James V Waldron (NPI# 1215054853, PAC ID# 0749304533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215054853 |
| PAC ID by PECOS | 0749304533 |
| Professional Enrollment ID | I20100831000626 |
| Full Name | James V Waldron |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Address |
3820 Medical Park Dr Austell GA 30106-1110 |
| Phone Number | 7709486041 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830082825 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 | 4043673210 | PIEDMONT PROVIDERS LLC |
| 3820 Medical Park Dr, Austell, GA 30106-1110 | 7709486041 | PIEDMONT PROVIDERS LLC |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Steven Bour | General Surgery | Piedmont Providers LLC | 4062 Peachtree Nerd, C, Atlanta, GA 30319-3021 |
| Annie Quinn Morrissey | Endocrinology | Piedmont Providers LLC | 1265 Hwy 54 W, Fayetteville, GA 30214-4548 |
| Jessica Howard Phillips | Nurse Practitioner | Piedmont Providers LLC | 77 Collier Rd Nw, Suite 2080, Atlanta, GA 30309-1762 |
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Ibrahim Wiah Adamu | General Surgery | Piedmont Providers LLC | 775 Poplar Rd, Suite 230, Newnan, GA 30265-8305 |
| Maria M D'angelo | Physician Assistant | Piedmont Providers LLC | 1741 Newnan Crossing Blvd E, Suite G, Newnan, GA 30265-6601 |
| Norman M Gibby Jr. | Physician Assistant | Piedmont Providers LLC | 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 |
| Shelby Boggus King | Physician Assistant | Piedmont Providers LLC | 4181 Hospital Dr Ne, Covington, GA 30014-2541 |
| Minaz N Khetani | Nurse Practitioner | Piedmont Providers LLC | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 |
| Trang Mai Nguyen | Nurse Practitioner | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| Street Address |
3820 MEDICAL PARK DR |
| City | AUSTELL |
| State | GA |
| Zip | 30106-1110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Rutherford | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Rosemary Thomas-cloud | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 3820 Medical Park Dr, Suite 2200, Austell, GA 30106-1110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristian Stodghill | Hospice/palliative Care | Wellstar Medical Group, LLC | 4040 Hospital W Dr, Austell, GA 30106 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Bennie Dean Mobley | Optometry | 3999 Austell Rd, Austell, GA 30106-1100 | |
| Karen J Moore | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Ashley W Crocker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 |
| Omar Hajmurad | Anesthesiology | Interventional Spine and Pain Management Center, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Tayler Alyse Walker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Melanie D Marshall | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Lashawn R Mccarty | Certified Registered Nurse Anesthetist | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Marcia E Steinberg | Certified Registered Nurse Anesthetist | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Find all physicians in zip 30106 | |||
| City | AUSTELL |
| Zip Code | 30106 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AUSTELL + PHYSICIAN ASSISTANT |
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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.