Peaesha Lynette Houston (NPI# 1285054742, PAC ID# 0143536029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285054742 |
| PAC ID by PECOS | 0143536029 |
| Professional Enrollment ID | I20190319002680 |
| Full Name | Peaesha Lynette Houston |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Address |
4889 Golden Pkwy Suite 100 Buford GA 30518-5878 |
| Phone Number | 6787143217 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274535687 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 4889 Golden Pkwy, Suite 100, Buford, GA 30518-5878 | 6787143217 | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Organization Legal Name | NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac Alexander Roy | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 2578 Helen Hwy, Cleveland, GA 30528-2848 |
| Johan Koo | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 108 Prominence Ct, Suite 100, Dawsonville, GA 30534-6340 |
| Vanessa K Wood | Physician Assistant | Northeast Georgia Physicians Group-urgent Care | 597 S Enota Nedr, Gainesville, GA 30501-2545 |
| Lindsay K Patterson | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Rebecca J Loomis | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Maria V. Deveau | Physician Assistant | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Ndubuisi A Ndukwe | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 852 Dacula Rd, Dacula, GA 30019-3185 |
| Trinell N Robertson | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 108 Prominence Ct, Suite 100, Dawsonville, GA 30534-6340 |
| Allison C Turk | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 1515 River Pl, Suite 100, Braselton, GA 30517-5603 |
| Mccall Rudolph Jolly | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 597 S Enota Nedr, Gainesville, GA 30501-2545 |
| Street Address |
4889 GOLDEN PKWY SUITE 100 |
| City | BUFORD |
| State | GA |
| Zip | 30518-5878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A David | Family Medicine | Northeast Georgia Physicians Group-urgent Care | 4889 Golden Pkwy, Suite 100, Buford, GA 30518-5878 |
| Cheryl E Shedd | Nurse Practitioner | Northeast Georgia Physicians Group-urgent Care | 4889 Golden Pkwy, Suite 100, Buford, GA 30518-5878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Morey | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 1839 Buford Hwy Ne, Suite 100, Buford, GA 30518 |
| Rebecca Chasteen Sosebee | Optometry | 4965 Lanier Islands Pkwy, Suite 104, Buford, GA 30518-1717 | |
| Song H Na | Internal Medicine | 4995 Lanier Island Pkwy, Suite A, Buford, GA 30518-1741 | |
| John Henry Lloyd | Emergency Medicine | 5012 Bristol Industrial Wy, Suite 109, Buford, GA 30518-1775 | |
| Barrett A Staley | Physical Therapy | Lanier Therapy South, Inc. | 5005 Lanier Islands Pkwy, Suite 300, Buford, GA 30518-1802 |
| Paula Elliott | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| Albert B Bennett | Chiropractic | 1675 Heraeus Blvd, Buford, GA 30518-3383 | |
| David L Swofford | Optometry | 4420 Nelson Brogdon Blvd, Buford, GA 30518-3477 | |
| Nicholas A Foy | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4510 Nelson Brogdon Blvd, Sugar Hill, GA 30518-3478 |
| Patricia A Seebach | Chiropractic | 4530 Nelson Brogdon Blvd, Suite B, Sugar Hill, GA 30518-3478 | |
| Find all physicians in zip 30518 | |||
| City | BUFORD |
| Zip Code | 30518 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BUFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peaesha Lynette Houston.
| 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.