Oak Street Health Of Georgia Pc - Medicare Primary Care in Stone Mountain, GA

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Oak Street Health Of Georgia Pc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Stone Mountain, Georgia. The current practice location for Oak Street Health Of Georgia Pc is 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia. For appointments, you can reach them via phone at (470) 444-3134. The mailing address for Oak Street Health Of Georgia Pc is Po Box 740015, Atlanta, Georgia and phone number is (312) 733-9730.

Oak Street Health Of Georgia Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588258024. 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 (470) 444-3134.

Contact Information

Oak Street Health Of Georgia Pc
1825 Rockbridge Rd Ste 15b
Stone Mountain
GA 30087-3306
(470) 444-3134
(470) 276-4370

Map and Direction


Primary Care Clinic Profile

Full NameOak Street Health Of Georgia Pc
SpecialityClinic/Center
Location1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia
Authorized Official Name and PositionGriffin R Myers (CMO)
Authorized Official Contact3072642085
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Street Health Of Georgia Pc
Po Box 740015
Atlanta
GA 30374-0015

Ph: (312) 733-9730		Oak Street Health Of Georgia Pc
1825 Rockbridge Rd Ste 15b
Stone Mountain
GA 30087-3306

Ph: (470) 444-3134

NPI Details:

NPI Number1588258024
Provider Enumeration Date02/25/2021
Last Update Date06/29/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0345658647
Medicare Enrollment IDO20210427001330

Medical Identifiers

Medical identifiers for Oak Street Health Of Georgia Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588258024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (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. Oak Street Health Of Georgia Pc acts as a billing entity for following providers:
Provider NameKhaja J Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902910409
PECOS PAC ID: 0446141436
Enrollment ID: I20040320000696
Provider NameSuzanne Clarke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063470896
PECOS PAC ID: 9830150390
Enrollment ID: I20060525000200
Provider NameIfeoma L Okafor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033226832
PECOS PAC ID: 4284665019
Enrollment ID: I20080423000299
Provider NameDmitriy M Pelishev
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457400251
PECOS PAC ID: 9436246659
Enrollment ID: I20091028000423
Provider NameKathy Lishman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538454368
PECOS PAC ID: 6002094927
Enrollment ID: I20110624000054
Provider NameRomni Maudann Owens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427294966
PECOS PAC ID: 8729250394
Enrollment ID: I20111004000855
Provider NameDianna L White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578584256
PECOS PAC ID: 3678579026
Enrollment ID: I20120904000814
Provider NameNwamaka M Onuigbo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497983639
PECOS PAC ID: 7416105473
Enrollment ID: I20140923001492
Provider NameSawanarry R Forrest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700284098
PECOS PAC ID: 7315265261
Enrollment ID: I20150406001302
Provider NameLakeisha Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053701433
PECOS PAC ID: 1456658251
Enrollment ID: I20160322001558
Provider NameAdejoke Ojumu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164957163
PECOS PAC ID: 3072887751
Enrollment ID: I20170919001797
Provider NameCarlyn Sainvil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609312909
PECOS PAC ID: 4587917877
Enrollment ID: I20181103000009
Provider NameWilliam Meek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639518301
PECOS PAC ID: 6507110996
Enrollment ID: I20181121002805
Provider NameRebecca Meek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710160791
PECOS PAC ID: 9931264454
Enrollment ID: I20190102001925
Provider NameElaine C Mininger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811460850
PECOS PAC ID: 9436497492
Enrollment ID: I20190218000402
Provider NameKristen Shea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285002188
PECOS PAC ID: 2466760194
Enrollment ID: I20190405002218
Provider NameAlice J Haskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194042036
PECOS PAC ID: 0143577346
Enrollment ID: I20191116000352
Provider NameJamay R Logan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114489911
PECOS PAC ID: 5991127730
Enrollment ID: I20200623003504
Provider NameStella Royette Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487292694
PECOS PAC ID: 7517379142
Enrollment ID: I20201223001305
Provider NameMarisa Rogers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336171628
PECOS PAC ID: 8022185610
Enrollment ID: I20210427001266
Provider NameAndrew Lee Bridges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174118699
PECOS PAC ID: 3375952385
Enrollment ID: I20210504000730
Provider NameJose Donatien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841511797
PECOS PAC ID: 1355509894
Enrollment ID: I20210604002877
Provider NameHariharan Athreya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851898522
PECOS PAC ID: 6901144807
Enrollment ID: I20210624000249
Provider NameErica Minnion-klyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205340080
PECOS PAC ID: 3072872522
Enrollment ID: I20210712004199
Provider NameAnita Basil Varkey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265477822
PECOS PAC ID: 2466457700
Enrollment ID: I20210806000374
Provider NameEmma Kellaway Feinberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508268590
PECOS PAC ID: 9335463264
Enrollment ID: I20211216001458
Provider NameMaryah Truss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851951958
PECOS PAC ID: 8426383548
Enrollment ID: I20220128002121
Provider NameAnnjerald Devance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629437785
PECOS PAC ID: 2163716408
Enrollment ID: I20220202002490
Provider NameVivian Gaines-thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790197283
PECOS PAC ID: 9335364538
Enrollment ID: I20220207000374
Provider NameBola Falegan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609373919
PECOS PAC ID: 8426396474
Enrollment ID: I20220302002690
Provider NameTia Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235668153
PECOS PAC ID: 7012286958
Enrollment ID: I20220311001513
Provider NameMira Desai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538559190
PECOS PAC ID: 6800104787
Enrollment ID: I20220729002712
Provider NameRachel Hildebrand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528531258
PECOS PAC ID: 7416299748
Enrollment ID: I20220803001648
Provider NameHenny P Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336753920
PECOS PAC ID: 0648655217
Enrollment ID: I20220917000103
Provider NameKathy Petrie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598197667
PECOS PAC ID: 5799919858
Enrollment ID: I20220926002400
Provider NameLashonda Knox
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417449554
PECOS PAC ID: 9931576931
Enrollment ID: I20221103002933
Provider NameJustin Hunt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1326138074
PECOS PAC ID: 6901842228
Enrollment ID: I20221107001281
Provider NameTuwanda Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629018528
PECOS PAC ID: 6608817630
Enrollment ID: I20221116001686
Provider NameAbigail A.o Bernard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851009534
PECOS PAC ID: 4284004961
Enrollment ID: I20221222000586
Provider NameTimanika Dansby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083016547
PECOS PAC ID: 5698061299
Enrollment ID: I20230111000190
Provider NameSherwanna Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831784164
PECOS PAC ID: 5193103257
Enrollment ID: I20230131003708
Provider NameSarah Danielle Knafo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558068387
PECOS PAC ID: 3173997756
Enrollment ID: I20230322000815
Provider NameKari Edmond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467166181
PECOS PAC ID: 9739553298
Enrollment ID: I20230323001655
Provider NameKatherine O'lone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356983910
PECOS PAC ID: 7517332539
Enrollment ID: I20230405001025
Provider NameDanielle Oswald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730869298
PECOS PAC ID: 9436510583
Enrollment ID: I20230804002584
Provider NameAhmed Mohiuddin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316264229
PECOS PAC ID: 4385872977
Enrollment ID: I20230919002415
Provider NameRachel Sabb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629321096
PECOS PAC ID: 0547412371
Enrollment ID: I20230922003462
Provider NameLauren Kennerly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699376996
PECOS PAC ID: 3375998685
Enrollment ID: I20231005003483
Provider NameJennie Evans
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720629298
PECOS PAC ID: 8820448871
Enrollment ID: I20240103001528
Provider NameKarina Bailey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376083675
PECOS PAC ID: 5193177863
Enrollment ID: I20240118000360
Provider NameSandra Dubose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548264047
PECOS PAC ID: 8224209432
Enrollment ID: I20240514003173
Provider NameVictoria Ifunanya Williams-ugula
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316557929
PECOS PAC ID: 8729520465
Enrollment ID: I20240610000332
Provider NameMaya Butler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790146124
PECOS PAC ID: 7416492954
Enrollment ID: I20240709003597
Provider NameTigest Teshome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558827162
PECOS PAC ID: 6709119704
Enrollment ID: I20240724000713
Provider NameSamantha N Mitchell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609444959
PECOS PAC ID: 8921400250
Enrollment ID: I20241216003416
Provider NameJacqueline Hope Jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982441655
PECOS PAC ID: 3870020761
Enrollment ID: I20241216003938
Provider NameSanaya Yvette Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275372971
PECOS PAC ID: 2163969684
Enrollment ID: I20241217000844
Provider NameMarilyn Metz Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194750992
PECOS PAC ID: 2668367327
Enrollment ID: I20241218001139
Provider NameStory Elliott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982182051
PECOS PAC ID: 3577955913
Enrollment ID: I20241218002686
Provider NameFreny Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942592787
PECOS PAC ID: 1951610864
Enrollment ID: I20241218002882
Provider NameLinda Guevara De Rios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578937264
PECOS PAC ID: 4688979412
Enrollment ID: I20241227000736
Provider NameColby Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083208524
PECOS PAC ID: 3072913771
Enrollment ID: I20241231000004
Provider NameTeaondra Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467887059
PECOS PAC ID: 2466686159
Enrollment ID: I20250108000558

Reviews and Comments


Clinic/Center in Stone Mountain, GA

Gibraltar Biz, Llc
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Practice Location: 5505 E Mountain St, Stone Mountain, GA 30083
Phone: 678-485-3308    
Stone Mountain Family Practice, Pc
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Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087
Phone: 770-469-7000    Fax: 770-879-0436
Elmore Alexander D.o.,p.c.
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Medicare: Not Enrolled in Medicare
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Mercy Healthcare, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 945 Linsley Way, Stone Mountain, GA 30087
Phone: 404-933-8501    
Hope Medical, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083
Phone: 678-704-0306    Fax: 678-704-0706
Tina-ann Kerr Thompson, Md, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1192a Rockbridge Rd, Stone Mountain, GA 30087
Phone: 770-925-2010    Fax: 770-925-1665
Hope Medical Group Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083
Phone: 678-704-0306    Fax: 678-704-0706

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.