Michael D Mudrey (NPI# 1376574863, PAC ID# 0042292120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1376574863 |
| PAC ID by PECOS | 0042292120 |
| Professional Enrollment ID | I20040602001450 |
| Full Name | Michael D Mudrey |
| Organization Legal Name | PHYSICIANS IMMEDIATE MED OF ACWORTH, P.C. |
| Address |
3540 Cobb Nwpkwy Acworth GA 30101-4016 |
| Phone Number | 7709743911 |
| Gender | M |
| Credential | DO |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991834186 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3540 Cobb Nwpkwy, Acworth, GA 30101-4016 | 7709743911 | PHYSICIANS IMMEDIATE MED OF ACWORTH, P.C. |
| 3827 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2804 | 7702228900 | PEACHTREE IMMEDIATE CARE FP, LLC |
| Organization Legal Name | PHYSICIANS IMMEDIATE MED OF ACWORTH, P.C. |
| Physicians | 1 |
| Street Address |
3540 COBB NWPKWY |
| City | ACWORTH |
| State | GA |
| Zip | 30101-4016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Konstantin S Tsymbalov | Physical Medicine and Rehabilitation | 3459 Acworth Due W Rd Nw, Acworth, GA 30101 | |
| Brie S Hevesy | Optometry | A. Dylan Reach, Od, PC | 3459 Acworth Duc W Rd, Suite 101, Acworth, GA 30101 |
| Jeffrey Stone | Family Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| Ebon A Bourne | Internal Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| John N Murimi | Family Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| Milicent Young | Internal Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| Shayan Greg Zafrani | Family Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Suite 101, Acworth, GA 30101 |
| Carey Dobbins Sood | Obstetrics/gynecology | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| Maureen Ann Lamm | Family Medicine | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Suite 101, Acworth, GA 30101 |
| Bhumika J Banugaria | Nurse Practitioner | Wellstar Medical Group, LLC | 4550 Cobb Pkwy Nw, Acworth, GA 30101 |
| Find all physicians in zip 30101 | |||
| City | ACWORTH |
| Zip Code | 30101 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ACWORTH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Michael D Mudrey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.