| Amerimed Mobile Integrated Healthare | |
|
5012 Bristol Industrial Way Suite 110 Buford GA 30518-9050 | |
| (770) 554-9773 | |
| (678) 730-4397 |
| Full Name | Amerimed Mobile Integrated Healthare |
|---|---|
| Speciality | General Practice |
| Location | 5012 Bristol Industrial Way, Buford, Georgia |
| Authorized Official Name and Position | Sally Lee Arnold (NP/CLINICAL MANAGER) |
| Authorized Official Contact | 4789731649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amerimed Mobile Integrated Healthare 5012 Bristol Industrial Way Suite 110 Buford GA 30518-9050 Ph: (770) 554-9773 | Amerimed Mobile Integrated Healthare 5012 Bristol Industrial Way Suite 110 Buford GA 30518-9050 Ph: (770) 554-9773 |
| NPI Number | 1003047184 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 8325383672 |
|---|---|
| Medicare Enrollment ID | O20181214001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003047184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John Henry Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013963917 PECOS PAC ID: 4486553443 Enrollment ID: I20090128000153 |
| Provider Name | Sally Lee Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437580255 PECOS PAC ID: 0749412799 Enrollment ID: I20140407001015 |
| Provider Name | Japan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259731 PECOS PAC ID: 1153605134 Enrollment ID: I20170313000939 |
| Provider Name | Kendranique S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952940470 PECOS PAC ID: 0547671265 Enrollment ID: I20201201000981 |
| Provider Name | Julie Ann Beery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760077564 PECOS PAC ID: 1254747603 Enrollment ID: I20210309002091 |
| Provider Name | Tamika Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922741396 PECOS PAC ID: 4789061649 Enrollment ID: I20220513001933 |
| Provider Name | Jennifer Lynne Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124774336 PECOS PAC ID: 9931579661 Enrollment ID: I20221221001340 |
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