| Undeniable Healthcare | |
|
1280 Highway 74 S Ste 100 Peachtree City GA 30269-3077 | |
| (678) 961-5150 | |
| (678) 559-0789 |
| Full Name | Undeniable Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1280 Highway 74 S Ste 100, Peachtree City, Georgia |
| Authorized Official Name and Position | Tie Sims (CEO) |
| Authorized Official Contact | 6789615150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Undeniable Healthcare 1280 Highway 74 S Ste 100 Peachtree City GA 30269-3077 Ph: (678) 961-5150 | Undeniable Healthcare 1280 Highway 74 S Ste 100 Peachtree City GA 30269-3077 Ph: (678) 961-5150 |
| NPI Number | 1871062489 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 7012397615 |
|---|---|
| Medicare Enrollment ID | O20220629000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871062489 | NPI | - | NPPES |
| Provider Name | Tahisha Batrice Hannor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427397215 PECOS PAC ID: 3173769866 Enrollment ID: I20130425000326 |
| Provider Name | Tiearea Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215320692 PECOS PAC ID: 1759600240 Enrollment ID: I20150505001575 |
| Provider Name | Genner A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700261948 PECOS PAC ID: 4880901032 Enrollment ID: I20150921001030 |
| Provider Name | Petra Nozile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043676380 PECOS PAC ID: 7517262652 Enrollment ID: I20160226001117 |
| Provider Name | Harold Coleman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700313475 PECOS PAC ID: 8426317819 Enrollment ID: I20180110000751 |
| Provider Name | Monique F Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999363 PECOS PAC ID: 2062830441 Enrollment ID: I20200916003177 |
| Provider Name | Lamar Marquis Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437568706 PECOS PAC ID: 7012214455 Enrollment ID: I20210928000977 |
| Provider Name | Nicole Bittle-obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639767007 PECOS PAC ID: 9739551649 Enrollment ID: I20230202000005 |
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