| Premier Medical Associates Pc | |
|
407 E Maple St Suite 101 Cumming GA 30040-2656 | |
| (770) 888-6697 | |
| (770) 888-6698 |
| Full Name | Premier Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 407 E Maple St, Cumming, Georgia |
| Authorized Official Name and Position | Ludy Lukose (OWNER) |
| Authorized Official Contact | 7708886697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Associates Pc 407 E Maple St Suite 101 Cumming GA 30040-2635 Ph: (770) 888-6697 | Premier Medical Associates Pc 407 E Maple St Suite 101 Cumming GA 30040-2656 Ph: (770) 888-6697 |
| NPI Number | 1376600825 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/06/2017 |
| Medicare PECOS PAC ID | 4981655065 |
|---|---|
| Medicare Enrollment ID | O20050303000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376600825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 054743 (Georgia) | Primary |
| Provider Name | Saraswathi Jampala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615710 PECOS PAC ID: 9830098268 Enrollment ID: I20040106000062 |
| Provider Name | Lisa A Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982803995 PECOS PAC ID: 4587733498 Enrollment ID: I20080519000464 |
| Provider Name | Sudeshna Nandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671319 PECOS PAC ID: 9335211499 Enrollment ID: I20080707000243 |
| Provider Name | Ludy Lukose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023258274 PECOS PAC ID: 6507902095 Enrollment ID: I20130815000279 |
| Provider Name | Ritu Kapoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373820 PECOS PAC ID: 8325269392 Enrollment ID: I20141016002415 |
| Provider Name | Ellen Greear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073043600 PECOS PAC ID: 5193082535 Enrollment ID: I20171120002797 |
| Provider Name | Tonya Katherine Wehunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750948642 PECOS PAC ID: 9931433562 Enrollment ID: I20190701002356 |
| Provider Name | Jacqueline Marcella Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407415615 PECOS PAC ID: 4284960170 Enrollment ID: I20190730004591 |
| Provider Name | Megan Elizbeth Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659035822 PECOS PAC ID: 4981093440 Enrollment ID: I20211123000658 |
| Provider Name | Elizabeth Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740645225 PECOS PAC ID: 5597137158 Enrollment ID: I20230207002828 |
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