| The Family Health Center At West End | |
|
868 York Ave Sw Atlanta GA 30310-2750 | |
| (404) 752-1400 | |
| (404) 756-8749 |
| Full Name | The Family Health Center At West End |
|---|---|
| Speciality | Clinic/Center |
| Location | 868 York Ave Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Michael W. Brooks (PRESIDENT, CEO) |
| Authorized Official Contact | 4047521400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Health Center At West End 868 York Ave Sw Atlanta GA 30310-2750 Ph: (404) 752-1400 | The Family Health Center At West End 868 York Ave Sw Atlanta GA 30310-2750 Ph: (404) 752-1400 |
| NPI Number | 1720080989 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 2062406903 |
|---|---|
| Medicare Enrollment ID | O20040413000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720080989 | NPI | - | NPPES |
| 000437478A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (Georgia) | Primary |
| Provider Name | Andrea J Murray Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477699569 PECOS PAC ID: 5991693079 Enrollment ID: I20040309001325 |
| Provider Name | Michael W Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174513089 PECOS PAC ID: 1951205681 Enrollment ID: I20040701000830 |
| Provider Name | Tracey R Lemon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881658201 PECOS PAC ID: 0648220103 Enrollment ID: I20050127000268 |
| Provider Name | George Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831261114 PECOS PAC ID: 2860412822 Enrollment ID: I20051208000099 |
| Provider Name | Kevin Edmonds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245209139 PECOS PAC ID: 3971510991 Enrollment ID: I20060320000020 |
| Provider Name | Keila A Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932131281 PECOS PAC ID: 3870593577 Enrollment ID: I20070103000146 |
| Provider Name | Joseph Verdun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992840292 PECOS PAC ID: 9537077201 Enrollment ID: I20101021001022 |
| Provider Name | Catherine E Burley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124064316 PECOS PAC ID: 3779776547 Enrollment ID: I20101025001073 |
| Provider Name | Jeanine B Oliga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518068667 PECOS PAC ID: 7214192681 Enrollment ID: I20120710000360 |
| Provider Name | Richard Blalock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174787717 PECOS PAC ID: 0042454050 Enrollment ID: I20130912000771 |
| Provider Name | Marisha M Spence Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790030096 PECOS PAC ID: 0042443947 Enrollment ID: I20140430000636 |
| Provider Name | Lesia L Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184054900 PECOS PAC ID: 6800115825 Enrollment ID: I20150424000909 |
| Provider Name | Ashleigh Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093173452 PECOS PAC ID: 9830488675 Enrollment ID: I20160517002129 |
| Provider Name | Amaris Daniels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912343617 PECOS PAC ID: 9830491067 Enrollment ID: I20160802002823 |
| Provider Name | Tracey N Anyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487190526 PECOS PAC ID: 7214214485 Enrollment ID: I20170426001782 |
| Provider Name | Keldreca Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797600 PECOS PAC ID: 5799062501 Enrollment ID: I20170504000954 |
| Provider Name | Ugochi Nneka Adewumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396104659 PECOS PAC ID: 4789926049 Enrollment ID: I20190507001536 |
| Provider Name | Emilea Emade Mfortow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376993600 PECOS PAC ID: 8527482744 Enrollment ID: I20200721003604 |
| Provider Name | Jessica Grimes Patton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639728975 PECOS PAC ID: 3678998218 Enrollment ID: I20200730000546 |
| Provider Name | Dale Kesley Robertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669834222 PECOS PAC ID: 5597183194 Enrollment ID: I20200914002968 |
| Provider Name | Erin Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851902951 PECOS PAC ID: 6507276375 Enrollment ID: I20201105002098 |
| Provider Name | Helena K Bentley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881632644 PECOS PAC ID: 5890718027 Enrollment ID: I20201110000444 |
| Provider Name | Brittany Renee Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649634361 PECOS PAC ID: 5799196408 Enrollment ID: I20201202001152 |
| Provider Name | Keishaun Saschier Proctor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952545287 PECOS PAC ID: 8820409436 Enrollment ID: I20201202001830 |
| Provider Name | Kamirah Nishae Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679173686 PECOS PAC ID: 6305254806 Enrollment ID: I20210422000782 |
| Provider Name | Ramanda Raquel Dace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104492586 PECOS PAC ID: 4880096247 Enrollment ID: I20210708001325 |
| Provider Name | Stacy Danielle Arrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528564531 PECOS PAC ID: 1355698697 Enrollment ID: I20211008002174 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841859014 PECOS PAC ID: 0547698045 Enrollment ID: I20230512000303 |
| Provider Name | Maria Elena Goenaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609156165 PECOS PAC ID: 5698904886 Enrollment ID: I20230612001146 |
| Provider Name | Amanda Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760142202 PECOS PAC ID: 9335529791 Enrollment ID: I20230823001565 |
| Provider Name | Allegra Renee Crews Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700582103 PECOS PAC ID: 4183074123 Enrollment ID: I20240103001153 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |