| Reagan Medical Center LLC | |
|
2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 | |
| (678) 344-8700 | |
| Not Available |
| Full Name | Reagan Medical Center LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Satish Poddar (CEO) |
| Authorized Official Contact | 6783448700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan Medical Center LLC 2878 Five Forks Trickum Rd Ste 2a Lawrenceville GA 30044-5896 Ph: (678) 344-8700 | Reagan Medical Center LLC 2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 Ph: (678) 344-8700 |
| NPI Number | 1952316747 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 6507779329 |
|---|---|
| Medicare Enrollment ID | O20031107000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952316747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207T00000X | Neurological Surgery | () | Secondary |
| 225100000X | Physical Therapist | () | Secondary |
| Provider Name | Archna Satish Poddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407845340 PECOS PAC ID: 8820901523 Enrollment ID: I20031110000160 |
| Provider Name | Satish Poddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083603922 PECOS PAC ID: 7810800646 Enrollment ID: I20031110000189 |
| Provider Name | David L Quinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013029594 PECOS PAC ID: 1951215268 Enrollment ID: I20031119000310 |
| Provider Name | Philip a Romm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760478184 PECOS PAC ID: 2668423187 Enrollment ID: I20050202000308 |
| Provider Name | Manfred Allan Sandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206451 PECOS PAC ID: 5496706913 Enrollment ID: I20050202000360 |
| Provider Name | Salil J Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346236510 PECOS PAC ID: 3870544323 Enrollment ID: I20050202000505 |
| Provider Name | Sreenivasulur Gangasani |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215923701 PECOS PAC ID: 2860443314 Enrollment ID: I20050202000520 |
| Provider Name | Haritha Arikatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255437075 PECOS PAC ID: 1355394834 Enrollment ID: I20050224000324 |
| Provider Name | Paul a Beck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861556847 PECOS PAC ID: 8628022332 Enrollment ID: I20050307000028 |
| Provider Name | John D Lentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235264342 PECOS PAC ID: 9032163654 Enrollment ID: I20050308000095 |
| Provider Name | Mark Majoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306811823 PECOS PAC ID: 1759320476 Enrollment ID: I20050503000020 |
| Provider Name | Linda D Stemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033153077 PECOS PAC ID: 8628052271 Enrollment ID: I20050818000154 |
| Provider Name | Henry S Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780646083 PECOS PAC ID: 6709801194 Enrollment ID: I20051014000278 |
| Provider Name | Carmen R Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568450740 PECOS PAC ID: 4486673787 Enrollment ID: I20051116000297 |
| Provider Name | John W Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679512214 PECOS PAC ID: 6507878105 Enrollment ID: I20060623000209 |
| Provider Name | Kyle T Yandle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518972496 PECOS PAC ID: 8729081385 Enrollment ID: I20060821000351 |
| Provider Name | David Bodne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316944697 PECOS PAC ID: 6204936206 Enrollment ID: I20071207000651 |
| Provider Name | Linda S Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932381464 PECOS PAC ID: 7315025012 Enrollment ID: I20080422000257 |
| Provider Name | Joseph Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194703595 PECOS PAC ID: 2668444233 Enrollment ID: I20080522000331 |
| Provider Name | John R Mcnair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285619213 PECOS PAC ID: 1355409756 Enrollment ID: I20081028000638 |
| Provider Name | George Dixson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992789275 PECOS PAC ID: 0143283648 Enrollment ID: I20081230000319 |
| Provider Name | Jeffrey Culpepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245222637 PECOS PAC ID: 2567586308 Enrollment ID: I20100831000091 |
| Provider Name | Harvey Jay Schecter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821051970 PECOS PAC ID: 1052591237 Enrollment ID: I20110204000341 |
| Provider Name | Sara Diosdado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124307673 PECOS PAC ID: 7911172242 Enrollment ID: I20111214000685 |
| Provider Name | Kimberly S Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609148758 PECOS PAC ID: 4385803956 Enrollment ID: I20120319000120 |
| Provider Name | Neela R Bakane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811088842 PECOS PAC ID: 1153361977 Enrollment ID: I20120611000422 |
| Provider Name | George K Rafeedie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518196732 PECOS PAC ID: 7214193242 Enrollment ID: I20120719000292 |
| Provider Name | Solomon Teckle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154582971 PECOS PAC ID: 1456480698 Enrollment ID: I20120927000422 |
| Provider Name | Yuri Bernard Pride |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972760841 PECOS PAC ID: 6800054115 Enrollment ID: I20130710000527 |
| Provider Name | Charlotte Ebner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912228941 PECOS PAC ID: 8628241601 Enrollment ID: I20130716000142 |
| Provider Name | Hamid S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811206477 PECOS PAC ID: 1355585761 Enrollment ID: I20130924000665 |
| Provider Name | Shawn Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306142906 PECOS PAC ID: 7214250166 Enrollment ID: I20141229000736 |
| Provider Name | Katrina Head |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578957221 PECOS PAC ID: 2961710249 Enrollment ID: I20151006003161 |
| Provider Name | Dave Seecharan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174789416 PECOS PAC ID: 0042435406 Enrollment ID: I20160128001486 |
| Provider Name | Bethwel Raore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215114475 PECOS PAC ID: 8921263872 Enrollment ID: I20160810000628 |
| Provider Name | Binh V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629417597 PECOS PAC ID: 8426350497 Enrollment ID: I20160830001688 |
| Provider Name | Stephanie L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295237 PECOS PAC ID: 6709016447 Enrollment ID: I20160902001397 |
| Provider Name | Gisele Gobre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598113508 PECOS PAC ID: 4981987526 Enrollment ID: I20170206002729 |
| Provider Name | Rahul Kapoor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598283475 PECOS PAC ID: 7911273388 Enrollment ID: I20171030003572 |
| Provider Name | Paul V Saby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528362894 PECOS PAC ID: 6709060486 Enrollment ID: I20180724001254 |
| Provider Name | Jacqueline Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063891372 PECOS PAC ID: 8022361054 Enrollment ID: I20181022001335 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326132408 PECOS PAC ID: 0749509057 Enrollment ID: I20190506002016 |
| Provider Name | Daphne Aziza Caulker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518423771 PECOS PAC ID: 1355684747 Enrollment ID: I20190529001058 |
| Provider Name | Jeremy David Havas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043203003 PECOS PAC ID: 0143213678 Enrollment ID: I20191002001416 |
| Provider Name | Heather Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144152 PECOS PAC ID: 4981031358 Enrollment ID: I20200224002737 |
| Provider Name | Teon Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487287116 PECOS PAC ID: 7719316074 Enrollment ID: I20200407003804 |
| Provider Name | Cody M Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134754450 PECOS PAC ID: 4789014101 Enrollment ID: I20200424002116 |
| Provider Name | Mairaj T Sami |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396181434 PECOS PAC ID: 1951629401 Enrollment ID: I20201014002629 |
| Provider Name | Arvinderpaul Sarai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811957418 PECOS PAC ID: 7911943774 Enrollment ID: I20201203000686 |
| Provider Name | Caroline Nappo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912533498 PECOS PAC ID: 2961816129 Enrollment ID: I20210128002990 |
| Provider Name | Taylor Harrison Dukes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417569047 PECOS PAC ID: 3375942592 Enrollment ID: I20210520000974 |
| Provider Name | Raven T Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568041168 PECOS PAC ID: 9234593690 Enrollment ID: I20230919000486 |
| Provider Name | Racquel Toomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497398820 PECOS PAC ID: 7012350879 Enrollment ID: I20240208002450 |
| Provider Name | Kathleen Marie Knight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508641341 PECOS PAC ID: 6709390537 Enrollment ID: I20250703003718 |
| Provider Name | Shamsah Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972711836 PECOS PAC ID: 2163685678 Enrollment ID: I20251010003051 |
Novo Total Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024 Phone: 770-988-2779 Fax: 678-730-0229 |
Hope Primary Care, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3410 Paddocks Pkwy, Suwanee, GA 30024 Phone: 770-395-0478 |
Perimeter North Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4375 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024 Phone: 770-623-1331 Fax: 770-623-5674 |
Optimal Longevity LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024 Phone: 678-614-9848 |
Atlanta Gastroenterology Specialists, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4395 Johns Creek Pkwy Ste 130, Suwanee, GA 30024 Phone: 678-357-0057 Fax: 678-382-6406 |
Paul Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4355 Johns Creek Pkwy, Suite 500, Suwanee, GA 30024 Phone: 770-623-0008 Fax: 770-623-0009 |