOS PAC ID: 8729455233
Enrollment ID: I20221111001342
Provider NameIlyasah Byfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841478187
PECOS PAC ID: 3173699295
Enrollment ID: I20230125000907
Provider NameSabiha K Kaiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760195226
PECOS PAC ID: 9234500364
Enrollment ID: I20230126003494
Provider NameRhonda Felicia Lomax
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538651278
PECOS PAC ID: 2567834385
Enrollment ID: I20230203001869
Provider NameBrian Pawlowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578284923
PECOS PAC ID: 2365814407
Enrollment ID: I20230217001713
Provider NameUgomma Abanukam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609580471
PECOS PAC ID: 2567827330
Enrollment ID: I20230501000215
Provider NameLorraine Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356966717
PECOS PAC ID: 9032593777
Enrollment ID: I20230510001168
Provider NameAdrianne Crane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891264792
PECOS PAC ID: 3870924335
Enrollment ID: I20230623002245
Provider NameTanya Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922707025
PECOS PAC ID: 3779941547
Enrollment ID: I20230627000680
Provider NameBolanle Olubunmi Adedokun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215510268
PECOS PAC ID: 5799148904
Enrollment ID: I20230905002905
Provider NameSara Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324895
PECOS PAC ID: 0143625111
Enrollment ID: I20230905003098
Provider NameE'lexus Okafor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598384224
PECOS PAC ID: 0446604136
Enrollment ID: I20230928003885
Provider NameKobena Y Waters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699263848
PECOS PAC ID: 1052768256
Enrollment ID: I20231109001911
Provider NameAchangwo Mary Lekeaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568235661
PECOS PAC ID: 2365890712
Enrollment ID: I20231127001592
Provider NameEmilia Bazan-grow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902835275
PECOS PAC ID: 4183621311
Enrollment ID: I20240212001269
Provider NameKaren Felicia Stephens-vasser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790427631
PECOS PAC ID: 7416391842
Enrollment ID: I20240214000202
Provider NameSenelisiwe Nozipho Ncube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457125700
PECOS PAC ID: 3678917762
Enrollment ID: I20240216001369
Provider NameShoshana Guttman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669249538
PECOS PAC ID: 1850835935
Enrollment ID: I20240701000343
Provider NameMarilyn Stanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538567235
PECOS PAC ID: 5294271144
Enrollment ID: I20240726002713
Provider NameBlima Krasnow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548004914
PECOS PAC ID: 6103350590
Enrollment ID: I20241107001942
Provider NameJemilat Azeez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700404167
PECOS PAC ID: 8921418153
Enrollment ID: I20241229000054
Provider NameMakeisha Lewis Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588214530
PECOS PAC ID: 5890222020
Enrollment ID: I20241230000005

Reviews and Comments


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Cardiac Disease Specialists, Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309
Phone: 404-351-3231    Fax: 404-351-3167

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.