| Piedmont Athens Primary Care Llc | |
|
1199 Prince Ave Athens GA 30606-2797 | |
| (706) 369-5440 | |
| (706) 369-5490 |
| Full Name | Piedmont Athens Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1199 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | Christy Aquino (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4702713427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Athens Primary Care Llc Po Box 117264 Atlanta GA 30368-7264 Ph: (770) 801-2500 | Piedmont Athens Primary Care Llc 1199 Prince Ave Athens GA 30606-2797 Ph: (706) 369-5440 |
| NPI Number | 1245746783 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 08/11/2021 |
| Medicare PECOS PAC ID | 0648520841 |
|---|---|
| Medicare Enrollment ID | O20180910002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245746783 | NPI | - | NPPES |
| 003208591A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles L Braucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007216 PECOS PAC ID: 5395729156 Enrollment ID: I20040617000975 |
| Provider Name | Mary T Bond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235137886 PECOS PAC ID: 9335125525 Enrollment ID: I20040628001225 |
| Provider Name | Keith W Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932298775 PECOS PAC ID: 9739166273 Enrollment ID: I20040702000340 |
| Provider Name | Matthew Boyd Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316975782 PECOS PAC ID: 0143201541 Enrollment ID: I20040712001169 |
| Provider Name | Michael E Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821026295 PECOS PAC ID: 2668451444 Enrollment ID: I20040715000748 |
| Provider Name | Srilakshmi Rebala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730173733 PECOS PAC ID: 7810962859 Enrollment ID: I20040901000701 |
| Provider Name | John C Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174587588 PECOS PAC ID: 7214998079 Enrollment ID: I20041025000672 |
| Provider Name | Tessie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053417949 PECOS PAC ID: 2365490463 Enrollment ID: I20050105000685 |
| Provider Name | Patrick B Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871529032 PECOS PAC ID: 6507815982 Enrollment ID: I20050113000184 |
| Provider Name | Michael K Sopt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518905827 PECOS PAC ID: 0840245916 Enrollment ID: I20050322000501 |
| Provider Name | Robert Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649230731 PECOS PAC ID: 1153363643 Enrollment ID: I20050525000281 |
| Provider Name | Tia Neely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518033158 PECOS PAC ID: 8426085739 Enrollment ID: I20050721000752 |
| Provider Name | Rene R Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811911407 PECOS PAC ID: 0749210771 Enrollment ID: I20050818000698 |
| Provider Name | Heather C Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518031236 PECOS PAC ID: 5193734150 Enrollment ID: I20060419000499 |
| Provider Name | Fareha Rahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144241126 PECOS PAC ID: 3678584588 Enrollment ID: I20060508000073 |
| Provider Name | Lacy F Mccurdy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578594347 PECOS PAC ID: 7911910401 Enrollment ID: I20060731000220 |
| Provider Name | Melissa K Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962430090 PECOS PAC ID: 4688678980 Enrollment ID: I20060829000107 |
| Provider Name | Eunice Semenyo Hama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508057407 PECOS PAC ID: 6507952082 Enrollment ID: I20071015000004 |
| Provider Name | Suzanne H Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508057134 PECOS PAC ID: 1254418783 Enrollment ID: I20080409000039 |
| Provider Name | Jonathan F Schuh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811988934 PECOS PAC ID: 4082792239 Enrollment ID: I20080429000250 |
| Provider Name | Catherine L Woodhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558340661 PECOS PAC ID: 1658476221 Enrollment ID: I20081107000407 |
| Provider Name | Jeanne M Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063543080 PECOS PAC ID: 3779645718 Enrollment ID: I20081229000350 |
| Provider Name | Carolina L Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467574921 PECOS PAC ID: 1052462918 Enrollment ID: I20090706000625 |
| Provider Name | Thomas W Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356301436 PECOS PAC ID: 3072645365 Enrollment ID: I20100722000394 |
| Provider Name | Alvin Fred Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245290311 PECOS PAC ID: 4880726173 Enrollment ID: I20100722000409 |
| Provider Name | Felicia Lacksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285693911 PECOS PAC ID: 9335271634 Enrollment ID: I20100722000418 |
| Provider Name | Amanda Downs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699734327 PECOS PAC ID: 1052443355 Enrollment ID: I20100722000430 |
| Provider Name | Elizabeth W Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871556407 PECOS PAC ID: 7214069517 Enrollment ID: I20100722000443 |
| Provider Name | Dennis G Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518995885 PECOS PAC ID: 2163546623 Enrollment ID: I20100907000072 |
| Provider Name | Thomas A Mcelhannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407884893 PECOS PAC ID: 3870617335 Enrollment ID: I20100907000096 |
| Provider Name | Mary A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003179946 PECOS PAC ID: 8022265941 Enrollment ID: I20120829000225 |
| Provider Name | Shilpi Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336140441 PECOS PAC ID: 7012908940 Enrollment ID: I20130424000413 |
| Provider Name | Cary Austin Sanders Hefty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114154077 PECOS PAC ID: 6002071362 Enrollment ID: I20130726000060 |
| Provider Name | Ashley Brueshaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104166800 PECOS PAC ID: 4486896834 Enrollment ID: I20130814000370 |
| Provider Name | James Appiah-pippim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891732012 PECOS PAC ID: 0840397964 Enrollment ID: I20140822001203 |
| Provider Name | Frank Bonilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528356359 PECOS PAC ID: 0648492082 Enrollment ID: I20141119000952 |
| Provider Name | Catherine E Appiah Pippim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306947403 PECOS PAC ID: 8921908591 Enrollment ID: I20141208000684 |
| Provider Name | Nedsely A Vila Almonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447548102 PECOS PAC ID: 8325364334 Enrollment ID: I20150311000466 |
| Provider Name | Sarah Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316327224 PECOS PAC ID: 2860705761 Enrollment ID: I20150721002895 |
| Provider Name | Molly K Berglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518390012 PECOS PAC ID: 0648584458 Enrollment ID: I20150806010477 |
| Provider Name | Julie S Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528247525 PECOS PAC ID: 1951611540 Enrollment ID: I20151111001137 |
| Provider Name | Brittany Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790142271 PECOS PAC ID: 2163728015 Enrollment ID: I20160303000061 |
| Provider Name | Jyotir H Jani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790877835 PECOS PAC ID: 6709771231 Enrollment ID: I20160817003282 |
| Provider Name | David Paulk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336106475 PECOS PAC ID: 5395041412 Enrollment ID: I20160923000366 |
| Provider Name | Joel Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720426695 PECOS PAC ID: 0143517599 Enrollment ID: I20160928001724 |
| Provider Name | Laurel Murrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477737856 PECOS PAC ID: 0345537676 Enrollment ID: I20160929001461 |
| Provider Name | Ratika Gunturi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831439595 PECOS PAC ID: 3072747609 Enrollment ID: I20161019001503 |
| Provider Name | Virginia Calhoun Labella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023460938 PECOS PAC ID: 9133407364 Enrollment ID: I20161024000603 |
| Provider Name | Yolin Bueno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194061150 PECOS PAC ID: 4486932894 Enrollment ID: I20161104001148 |
| Provider Name | April Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578949806 PECOS PAC ID: 0042595290 Enrollment ID: I20170330001229 |
| Provider Name | Trammell Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881012029 PECOS PAC ID: 0244535920 Enrollment ID: I20170905003087 |
| Provider Name | Wendi Lovenvirth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346310489 PECOS PAC ID: 2365422714 Enrollment ID: I20171215001779 |
| Provider Name | Brooklyne Marlowe Makaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487982559 PECOS PAC ID: 5799097234 Enrollment ID: I20180720001237 |
| Provider Name | Christina Danielle Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295148740 PECOS PAC ID: 0648528257 Enrollment ID: I20180730001398 |
| Provider Name | Keisha Bonhomme Ellis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366887861 PECOS PAC ID: 9436401031 Enrollment ID: I20181009003866 |
| Provider Name | Priscilla Ellen Egyir-biney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043661168 PECOS PAC ID: 1759675283 Enrollment ID: I20190403003124 |
| Provider Name | Courtney Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972965887 PECOS PAC ID: 2961794714 Enrollment ID: I20190718002270 |
| Provider Name | Aliya Safwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306395520 PECOS PAC ID: 9335475953 Enrollment ID: I20190719000976 |
| Provider Name | Ngozi Ifeadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811342587 PECOS PAC ID: 8426340654 Enrollment ID: I20190720000025 |
| Provider Name | Esther Wimlen Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275988198 PECOS PAC ID: 6608168679 Enrollment ID: I20190722000349 |
| Provider Name | Akua Akua Adwubi Biritwum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750834917 PECOS PAC ID: 5395071401 Enrollment ID: I20190727000026 |
| Provider Name | Stephanie Klein Lynch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447632450 PECOS PAC ID: 8325351711 Enrollment ID: I20190812001622 |
| Provider Name | Zahraa Hasan Abd Ali Rabeeah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720531692 PECOS PAC ID: 6002147865 Enrollment ID: I20200316001046 |
| Provider Name | Tejumade Adelore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316493638 PECOS PAC ID: 5193148625 Enrollment ID: I20200630003492 |
| Provider Name | Michell Josefina Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962923003 PECOS PAC ID: 3375966401 Enrollment ID: I20200708002738 |
| Provider Name | Ashley Marie Bohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043747918 PECOS PAC ID: 9638418379 Enrollment ID: I20200714000760 |
| Provider Name | Mallory Shillinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023466570 PECOS PAC ID: 3375972003 Enrollment ID: I20200903003344 |
| Provider Name | Laurent Marcel Morel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437649787 PECOS PAC ID: 4486055985 Enrollment ID: I20210622000719 |
| Provider Name | Saheed Olaleye Soleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225533987 PECOS PAC ID: 1254735038 Enrollment ID: I20210802003301 |
| Provider Name | Bannur Ramanna Nandeesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304619 PECOS PAC ID: 3971907882 Enrollment ID: I20210813000907 |
| Provider Name | Kilian Van Rijn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124523758 PECOS PAC ID: 3779988860 Enrollment ID: I20210827001719 |
| Provider Name | Basilio Nii Ayitey Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124515838 PECOS PAC ID: 3476958422 Enrollment ID: I20210830000786 |
| Provider Name | Matthew George Knebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811666803 PECOS PAC ID: 0143627984 Enrollment ID: I20210922000459 |
| Provider Name | Malek Mushref |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619339124 PECOS PAC ID: 4587956214 Enrollment ID: I20211006001374 |
| Provider Name | Christopher March |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558503532 PECOS PAC ID: 0840453296 Enrollment ID: I20211122000436 |
| Provider Name | Zola Nlandu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821451873 PECOS PAC ID: 8527350479 Enrollment ID: I20211219000022 |
| Provider Name | Alain Marcel Morel Ovalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316592611 PECOS PAC ID: 9335545631 Enrollment ID: I20220524000091 |
| Provider Name | Dipal N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922568203 PECOS PAC ID: 1153700505 Enrollment ID: I20220615002578 |
| Provider Name | Henry G Garrard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588692727 PECOS PAC ID: 4284013079 Enrollment ID: I20220624001959 |
| Provider Name | Holly H Aldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437187754 PECOS PAC ID: 2466832852 Enrollment ID: I20220701000224 |
| Provider Name | William Philip Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477114155 PECOS PAC ID: 8123352614 Enrollment ID: I20220709000494 |
| Provider Name | Akhila Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003376104 PECOS PAC ID: 3971838756 Enrollment ID: I20220803002535 |
| Provider Name | Dominic Amakye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045223 PECOS PAC ID: 1153719273 Enrollment ID: I20220902000189 |
| Provider Name | Swetha Priya Chaparala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295398964 PECOS PAC ID: 7618352733 Enrollment ID: I20220909002050 |
| Provider Name | Forrest Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295185718 PECOS PAC ID: 2264724392 Enrollment ID: I20220924000067 |
| Provider Name | Hawwa S Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881889277 PECOS PAC ID: 7810154135 Enrollment ID: I20221209002502 |
| Provider Name | Andrew Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699162321 PECOS PAC ID: 3779832506 Enrollment ID: I20230327002205 |
| Provider Name | Onoriode Kesiena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740819523 PECOS PAC ID: 6800294422 Enrollment ID: I20230619000759 |
| Provider Name | Shreyas Reddy Singireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821627522 PECOS PAC ID: 3375903396 Enrollment ID: I20230721001036 |
| Provider Name | Njika Atemnkeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548870298 PECOS PAC ID: 6709251648 Enrollment ID: I20230731000067 |
| Provider Name | Bryce Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962932830 PECOS PAC ID: 6901172873 Enrollment ID: I20230815001615 |
| Provider Name | Tinuola Omoniyi Andre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083238448 PECOS PAC ID: 5991177305 Enrollment ID: I20230824001094 |
| Provider Name | Kalpana Kugathasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710481114 PECOS PAC ID: 2961800446 Enrollment ID: I20230922001663 |
| Provider Name | Pia Helene Milde Papadopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669933578 PECOS PAC ID: 4789038472 Enrollment ID: I20230928004042 |
| Provider Name | Steven Spires |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043453632 PECOS PAC ID: 2062677693 Enrollment ID: I20231002001211 |
| Provider Name | Jon M Udwadia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730112657 PECOS PAC ID: 7810346079 Enrollment ID: I20231213001145 |
James L. Brown, Jr., M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Prince Ave, Building A, Athens, GA 30606 Phone: 706-548-3478 Fax: 706-543-7861 | |
Hillsman Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Gaines School Rd, Athens, GA 30605 Phone: 762-499-6960 | |
Evirtualcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Forest Rd, Athens, GA 30605 Phone: 706-502-0503 | |
Northeast Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Research Dr, Athens, GA 30605 Phone: 706-583-2856 Fax: 706-369-5732 | |
Athens Regional Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Oglethorpe Avenue, Suite 600a, Athens, GA 30606 Phone: 706-369-5440 Fax: 706-369-5490 | |
G. Steven Chesser Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Bldg 500a Suite 502, Athens, GA 30606 Phone: 706-433-0741 Fax: 706-433-0746 | |
Athens Model Neighborhood Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 College Ave, Athens, GA 30601 Phone: 706-546-5526 Fax: 706-546-5687 |