Daniel Lee Molloy Jr. (NPI# 1275899080, PAC ID# 0143556175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1275899080 |
| PAC ID by PECOS | 0143556175 |
| Professional Enrollment ID | I20190729000871 |
| Full Name | Daniel Lee Molloy Jr. |
| Organization Legal Name | CVG PHYSICIANS GROUP, LLC |
| Address |
4365 Johns Creek Pkwy Suite 450 Suwanee GA 30024-6089 |
| Phone Number | 7704952442 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0244596757 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 755 Walther Rd, Lawrenceville, GA 30046-8725 | 7709620399 | CVG PHYSICIANS GROUP, LLC |
| 4365 Johns Creek Pkwy, Suite 450, Suwanee, GA 30024-6089 | 7704952442 | CVG PHYSICIANS GROUP, LLC |
| Organization Legal Name | CVG PHYSICIANS GROUP, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy C Stout | Physician Assistant | Cvg Physicians Group, LLC | 755 Walther Rd, Lawrenceville, GA 30046-8725 |
| Eddie L Simms | Physician Assistant | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Manfred A Sandler | Cardiovascular Disease (cardiology) | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Catherine W Maina | Nurse Practitioner | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Joseph Perez | Internal Medicine | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Sreenivasulur Gangasani | Cardiovascular Disease (cardiology) | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| David A Wilson | Cardiovascular Disease (cardiology) | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Angela Michelle Povolny | Nurse Practitioner | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Salil J Patel | Cardiovascular Disease (cardiology) | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Margaret Trupiano | Nurse Practitioner | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Street Address |
4365 JOHNS CREEK PKWY SUITE 450 |
| City | SUWANEE |
| State | GA |
| Zip | 30024-6089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee E Herman | Internal Medicine | Johns Creek Primary Care Physicians LLC | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-1059 |
| Margaret W Adams | Nurse Practitioner | Johns Creek Primary Care Physicians LLC | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-1059 |
| Michael F Conlin | Internal Medicine | Johns Creek Primary Care Physicians LLC | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-1059 |
| Pamela P Watson | Nurse Practitioner | Johns Creek Primary Care Physicians LLC | 4365 Johns Creek Pkwy, Suwanee, GA 30024-1059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SUWANEE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Daniel Lee Molloy Jr..
| 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.