| North Atlanta Primary Care, P.C. | |
|
3905 Brookside Pkwy Ste 300 Alpharetta GA 30022-4458 | |
| (770) 442-1911 | |
| (770) 442-0306 |
| Full Name | North Atlanta Primary Care, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 3905 Brookside Pkwy Ste 300, Alpharetta, Georgia |
| Authorized Official Name and Position | Thomas E Bat (PRESIDENT) |
| Authorized Official Contact | 7704421911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Primary Care, P.C. Po Box 117598 Atlanta GA 30368-7598 Ph: (770) 442-1911 | North Atlanta Primary Care, P.C. 3905 Brookside Pkwy Ste 300 Alpharetta GA 30022-4458 Ph: (770) 442-1911 |
| NPI Number | 1235296054 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 3577559673 |
|---|---|
| Medicare Enrollment ID | O20040423000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235296054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mohammad N Al Shroof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578519286 PECOS PAC ID: 4688579733 Enrollment ID: I20031203000237 |
| Provider Name | Sheryl a Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821151978 PECOS PAC ID: 3971402892 Enrollment ID: I20040108000584 |
| Provider Name | Andrew J Slavico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255486056 PECOS PAC ID: 8426950056 Enrollment ID: I20040123000803 |
| Provider Name | Dinakara B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914975 PECOS PAC ID: 1557264553 Enrollment ID: I20040128000639 |
| Provider Name | Raghu N Lolabhattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851397368 PECOS PAC ID: 2567352941 Enrollment ID: I20040318000950 |
| Provider Name | Vijitha P Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275520090 PECOS PAC ID: 7618969767 Enrollment ID: I20040401000092 |
| Provider Name | Renee E Corley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972605624 PECOS PAC ID: 9436121118 Enrollment ID: I20040812000296 |
| Provider Name | Daren C Wannamaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780795708 PECOS PAC ID: 9032183025 Enrollment ID: I20040825000180 |
| Provider Name | Shalyn Ahmadi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629051263 PECOS PAC ID: 8527036680 Enrollment ID: I20040917000376 |
| Provider Name | Mokhtar Hacena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861448110 PECOS PAC ID: 1951367119 Enrollment ID: I20041209000027 |
| Provider Name | Dinee M Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063407377 PECOS PAC ID: 0941268460 Enrollment ID: I20041229000836 |
| Provider Name | Oliver G Heinle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942283460 PECOS PAC ID: 9537118799 Enrollment ID: I20050114000613 |
| Provider Name | Tama L Syrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639153422 PECOS PAC ID: 5698727238 Enrollment ID: I20050211000489 |
| Provider Name | Anupama S Ravikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184719122 PECOS PAC ID: 7113974981 Enrollment ID: I20050404000855 |
| Provider Name | Karunaker R Sripathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087406 PECOS PAC ID: 2961443478 Enrollment ID: I20050517000411 |
| Provider Name | Loren C King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780734202 PECOS PAC ID: 6800822008 Enrollment ID: I20050711000310 |
| Provider Name | Syamala Devi Erramilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891706974 PECOS PAC ID: 4486671401 Enrollment ID: I20051031000194 |
| Provider Name | James Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790715621 PECOS PAC ID: 3375565575 Enrollment ID: I20060103000333 |
| Provider Name | Catherine a Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124178553 PECOS PAC ID: 5799799797 Enrollment ID: I20060130000295 |
| Provider Name | Charles D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346256385 PECOS PAC ID: 8325058407 Enrollment ID: I20060503000766 |
| Provider Name | Ralph E Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700820198 PECOS PAC ID: 8820059157 Enrollment ID: I20060505000432 |
| Provider Name | Raymond Campbell Mckoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295741460 PECOS PAC ID: 7214949197 Enrollment ID: I20060614000022 |
| Provider Name | Ralph Jr Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093758294 PECOS PAC ID: 5799797353 Enrollment ID: I20060622000264 |
| Provider Name | Pamela R Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780605295 PECOS PAC ID: 0749283497 Enrollment ID: I20060818000003 |
| Provider Name | James a Mcquown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114928470 PECOS PAC ID: 7113920752 Enrollment ID: I20060821000223 |
| Provider Name | Mohammad F Aryanpure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164439709 PECOS PAC ID: 2961407804 Enrollment ID: I20060927000147 |
| Provider Name | Amy D Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225122435 PECOS PAC ID: 8921006495 Enrollment ID: I20061116000247 |
| Provider Name | Deborah J Bessinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952490302 PECOS PAC ID: 4486652997 Enrollment ID: I20061116000520 |
| Provider Name | Peter E Allotey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164482808 PECOS PAC ID: 6103921499 Enrollment ID: I20070416000093 |
| Provider Name | Poonam Ramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033111349 PECOS PAC ID: 7416052725 Enrollment ID: I20070416000327 |
| Provider Name | Mahboob Aamer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437266202 PECOS PAC ID: 8022031335 Enrollment ID: I20070503000520 |
| Provider Name | Grace I Misaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558340349 PECOS PAC ID: 0042318644 Enrollment ID: I20070605000597 |
| Provider Name | Kevin T Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841204377 PECOS PAC ID: 1850315953 Enrollment ID: I20070628000121 |
| Provider Name | Lindsay a Lepage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548305014 PECOS PAC ID: 6709987605 Enrollment ID: I20070723000238 |
| Provider Name | Kellie Kozma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245430701 PECOS PAC ID: 2961576731 Enrollment ID: I20080729000241 |
| Provider Name | John Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619131299 PECOS PAC ID: 6608943121 Enrollment ID: I20080925000503 |
| Provider Name | Carlos R Buchhammer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992744015 PECOS PAC ID: 7719043744 Enrollment ID: I20090227000054 |
| Provider Name | Joanne Talley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245490549 PECOS PAC ID: 4082763172 Enrollment ID: I20090520000224 |
| Provider Name | Venkata C Mallu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598949547 PECOS PAC ID: 9931251725 Enrollment ID: I20090708000482 |
| Provider Name | Natasha a Stinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841438520 PECOS PAC ID: 4082750419 Enrollment ID: I20091015000056 |
| Provider Name | Jeffrey Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154410538 PECOS PAC ID: 7012010655 Enrollment ID: I20091228000054 |
| Provider Name | Ulrike Maria Korte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740321108 PECOS PAC ID: 0749322832 Enrollment ID: I20100128000112 |
| Provider Name | Thomas Bat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172410 PECOS PAC ID: 0244244804 Enrollment ID: I20100208000008 |
| Provider Name | Hamant B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962459222 PECOS PAC ID: 5496898652 Enrollment ID: I20100210000322 |
| Provider Name | Tracy M Lantaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225365349 PECOS PAC ID: 2769525948 Enrollment ID: I20100210000526 |
| Provider Name | William R Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760572754 PECOS PAC ID: 5294879201 Enrollment ID: I20100215000202 |
| Provider Name | Larry Bergere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609966613 PECOS PAC ID: 9638213648 Enrollment ID: I20100215000231 |
| Provider Name | Rafael J Aguila |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144328717 PECOS PAC ID: 7810024627 Enrollment ID: I20100428000311 |
| Provider Name | Richard K Shack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942313572 PECOS PAC ID: 0446253512 Enrollment ID: I20100712000324 |
| Provider Name | John S Antalis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265420731 PECOS PAC ID: 2961546486 Enrollment ID: I20100826000042 |
| Provider Name | Jeffrey Culpepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245222637 PECOS PAC ID: 2567586308 Enrollment ID: I20100831000091 |
| Provider Name | Anilkumar Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578519658 PECOS PAC ID: 3779569579 Enrollment ID: I20100914000032 |
| Provider Name | Aruna Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891742565 PECOS PAC ID: 7911022942 Enrollment ID: I20100915000190 |
| Provider Name | Appavuchetty Soundappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912951500 PECOS PAC ID: 9335152867 Enrollment ID: I20100922000156 |
| Provider Name | Roger George Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215011663 PECOS PAC ID: 6103018973 Enrollment ID: I20101012000627 |
| Provider Name | Anayo Umerah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003986761 PECOS PAC ID: 6608896295 Enrollment ID: I20101014000945 |
| Provider Name | Rani S Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841218013 PECOS PAC ID: 9234177262 Enrollment ID: I20101018000985 |
| Provider Name | Kimberly a Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518268838 PECOS PAC ID: 7315134640 Enrollment ID: I20101213000102 |
| Provider Name | Girija Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487762084 PECOS PAC ID: 7416071204 Enrollment ID: I20110126000698 |
| Provider Name | Michelle Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881677458 PECOS PAC ID: 9133308547 Enrollment ID: I20110131000773 |
| Provider Name | Neil K Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427213826 PECOS PAC ID: 0749462778 Enrollment ID: I20110311000102 |
| Provider Name | Terence Moraczewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273422 PECOS PAC ID: 1759564925 Enrollment ID: I20110325000012 |
| Provider Name | David L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962486381 PECOS PAC ID: 2365628229 Enrollment ID: I20110511000302 |
| Provider Name | Kimberly N Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043367840 PECOS PAC ID: 2567537731 Enrollment ID: I20110823000678 |
| Provider Name | Jonathan M Kerley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568442689 PECOS PAC ID: 0345133757 Enrollment ID: I20111201000703 |
| Provider Name | Kathryn Koehler Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394109 PECOS PAC ID: 6002083946 Enrollment ID: I20120118000461 |
| Provider Name | Derek Heldzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336442037 PECOS PAC ID: 6002078623 Enrollment ID: I20120427000071 |
| Provider Name | Maryn C Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053672709 PECOS PAC ID: 5890941892 Enrollment ID: I20120807000621 |
| Provider Name | Satishkumar Mudduranganath Ganjam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053587949 PECOS PAC ID: 4385818236 Enrollment ID: I20120828000311 |
| Provider Name | Michael John Renner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386602662 PECOS PAC ID: 9335166578 Enrollment ID: I20130228000306 |
| Provider Name | Kanyan Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871721068 PECOS PAC ID: 7315183738 Enrollment ID: I20130409000405 |
| Provider Name | Shearin Higgs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740258896 PECOS PAC ID: 5294875563 Enrollment ID: I20130710000169 |
| Provider Name | Bryce S Cowgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915191 PECOS PAC ID: 2365685765 Enrollment ID: I20130904000827 |
| Provider Name | Megan D Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710315379 PECOS PAC ID: 6103053004 Enrollment ID: I20131223000791 |
| Provider Name | Stacey Favre Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043633985 PECOS PAC ID: 4688807415 Enrollment ID: I20140520002634 |
| Provider Name | Selvi Fults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760806111 PECOS PAC ID: 0547486110 Enrollment ID: I20140717001745 |
| Provider Name | Sharmin Banu Anam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922307610 PECOS PAC ID: 9931328036 Enrollment ID: I20140923001564 |
| Provider Name | Chiquita M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306255690 PECOS PAC ID: 9931320900 Enrollment ID: I20141016002521 |
| Provider Name | Stephanie S Wellborn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063828408 PECOS PAC ID: 4587885488 Enrollment ID: I20141017001238 |
| Provider Name | Kristi L Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245261 PECOS PAC ID: 8921320557 Enrollment ID: I20141209001991 |
| Provider Name | Laura Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441080 PECOS PAC ID: 6204150766 Enrollment ID: I20150112000765 |
| Provider Name | Stephen Hartle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013311307 PECOS PAC ID: 6204152689 Enrollment ID: I20150302001403 |
| Provider Name | Allison Hemingway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063571354 PECOS PAC ID: 6406173590 Enrollment ID: I20150423001508 |
| Provider Name | Brandon T Hector |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710378609 PECOS PAC ID: 7012234198 Enrollment ID: I20150423002248 |
| Provider Name | Buthena Ahmed Nagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255609350 PECOS PAC ID: 2466773742 Enrollment ID: I20150611002974 |
| Provider Name | Richard Lawrence Antonio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982998977 PECOS PAC ID: 7810134756 Enrollment ID: I20151124001321 |
| Provider Name | Kimberly Ann Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396117081 PECOS PAC ID: 1052612611 Enrollment ID: I20151228000171 |
| Provider Name | Amira Mahmoud Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982720827 PECOS PAC ID: 8921250580 Enrollment ID: I20160108002102 |
| Provider Name | Arielle H Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841555893 PECOS PAC ID: 2668608068 Enrollment ID: I20160301000404 |
| Provider Name | Hiroyuki Tada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710346895 PECOS PAC ID: 7911203708 Enrollment ID: I20160303001946 |
| Provider Name | Janssen Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568548790 PECOS PAC ID: 9133279698 Enrollment ID: I20160408001038 |
| Provider Name | Frances Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922238260 PECOS PAC ID: 3274822929 Enrollment ID: I20160518002757 |
| Provider Name | Christy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306293592 PECOS PAC ID: 4880988534 Enrollment ID: I20160803002584 |
| Provider Name | Rachel Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373846 PECOS PAC ID: 2769777952 Enrollment ID: I20160826001896 |
| Provider Name | Sandra Deconza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467418723 PECOS PAC ID: 7214013374 Enrollment ID: I20160929002238 |
| Provider Name | Rohini Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801138052 PECOS PAC ID: 1658677570 Enrollment ID: I20161018003047 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023408291 PECOS PAC ID: 8325365943 Enrollment ID: I20161024001025 |
| Provider Name | Vera Lafosse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104265016 PECOS PAC ID: 9638312390 Enrollment ID: I20161116000805 |
| Provider Name | Delana a Bongiovanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073987715 PECOS PAC ID: 3870874456 Enrollment ID: I20161220001702 |
| Provider Name | Pamela Evette Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851834998 PECOS PAC ID: 2062793359 Enrollment ID: I20161228001069 |
| Provider Name | Sharonda Lasha Basby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669875225 PECOS PAC ID: 2567766090 Enrollment ID: I20170117001545 |
| Provider Name | Qian Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657333 PECOS PAC ID: 3274817382 Enrollment ID: I20170308001564 |
| Provider Name | Gary S Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245307735 PECOS PAC ID: 3779478730 Enrollment ID: I20170308001970 |
| Provider Name | Rosalyn a Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609209519 PECOS PAC ID: 6709042526 Enrollment ID: I20170802001448 |
| Provider Name | Sibyl L Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477082477 PECOS PAC ID: 8426329590 Enrollment ID: I20170808001600 |
| Provider Name | Linda S Vanosdol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922355 PECOS PAC ID: 1557633625 Enrollment ID: I20170824000818 |
| Provider Name | Princess Bejacmar Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082549 PECOS PAC ID: 0749547578 Enrollment ID: I20171201002138 |
| Provider Name | Latera D Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407193014 PECOS PAC ID: 6204195795 Enrollment ID: I20180108002345 |
| Provider Name | Brittany L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007829 PECOS PAC ID: 3476818584 Enrollment ID: I20180521000008 |
| Provider Name | Jerrica Miles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063956431 PECOS PAC ID: 8123373644 Enrollment ID: I20180623000164 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336566561 PECOS PAC ID: 6800195397 Enrollment ID: I20180709001313 |
| Provider Name | Aimee Rieker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396233268 PECOS PAC ID: 9931450996 Enrollment ID: I20181002000000 |
| Provider Name | Brently T Madaris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285704957 PECOS PAC ID: 1254333552 Enrollment ID: I20181011000307 |
| Provider Name | Sharon L King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508928821 PECOS PAC ID: 4385661685 Enrollment ID: I20181011001145 |
| Provider Name | Jasmine Theresa Konn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821436957 PECOS PAC ID: 5395034433 Enrollment ID: I20181019001404 |
| Provider Name | Tamika a Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206294 PECOS PAC ID: 8022361849 Enrollment ID: I20181024003126 |
| Provider Name | Johnny Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497166623 PECOS PAC ID: 0941577571 Enrollment ID: I20181109001784 |
| Provider Name | Chung H. Yoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235368630 PECOS PAC ID: 0941466072 Enrollment ID: I20181112000182 |
| Provider Name | Doreen Abrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801361845 PECOS PAC ID: 3779824966 Enrollment ID: I20190417000576 |
| Provider Name | Sandra Bernette Broomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760948434 PECOS PAC ID: 7416280110 Enrollment ID: I20190612001598 |
| Provider Name | Yolanda R Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114484201 PECOS PAC ID: 1759546583 Enrollment ID: I20190731003646 |
| Provider Name | Cynthia Moore Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649748096 PECOS PAC ID: 8022345321 Enrollment ID: I20190808003782 |
| Provider Name | Judith Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134784481 PECOS PAC ID: 3577892157 Enrollment ID: I20190906001634 |
| Provider Name | Michelle Alexis Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336325679 PECOS PAC ID: 1355670555 Enrollment ID: I20190913001250 |
| Provider Name | Christine Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740649771 PECOS PAC ID: 7911293782 Enrollment ID: I20190930001231 |
| Provider Name | Carlos Alberto Prays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902256555 PECOS PAC ID: 3072809417 Enrollment ID: I20191016001758 |
| Provider Name | Kelsay Paige Mcfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438619 PECOS PAC ID: 3072836816 Enrollment ID: I20191030002271 |
| Provider Name | Jamekia L Kitchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295385557 PECOS PAC ID: 7416289764 Enrollment ID: I20191106000698 |
| Provider Name | Ian David Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326267048 PECOS PAC ID: 6103258355 Enrollment ID: I20191109000144 |
| Provider Name | Jessica Henrietta Oppong Asumadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710379730 PECOS PAC ID: 8022308246 Enrollment ID: I20200213001717 |
| Provider Name | Ugochi Ezeala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154663664 PECOS PAC ID: 6507157997 Enrollment ID: I20200323003173 |
| Provider Name | Deandra D Mcduffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326311895 PECOS PAC ID: 6204264203 Enrollment ID: I20200324003452 |
| Provider Name | Jenna Rubin Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164066106 PECOS PAC ID: 6204265556 Enrollment ID: I20200407003482 |
| Provider Name | Christopher Chiappetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972140861 PECOS PAC ID: 2062839061 Enrollment ID: I20200903003105 |
| Provider Name | Ashley Dekira Poullard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447770532 PECOS PAC ID: 4587936687 Enrollment ID: I20201005001573 |
| Provider Name | Heather Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538768866 PECOS PAC ID: 8325459365 Enrollment ID: I20201124001723 |
| Provider Name | Maureen Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427652114 PECOS PAC ID: 9638582257 Enrollment ID: I20201228001913 |
| Provider Name | Bradley R Keel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003041641 PECOS PAC ID: 9436305042 Enrollment ID: I20210322002406 |
| Provider Name | Anna Michelle Fenstermaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396360327 PECOS PAC ID: 9133536246 Enrollment ID: I20210407001077 |
| Provider Name | Adelaida L Mayeta Peart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881211233 PECOS PAC ID: 6800204983 Enrollment ID: I20210412000555 |
| Provider Name | Carolina June Kvietkus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689208209 PECOS PAC ID: 5193133098 Enrollment ID: I20210414000179 |
| Provider Name | Alyssa Hemmen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053802595 PECOS PAC ID: 3678981511 Enrollment ID: I20210414001782 |
| Provider Name | Katherine Ann Rylant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780103432 PECOS PAC ID: 7416365374 Enrollment ID: I20210414002635 |
| Provider Name | Danielle Williamson Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285167015 PECOS PAC ID: 1456628122 Enrollment ID: I20210426002064 |
| Provider Name | Omar M Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952833881 PECOS PAC ID: 0749524593 Enrollment ID: I20210506003136 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710373816 PECOS PAC ID: 4880997717 Enrollment ID: I20210507001494 |
| Provider Name | Dana Lee Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649879818 PECOS PAC ID: 2961811526 Enrollment ID: I20210511002509 |
| Provider Name | Susan E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376143446 PECOS PAC ID: 4789084096 Enrollment ID: I20210608002100 |
| Provider Name | Stephanie Mukangu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073193652 PECOS PAC ID: 7113328592 Enrollment ID: I20210623000124 |
| Provider Name | Dawn Anne Whittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467038026 PECOS PAC ID: 3375944705 Enrollment ID: I20210623001533 |
| Provider Name | Tracy P Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942494307 PECOS PAC ID: 0941395248 Enrollment ID: I20210707002901 |
| Provider Name | Lindsey Shea Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295108546 PECOS PAC ID: 2567866379 Enrollment ID: I20210802000761 |
| Provider Name | Charity Baker Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609235357 PECOS PAC ID: 3678865904 Enrollment ID: I20210804002925 |
| Provider Name | Vernisha Nicole Hearn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093249807 PECOS PAC ID: 5092087890 Enrollment ID: I20210810003045 |
| Provider Name | Ye Seul Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780141150 PECOS PAC ID: 8921403734 Enrollment ID: I20210817002178 |
| Provider Name | Preethi Mereddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023503331 PECOS PAC ID: 6002168341 Enrollment ID: I20210902002483 |
| Provider Name | Kezia Alex |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942797949 PECOS PAC ID: 7214267129 Enrollment ID: I20210916001754 |
| Provider Name | Swati Pullamaraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982915633 PECOS PAC ID: 4688800196 Enrollment ID: I20210917000083 |
| Provider Name | Jared K Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407407828 PECOS PAC ID: 2769870757 Enrollment ID: I20211025001134 |
| Provider Name | Caitlyn Victoria Cartwright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346700242 PECOS PAC ID: 9234527698 Enrollment ID: I20211104000828 |
| Provider Name | Ebimoboere Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140750 PECOS PAC ID: 1658634225 Enrollment ID: I20211112002205 |
| Provider Name | Myong J Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518233782 PECOS PAC ID: 9739495748 Enrollment ID: I20211114000014 |
| Provider Name | Aly Hashim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700366887 PECOS PAC ID: 0648660712 Enrollment ID: I20211203000387 |
| Provider Name | Khushbuben S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124552070 PECOS PAC ID: 3678823432 Enrollment ID: I20211203000699 |
| Provider Name | John Will Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528724812 PECOS PAC ID: 6305237280 Enrollment ID: I20220104001086 |
| Provider Name | Sarah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952995235 PECOS PAC ID: 0648662254 Enrollment ID: I20220111001605 |
| Provider Name | Tara Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689295248 PECOS PAC ID: 1355733569 Enrollment ID: I20220120002432 |
| Provider Name | Mark Whitmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831373992 PECOS PAC ID: 4587955398 Enrollment ID: I20220124000215 |
| Provider Name | Kara L Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629448584 PECOS PAC ID: 7315242518 Enrollment ID: I20220124000816 |
| Provider Name | Victoria Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952066904 PECOS PAC ID: 9032504972 Enrollment ID: I20220311001210 |
| Provider Name | Joane Buteau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386195345 PECOS PAC ID: 1254671092 Enrollment ID: I20220316000785 |
| Provider Name | Michaela Sejdic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699345827 PECOS PAC ID: 0648665224 Enrollment ID: I20220317000723 |
| Provider Name | Allison Vogel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588068803 PECOS PAC ID: 1153632872 Enrollment ID: I20220322001248 |
| Provider Name | Adrianne Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538718333 PECOS PAC ID: 3577959279 Enrollment ID: I20220406000242 |
| Provider Name | Natacha Etienne Mpile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538671532 PECOS PAC ID: 8820484124 Enrollment ID: I20220414000965 |
| Provider Name | Amanda Bostock Sowisdral |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083133912 PECOS PAC ID: 8325308026 Enrollment ID: I20220420000231 |
| Provider Name | Matthew Holt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487889085 PECOS PAC ID: 7719299320 Enrollment ID: I20220426002468 |
| Provider Name | Stefanie Solomon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689001315 PECOS PAC ID: 0941572341 Enrollment ID: I20220503000948 |
| Provider Name | Karen G Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598832792 PECOS PAC ID: 9133160278 Enrollment ID: I20220509000134 |
| Provider Name | Alana Michele Villada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578069076 PECOS PAC ID: 2264864073 Enrollment ID: I20220510001151 |
| Provider Name | Britney Jane Yates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164192092 PECOS PAC ID: 9739566670 Enrollment ID: I20220516002326 |
| Provider Name | Deannaca Latese Golatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073259552 PECOS PAC ID: 0547647117 Enrollment ID: I20220520000052 |
| Provider Name | Dawn Rozar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306594262 PECOS PAC ID: 6800151945 Enrollment ID: I20220523000264 |
| Provider Name | Amit S Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774141 PECOS PAC ID: 5193051449 Enrollment ID: I20220601000643 |
| Provider Name | David Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316567928 PECOS PAC ID: 5597144006 Enrollment ID: I20220614000019 |
| Provider Name | Christina Anna Nicole Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043940141 PECOS PAC ID: 1658750245 Enrollment ID: I20220628003189 |
| Provider Name | Marian Rose Leach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568945400 PECOS PAC ID: 1153701859 Enrollment ID: I20220711003593 |
| Provider Name | Mystical Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982338737 PECOS PAC ID: 2062894017 Enrollment ID: I20220808001171 |
| Provider Name | Alix Ya Li Zackon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689309205 PECOS PAC ID: 6406230390 Enrollment ID: I20220825003655 |
| Provider Name | English Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415301 PECOS PAC ID: 3375928096 Enrollment ID: I20220916001084 |
| Provider Name | Leekieshia Dyonne Grimsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487235354 PECOS PAC ID: 1759780711 Enrollment ID: I20220922003654 |
| Provider Name | Jasmine Rose Ling Duan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023767308 PECOS PAC ID: 7517342751 Enrollment ID: I20220923001640 |
| Provider Name | Hannah Reece Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881317196 PECOS PAC ID: 3870969108 Enrollment ID: I20221012000285 |
| Provider Name | Ashley Christina Stepanek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245967322 PECOS PAC ID: 8628444221 Enrollment ID: I20221024001424 |
| Provider Name | Renee Nichols Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407018872 PECOS PAC ID: 1951778034 Enrollment ID: I20221102001060 |
| Provider Name | Shelby Ann Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194491506 PECOS PAC ID: 4486021268 Enrollment ID: I20221108001285 |
| Provider Name | Nida Dewhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518680099 PECOS PAC ID: 2668849381 Enrollment ID: I20221109000055 |
| Provider Name | Hye Sun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598266355 PECOS PAC ID: 2163899766 Enrollment ID: I20221111000573 |
| Provider Name | Janie Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803103 PECOS PAC ID: 8022351972 Enrollment ID: I20221122000121 |
| Provider Name | Hieu Q Duong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497478911 PECOS PAC ID: 7810365715 Enrollment ID: I20221128001295 |
| Provider Name | Sonia D Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518473149 PECOS PAC ID: 6800264573 Enrollment ID: I20221130002482 |
| Provider Name | Amber Dawn Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407940 PECOS PAC ID: 8426427030 Enrollment ID: I20221202001973 |
| Provider Name | Jiwon Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942700729 PECOS PAC ID: 7517336811 Enrollment ID: I20221208001228 |
| Provider Name | Teketa Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649777301 PECOS PAC ID: 6800142944 Enrollment ID: I20221216001397 |
| Provider Name | Jenessa King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881148823 PECOS PAC ID: 8820468416 Enrollment ID: I20221222001454 |
| Provider Name | Rasmine Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528728946 PECOS PAC ID: 0042681447 Enrollment ID: I20230123001702 |
| Provider Name | Jeanette Marie Negrotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235298712 PECOS PAC ID: 9931165677 Enrollment ID: I20230124001027 |
| Provider Name | Kylie Rae Joiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194438010 PECOS PAC ID: 3779954037 Enrollment ID: I20230124001818 |
| Provider Name | Jennifer Kamrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083217038 PECOS PAC ID: 4688086382 Enrollment ID: I20230206001187 |
| Provider Name | Rima Dipak Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720604556 PECOS PAC ID: 2163894213 Enrollment ID: I20230217002356 |
| Provider Name | Rachel Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508445131 PECOS PAC ID: 0042683625 Enrollment ID: I20230301001864 |
| Provider Name | Jung Min Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366193500 PECOS PAC ID: 5193199503 Enrollment ID: I20230327002540 |
| Provider Name | Jennifer Marie Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689387516 PECOS PAC ID: 2365817517 Enrollment ID: I20230331001690 |
| Provider Name | Marie Candy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548517063 PECOS PAC ID: 9931354602 Enrollment ID: I20230403001285 |
| Provider Name | Victoria Virginia Dajani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932832995 PECOS PAC ID: 3971978867 Enrollment ID: I20230406000893 |
| Provider Name | Kiran Kuraishy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871282335 PECOS PAC ID: 8527424696 Enrollment ID: I20230515002944 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20230522001064 |
| Provider Name | Kevin M Spikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083315659 PECOS PAC ID: 7618335688 Enrollment ID: I20230623000165 |
| Provider Name | Betsy Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648398 PECOS PAC ID: 7911239199 Enrollment ID: I20230703001838 |
| Provider Name | Arshia Poursina Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295441400 PECOS PAC ID: 1951760164 Enrollment ID: I20230706002494 |
| Provider Name | Brittney Nicole Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790464287 PECOS PAC ID: 9335509314 Enrollment ID: I20230721003401 |
| Provider Name | Yerie Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960498 PECOS PAC ID: 0244525012 Enrollment ID: I20230726002479 |
| Provider Name | John Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528653243 PECOS PAC ID: 8022471069 Enrollment ID: I20230824000430 |
| Provider Name | Vanessa Rosales West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831878974 PECOS PAC ID: 6002279866 Enrollment ID: I20230825002317 |
| Provider Name | Kristen Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366034746 PECOS PAC ID: 2860892320 Enrollment ID: I20230911002789 |
| Provider Name | Michelle Suzanne Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396521910 PECOS PAC ID: 9335593391 Enrollment ID: I20230925001161 |
| Provider Name | Jill Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316044746 PECOS PAC ID: 6901251412 Enrollment ID: I20231018000585 |
| Provider Name | Liora Farber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912261009 PECOS PAC ID: 3274771944 Enrollment ID: I20231025002990 |
| Provider Name | Catherine Kiende Ndichu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043870967 PECOS PAC ID: 5395191019 Enrollment ID: I20231031003372 |
| Provider Name | Amanda Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245785013 PECOS PAC ID: 2860776481 Enrollment ID: I20231127002226 |
| Provider Name | Ricky Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396079562 PECOS PAC ID: 3375938673 Enrollment ID: I20231128001255 |
| Provider Name | Maisie Thi Hoang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275266173 PECOS PAC ID: 1456709500 Enrollment ID: I20231129002959 |
| Provider Name | Adjoa Duker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881713121 PECOS PAC ID: 0446333264 Enrollment ID: I20231206002581 |
| Provider Name | Chelsea D Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659899375 PECOS PAC ID: 4587921895 Enrollment ID: I20231209000647 |
| Provider Name | Paul Naenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972018364 PECOS PAC ID: 4486032687 Enrollment ID: I20231215001239 |
| Provider Name | Aakash Goyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700373503 PECOS PAC ID: 0143675595 Enrollment ID: I20240209001096 |
| Provider Name | Mckenzie Lee Webster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376233353 PECOS PAC ID: 1557707213 Enrollment ID: I20240315003157 |
| Provider Name | Isis Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386424083 PECOS PAC ID: 8729425277 Enrollment ID: I20240320002286 |
| Provider Name | Kylie Renee Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407571110 PECOS PAC ID: 0446697494 Enrollment ID: I20240326001913 |
| Provider Name | Amber Dashai King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689439960 PECOS PAC ID: 6305284753 Enrollment ID: I20240403003554 |
| Provider Name | Lauren Chelsie Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457104754 PECOS PAC ID: 2961842802 Enrollment ID: I20240425003295 |
| Provider Name | Laetitia Arvel Badio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033679022 PECOS PAC ID: 2769823806 Enrollment ID: I20240507003509 |
| Provider Name | Kandelorea Starr Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679056543 PECOS PAC ID: 4688016777 Enrollment ID: I20240521001701 |
| Provider Name | Katrina Michelle Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568201572 PECOS PAC ID: 5395187926 Enrollment ID: I20240528001710 |
| Provider Name | David a Sarnow |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609914431 PECOS PAC ID: 5991247264 Enrollment ID: I20240603002542 |
| Provider Name | Tharani Sundararajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376102285 PECOS PAC ID: 3678807146 Enrollment ID: I20240611002351 |
| Provider Name | Alozie Amarachukwu Mbanaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568040814 PECOS PAC ID: 5597166959 Enrollment ID: I20240715000412 |
| Provider Name | Kimesha T Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477308807 PECOS PAC ID: 4688110364 Enrollment ID: I20240718003341 |
| Provider Name | John Dwight Richmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134112915 PECOS PAC ID: 1658408000 Enrollment ID: I20240726001710 |
| Provider Name | Halie Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588396329 PECOS PAC ID: 1153860663 Enrollment ID: I20240828003906 |
| Provider Name | Tanja Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801662382 PECOS PAC ID: 7810436201 Enrollment ID: I20240829001584 |
| Provider Name | Demi Sharice Tarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073292371 PECOS PAC ID: 1355882119 Enrollment ID: I20240919002288 |
| Provider Name | Joan Bang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497317937 PECOS PAC ID: 4688105836 Enrollment ID: I20240930001422 |
| Provider Name | Gina Leeann Bauknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043046519 PECOS PAC ID: 8426589177 Enrollment ID: I20241004001447 |
| Provider Name | Courtney Victoria Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700569837 PECOS PAC ID: 8123468030 Enrollment ID: I20241012000367 |
| Provider Name | Sally Wu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497478580 PECOS PAC ID: 4284166224 Enrollment ID: I20241016001441 |
| Provider Name | Suhani J Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043056633 PECOS PAC ID: 8921531302 Enrollment ID: I20241023003039 |
| Provider Name | Adriana Nicole Garrido |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922834365 PECOS PAC ID: 5496282956 Enrollment ID: I20241220003714 |
| Provider Name | Oana S Ciurea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114230810 PECOS PAC ID: 9032399894 Enrollment ID: I20241227000207 |
| Provider Name | Lauren Accor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578251633 PECOS PAC ID: 2769919083 Enrollment ID: I20241227002569 |
| Provider Name | Cherri Lynne Hulsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669187571 PECOS PAC ID: 1557899416 Enrollment ID: I20250107000762 |
| Provider Name | Ahmad Al-dabagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104858794 PECOS PAC ID: 3971400920 Enrollment ID: I20250214001404 |
| Provider Name | Sophie Amelia Sidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871398859 PECOS PAC ID: 1658898127 Enrollment ID: I20250508000091 |
| Provider Name | Chanel Antionette Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902792179 PECOS PAC ID: 8628585684 Enrollment ID: I20250725001915 |
| Provider Name | Emily Haugen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023801610 PECOS PAC ID: 5496262461 Enrollment ID: I20250725002277 |
| Provider Name | Shannon Griggs Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225911126 PECOS PAC ID: 1355849761 Enrollment ID: I20250813002918 |
| Provider Name | Ashley Absolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992446702 PECOS PAC ID: 9537668496 Enrollment ID: I20250818002215 |
| Provider Name | Daviea Antoinette Taylor-hicks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033141734 PECOS PAC ID: 6608377718 Enrollment ID: I20250829003167 |
| Provider Name | Jaiel Lockett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508546763 PECOS PAC ID: 3971000555 Enrollment ID: I20251009000823 |
| Provider Name | Felicia Shunta Rozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073495677 PECOS PAC ID: 1153819008 Enrollment ID: I20251022002824 |
| Provider Name | Neda Akbarshahi Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497639777 PECOS PAC ID: 4082106786 Enrollment ID: I20251120001988 |
| Provider Name | Erica Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527896 PECOS PAC ID: 6406246214 Enrollment ID: I20251124004416 |
| Provider Name | Kaylee Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298090 PECOS PAC ID: 7911139167 Enrollment ID: I20251210004517 |
| Provider Name | Sirui Pan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174339097 PECOS PAC ID: 6305324328 Enrollment ID: I20260131000922 |
| Provider Name | Otabek Elmurodov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972035632 PECOS PAC ID: 0547538357 Enrollment ID: I20260305001309 |
| Provider Name | John Ross Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912591629 PECOS PAC ID: 0042658445 Enrollment ID: I20260312002254 |
| Provider Name | Laura Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265383095 PECOS PAC ID: 3274017116 Enrollment ID: I20260319000535 |
| Provider Name | Luce Solari-suprena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023420858 PECOS PAC ID: 5294055992 Enrollment ID: I20260325003271 |
| Provider Name | Joanne Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922503085 PECOS PAC ID: 8527302165 Enrollment ID: I20260403001070 |
| Provider Name | Natasha Hanson Okorley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356824478 PECOS PAC ID: 9931443785 Enrollment ID: I20260416000636 |
| Provider Name | Ellie Parrish Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295699288 PECOS PAC ID: 0446727762 Enrollment ID: I20260424000031 |
| Provider Name | Kierra Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639018633 PECOS PAC ID: 8820567472 Enrollment ID: I20260513002649 |
| Provider Name | Kaylee Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396612479 PECOS PAC ID: 4880165075 Enrollment ID: I20260609001415 |
| Provider Name | Oluwatomilola Oluwapelumi Makinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972466712 PECOS PAC ID: 5294208864 Enrollment ID: I20260624005119 |
At&t Alpharetta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Point Pkwy Rm 131a06, Alpharetta, GA 30005 Phone: 404-850-6054 Fax: 404-795-0572 |
Living Well Primary Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Crabapple Rd Ste 202-313, Alpharetta, GA 30004 Phone: 404-819-7660 Fax: 404-393-7788 |
James L. Stewart, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Old Alabama Rd, Suite 230, Alpharetta, GA 30022 Phone: 770-740-8550 Fax: 770-740-9338 |
New Era Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11175 Cicero Drive, Suite 100, Alpharetta, GA 30022 Phone: 678-534-5900 Fax: 678-534-5910 |
Urgent Care Clinics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 Nocturne Dr Unit 2203, Alpharetta, GA 30009 Phone: 216-731-1919 |
Milton Medical Group, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 N Main St, 1100, Alpharetta, GA 30009 Phone: 678-827-9157 Fax: 470-299-6262 |