| Medical Associates Professional Services, Llc | |
|
320 Hospital Rd Canton GA 30114-2432 | |
| (855) 709-4535 | |
| Not Available |
| Full Name | Medical Associates Professional Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Hospital Rd, Canton, Georgia |
| Authorized Official Name and Position | Jorge J. Hernandez (VP-ADMIN, CCO) |
| Authorized Official Contact | 4048516378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Professional Services, Llc 1100 Johnson Ferry Rd Suite 780 Atlanta GA 30342-1709 Ph: () - | Medical Associates Professional Services, Llc 320 Hospital Rd Canton GA 30114-2432 Ph: (855) 709-4535 |
| NPI Number | 1083041867 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 1355578485 |
|---|---|
| Medicare Enrollment ID | O20131218000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083041867 | NPI | - | NPPES |
| Provider Name | Virgil Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689885501 PECOS PAC ID: 0042272866 Enrollment ID: I20041103000097 |
| Provider Name | Jill D Rossrucker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730122912 PECOS PAC ID: 1052376910 Enrollment ID: I20041119001040 |
| Provider Name | Steven M Lobel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1881665248 PECOS PAC ID: 3476598822 Enrollment ID: I20050627000006 |
| Provider Name | Scott D Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205843588 PECOS PAC ID: 3375574049 Enrollment ID: I20050909000073 |
| Provider Name | Angela S Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780672840 PECOS PAC ID: 0840210837 Enrollment ID: I20051206000468 |
| Provider Name | Jose Eduardo De Lima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760598924 PECOS PAC ID: 3375540586 Enrollment ID: I20061101000249 |
| Provider Name | Nilanee A Karikaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114008927 PECOS PAC ID: 6800990839 Enrollment ID: I20070402000361 |
| Provider Name | Victor W Chen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417950668 PECOS PAC ID: 4385613017 Enrollment ID: I20080811000138 |
| Provider Name | Lana Law |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164443115 PECOS PAC ID: 8224037833 Enrollment ID: I20100818000632 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20100922000524 |
| Provider Name | Anne Berry Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346265402 PECOS PAC ID: 7012100589 Enrollment ID: I20101018000656 |
| Provider Name | Janice D Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902036999 PECOS PAC ID: 2567509003 Enrollment ID: I20110104000515 |
| Provider Name | Casey E. Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621247 PECOS PAC ID: 9133301336 Enrollment ID: I20110309000628 |
| Provider Name | Catherine D. Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619984820 PECOS PAC ID: 1951583079 Enrollment ID: I20110310000926 |
| Provider Name | William Paul Early |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881994077 PECOS PAC ID: 0446434153 Enrollment ID: I20110405000039 |
| Provider Name | Tarra M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295722973 PECOS PAC ID: 2264418474 Enrollment ID: I20110629000400 |
| Provider Name | Ayisha Gani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629050638 PECOS PAC ID: 0749349710 Enrollment ID: I20111024000704 |
| Provider Name | Nokuthula Msimanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104950096 PECOS PAC ID: 1759469562 Enrollment ID: I20120106000537 |
| Provider Name | Catherine Nicole Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386968 PECOS PAC ID: 1456572189 Enrollment ID: I20141022002144 |
| Provider Name | Lucia V Ocanoviciu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659765832 PECOS PAC ID: 5294044228 Enrollment ID: I20151014001311 |
| Provider Name | Salvatore A Bruni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285909515 PECOS PAC ID: 1153621040 Enrollment ID: I20151125001028 |
| Provider Name | Kristin Nd Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114388378 PECOS PAC ID: 9830498948 Enrollment ID: I20160425000433 |
| Provider Name | Avanthi Doppalapudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508043779 PECOS PAC ID: 0143491258 Enrollment ID: I20160926001063 |
| Provider Name | Kathy A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780033118 PECOS PAC ID: 8729367172 Enrollment ID: I20161108001190 |
| Provider Name | Nonna R Livits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747313 PECOS PAC ID: 4880901719 Enrollment ID: I20190115001654 |
| Provider Name | Adriana Virginia Acosta-prows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699161513 PECOS PAC ID: 0547579450 Enrollment ID: I20190327001557 |
| Provider Name | Mustafa T Mukati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922563360 PECOS PAC ID: 8628308608 Enrollment ID: I20190918002747 |
| Provider Name | Christina Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932414 PECOS PAC ID: 4486975620 Enrollment ID: I20191021003489 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20210119002956 |
| Provider Name | Faryal Sterger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114592292 PECOS PAC ID: 4789084989 Enrollment ID: I20210609002326 |
| Provider Name | Kimberly Mcbroom Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518620905 PECOS PAC ID: 2860882156 Enrollment ID: I20211130002186 |
| Provider Name | Dipakkumar Premanand Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083606727 PECOS PAC ID: 2860564655 Enrollment ID: I20230313001229 |
| Provider Name | Matthew Elijah Ilao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037701 PECOS PAC ID: 9436523867 Enrollment ID: I20230324002042 |
| Provider Name | Arielle Jessica Shetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408185 PECOS PAC ID: 3577920792 Enrollment ID: I20230602002204 |
| Provider Name | Kayla Nicole Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760969554 PECOS PAC ID: 6406270131 Enrollment ID: I20240320000408 |
| Provider Name | Ashley Abbott |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528521648 PECOS PAC ID: 1254662091 Enrollment ID: I20241118000995 |
Donna C. Haley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871 | |
Medical Care Of Georgia, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Medical Ln, Canton, GA 30114 Phone: 770-345-2300 Fax: 770-345-2330 | |
Dima Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy Ste 300, Canton, GA 30115 Phone: 707-111-1111 | |
Mini-med Clinic Of North Georgia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5113 Holly Springs Parkway, Canton, GA 30115 Phone: 470-331-3544 | |
Northcrest Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy, Suite 300, Canton, GA 30114 Phone: 770-720-2113 Fax: 770-704-7365 | |
Northside Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Riverstone Terrace, Suite 100, Canton, GA 30114 Phone: 770-704-9499 Fax: 770-704-9754 |