Kenneth Harrell (NPI# 1982809331, PAC ID# 0042503898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1982809331 |
PAC ID by PECOS | 0042503898 |
Professional Enrollment ID | I20160801002062 |
Full Name | Kenneth Harrell |
Organization Legal Name | SERENITY NOW HEALTHCARE LLC |
Address |
235 E Ponce De Leon Ave Decatur GA 30030-3412 |
Phone Number | 4042709635 |
Gender | M |
Graduation Year | 1994 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 4385935352 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 | 7709391288 | UNITED PSYCHOLOGY CENTER LLC |
2900 Chamblee Tucker Rd, Atlanta, GA 30341-4148 | 7709391288 | UNITED PSYCHOLOGY CENTER LLC |
235 E Ponce De Leon Ave, Decatur, GA 30030-3412 | 4042709635 | SERENITY NOW HEALTHCARE LLC |
235 E Ponce De Leon Ave, Suite 108, Decatur, GA 30030-3412 | 4042709635 | SERENITY NOW HEALTHCARE LLC |
Organization Legal Name | SERENITY NOW HEALTHCARE LLC |
Physicians | 1 |
Street Address |
235 E PONCE DE LEON AVE |
City | DECATUR |
State | GA |
Zip | 30030-3412 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mandisa Jones | Physical Therapy | 235 E Ponce De Leon Ave, Suite 160, Decatur, GA 30030-3488 | |
David C Purselle | Psychiatry | 235 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-3412 | |
Shelia T Payton | Chiropractic | 235 E Ponce De Leon Ave, Suite 109, Decatur, GA 30030-3452 |
Name | Specialty | Organization | Address |
---|---|---|---|
June L Kaufman | Psychologist, Clinical | 1244 Clairmont Rd, Decatur, GA 30030-1259 | |
Paul E Mcmanus | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Charles W Mcdowell Jr. | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Christina L Weeks | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Indira Gm Menon | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Ajeet Dhingra | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Laura A Bealer | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Shalin Santosh Shah | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Peter A Gordon | Ophthalmology | Eye Physicians and Surgeons PC | 1457 Scott Blvd, Decatur, GA 30030-1425 |
Donald Crochet | Physical Therapy | 1382 Scott Blvd, Suite A, Decatur, GA 30030-1460 | |
Find all physicians in zip 30030 |
City | DECATUR |
Zip Code | 30030 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | DECATUR + CLINICAL SOCIAL WORKER |
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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.