| Total Care Family Medicine Pc | |
|
2022 Fairburn Rd Suite D Douglasville GA 30135-1062 | |
| (770) 942-1044 | |
| (770) 942-1699 |
| Full Name | Total Care Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2022 Fairburn Rd, Douglasville, Georgia |
| Authorized Official Name and Position | Kelvin Bertram Burton (CEO) |
| Authorized Official Contact | 7709421044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Family Medicine Pc 2022 Fairburn Rd Suite D Douglasville GA 30135-1062 Ph: (770) 942-1044 | Total Care Family Medicine Pc 2022 Fairburn Rd Suite D Douglasville GA 30135-1062 Ph: (770) 942-1044 |
| NPI Number | 1194046771 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 05/13/2020 |
| Medicare PECOS PAC ID | 2668413360 |
|---|---|
| Medicare Enrollment ID | O20050512000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194046771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anita Haugabrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710442 PECOS PAC ID: 6608789292 Enrollment ID: I20031110000572 |
| Provider Name | Kelvin B Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487687331 PECOS PAC ID: 5294621009 Enrollment ID: I20040226000942 |
| Provider Name | Michael Shannon Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952466583 PECOS PAC ID: 5597939439 Enrollment ID: I20111111000090 |
| Provider Name | Elizabeth L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750656492 PECOS PAC ID: 4587825310 Enrollment ID: I20120427000246 |
| Provider Name | Latoya Katrese Buford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738909 PECOS PAC ID: 2769739606 Enrollment ID: I20180723003473 |
| Provider Name | Lesley Shawan Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750026522 PECOS PAC ID: 3870979149 Enrollment ID: I20221011000334 |
| Provider Name | Yomarli Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902648900 PECOS PAC ID: 8729524095 Enrollment ID: I20240723001246 |
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