James E Gleason Jr. (NPI# 1780649368, PAC ID# 0446338685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1780649368 |
PAC ID by PECOS | 0446338685 |
Professional Enrollment ID | I20080429000156 |
Full Name | James E Gleason Jr. |
Address |
7365 Old National Hwy Riverdale GA 30296-1607 |
Gender | M |
Graduation Year | 1981 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110115 | WELLSTAR ATLANTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
7365 Old National Hwy, Riverdale, GA 30296-1607 |
Street Address |
7365 OLD NATIONAL HWY |
City | RIVERDALE |
State | GA |
Zip | 30296-1607 |
Name | Specialty | Organization | Address |
---|---|---|---|
Qiana Johnson | Nurse Practitioner | 1240 Hwy 138 Sw, Riverdale, GA 30296-1402 | |
Lulu Sherrie Mitchell | Physician Assistant | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
James Oliviere Jr. | Family Medicine | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
Ganiyu A Bello | Physical Therapy | 808 Commerce Blvd, C2, Riverdale, GA 30296-7192 | |
Sadaqa T Ward | Clinical Social Worker | Drawanert Associates | 808 Commerce Blvd, Riverdale, GA 30296-7192 |
City | RIVERDALE |
Zip Code | 30296 |
Specialty | FAMILY MEDICINE |
City + Specialty | RIVERDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James E Gleason 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.