| Premier Health Partners, Llc | |
|
3651 Mars Hill Rd Ste 3400 Watkinsville GA 30677-1104 | |
| (706) 502-0503 | |
| Not Available |
| Full Name | Premier Health Partners, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3651 Mars Hill Rd Ste 3400, Watkinsville, Georgia |
| Authorized Official Name and Position | Michael W Myers (COO) |
| Authorized Official Contact | 7065020503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Partners, Llc 3651 Mars Hill Rd Ste 3400 Watkinsville GA 30677-1104 Ph: (706) 502-0503 | Premier Health Partners, Llc 3651 Mars Hill Rd Ste 3400 Watkinsville GA 30677-1104 Ph: (706) 502-0503 |
| NPI Number | 1336998574 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 3476085747 |
|---|---|
| Medicare Enrollment ID | O20241011003356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336998574 | NPI | - | NPPES |
| Provider Name | Susan E Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629014030 PECOS PAC ID: 3274588827 Enrollment ID: I20050316000446 |
| Provider Name | Linda Idun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609047844 PECOS PAC ID: 8224109145 Enrollment ID: I20120523000368 |
| Provider Name | Pramod Kakarala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972881795 PECOS PAC ID: 0143473850 Enrollment ID: I20140930001782 |
| Provider Name | Shaliza Ann Hanick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891185906 PECOS PAC ID: 2860710928 Enrollment ID: I20150421002540 |
| Provider Name | Nelda Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750734323 PECOS PAC ID: 9537457585 Enrollment ID: I20161007000634 |
| Provider Name | Nassaratou Diaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154784551 PECOS PAC ID: 1355613977 Enrollment ID: I20170816004369 |
| Provider Name | Leigh Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376048967 PECOS PAC ID: 1355691106 Enrollment ID: I20180921000162 |
| Provider Name | Sohna Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134770407 PECOS PAC ID: 7214361872 Enrollment ID: I20200107002514 |
| Provider Name | Gregory Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053950246 PECOS PAC ID: 2860806940 Enrollment ID: I20210201002445 |
| Provider Name | Susan Akaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192274 PECOS PAC ID: 5597156927 Enrollment ID: I20211220001003 |
| Provider Name | Celia S Ivery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508538216 PECOS PAC ID: 9436533726 Enrollment ID: I20220906002383 |
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