| Healthyconnect Of Atlanta | |
|
3280 Howell Mill Rd Nw Ste 150 Atlanta GA 30327-4102 | |
| (478) 475-1299 | |
| Not Available |
| Full Name | Healthyconnect Of Atlanta |
|---|---|
| Speciality | Internal Medicine |
| Location | 3280 Howell Mill Rd Nw Ste 150, Atlanta, Georgia |
| Authorized Official Name and Position | Craig Peters (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4045560022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthyconnect Of Atlanta Po Box 26040 Macon GA 31221-6040 Ph: (478) 475-1299 | Healthyconnect Of Atlanta 3280 Howell Mill Rd Nw Ste 150 Atlanta GA 30327-4102 Ph: (478) 475-1299 |
| NPI Number | 1780264721 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Medicare PECOS PAC ID | 6507266947 |
|---|---|
| Medicare Enrollment ID | O20210607002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780264721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen Lucas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346235074 PECOS PAC ID: 5890744205 Enrollment ID: I20050131000511 |
| Provider Name | Amy Y Mininberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740373893 PECOS PAC ID: 3274587290 Enrollment ID: I20050311000301 |
| Provider Name | Shraddha Tongia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689718215 PECOS PAC ID: 3577587161 Enrollment ID: I20060123000396 |
| Provider Name | Elizabeth A Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619077906 PECOS PAC ID: 4082623012 Enrollment ID: I20060419000240 |
| Provider Name | Frances S Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194778316 PECOS PAC ID: 4789696568 Enrollment ID: I20060616000130 |
| Provider Name | Elizabeth C Hawk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659327484 PECOS PAC ID: 8123031374 Enrollment ID: I20060711000229 |
| Provider Name | Erica L Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225152044 PECOS PAC ID: 0648375683 Enrollment ID: I20070419000234 |
| Provider Name | Milos Tucakovic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871548024 PECOS PAC ID: 0345334926 Enrollment ID: I20070913000752 |
| Provider Name | Nehal K Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255406377 PECOS PAC ID: 7012975980 Enrollment ID: I20080618000169 |
| Provider Name | Francis H Jenkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487640850 PECOS PAC ID: 2961577002 Enrollment ID: I20080825000156 |
| Provider Name | Jane M Parks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164418661 PECOS PAC ID: 6305912486 Enrollment ID: I20080915000322 |
| Provider Name | Craig Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851486138 PECOS PAC ID: 6305970088 Enrollment ID: I20100817000766 |
| Provider Name | William B Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578657409 PECOS PAC ID: 5294851309 Enrollment ID: I20100927000660 |
| Provider Name | Jose M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033202239 PECOS PAC ID: 3779609763 Enrollment ID: I20100928000314 |
| Provider Name | Welborn C Mcclatchey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437244704 PECOS PAC ID: 3779609516 Enrollment ID: I20100929000618 |
| Provider Name | Deborah Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184761439 PECOS PAC ID: 3375735954 Enrollment ID: I20101014000848 |
| Provider Name | Peter Diaz Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821181900 PECOS PAC ID: 7012181902 Enrollment ID: I20111110000238 |
| Provider Name | Jakemia Monet Coleman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932116373 PECOS PAC ID: 8224183389 Enrollment ID: I20121030000296 |
| Provider Name | Kelly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388430 PECOS PAC ID: 0749427268 Enrollment ID: I20130430000492 |
| Provider Name | Thomas Jason Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245410653 PECOS PAC ID: 6608920954 Enrollment ID: I20130731000796 |
| Provider Name | Eduardo Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265789366 PECOS PAC ID: 7012289382 Enrollment ID: I20170821003232 |
| Provider Name | Andrew C. Mckown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942594973 PECOS PAC ID: 3375703200 Enrollment ID: I20180823001147 |
| Provider Name | Nicholas R Fox |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467748483 PECOS PAC ID: 3476787391 Enrollment ID: I20191023001770 |
| Provider Name | Tenzing Phanthok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659765287 PECOS PAC ID: 2860797198 Enrollment ID: I20200125000436 |
| Provider Name | Afoma Jane King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467890889 PECOS PAC ID: 8820378649 Enrollment ID: I20200930002929 |
| Provider Name | Joshua Colby Cutler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174026967 PECOS PAC ID: 8325398415 Enrollment ID: I20210618000955 |
| Provider Name | Hadassa Legrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861868358 PECOS PAC ID: 7719287572 Enrollment ID: I20220706003297 |
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