Leah Marie Gumucio (NPI# 1992074496, PAC ID# 0840453510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992074496 |
| PAC ID by PECOS | 0840453510 |
| Professional Enrollment ID | I20180628002744 |
| Full Name | Leah Marie Gumucio |
| Organization Legal Name | PIEDMONT ATHENS SPECIALTY CARE LLC |
| Address |
340 Exchange Blvd Bethlehem GA 30620-1759 |
| Phone Number | 6789637171 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820349772 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 6789637171 | PIEDMONT ATHENS SPECIALTY CARE LLC |
| 1305 Jennings Mill Rd, Suite 290a, Watkinsville, GA 30677-7203 | 7065521840 | PIEDMONT ATHENS SPECIALTY CARE LLC |
| Organization Legal Name | PIEDMONT ATHENS SPECIALTY CARE LLC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shashikant Patil | Neurosurgery | Piedmont Athens Specialty Care LLC | 242 King Ave, Suite 130, Athens, GA 30606-2966 |
| Ashlee Roberts Kimbrell | Colorectal Surgery (proctology) | Piedmont Athens Specialty Care LLC | 740 Prince Ave, Suite 8a, Athens, GA 30606-5903 |
| Kristin C Ley | Nurse Practitioner | Piedmont Athens Specialty Care LLC | 209 Mercer Pl, Commerce, GA 30529-1564 |
| Brittany D Castro | Nurse Practitioner | Piedmont Athens Specialty Care LLC | 242 King Ave, Suite 210, Athens, GA 30606-2966 |
| Anthonia C Anukam | Certified Nurse Midwife (cnm) | Piedmont Athens Specialty Care LLC | 242 King Ave, Suite 120, Athens, GA 30606-2966 |
| Earle W Gunn Iii | General Surgery | Piedmont Athens Specialty Care LLC | 242 King Ave, Suite 220, Athens, GA 30606-2966 |
| Cassie N Campbell | Obstetrics/gynecology | Piedmont Athens Specialty Care LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Edwina S Biron | Physician Assistant | Piedmont Athens Specialty Care LLC | 1199 Prince Ave, Athens, GA 30606-2797 |
| Kelly P Ward | Physician Assistant | Piedmont Athens Specialty Care LLC | 1500 Oglethorpe Ave, Suite 500b, Athens, GA 30606-2184 |
| Sarah E. Hamilton | Nurse Practitioner | Piedmont Athens Specialty Care LLC | 242 King Ave, Suite 120, Athens, GA 30606-2966 |
| Street Address |
340 EXCHANGE BLVD |
| City | BETHLEHEM |
| State | GA |
| Zip | 30620-1759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jung Kim | Family Medicine | Piedmont Athens Regional Firstcare LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Susan H Leighty | Nurse Practitioner | Piedmont Athens Regional Firstcare LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Michael K Sopt | Family Medicine | Piedmont Athens Primary Care LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Ratika S Kavuri | Family Medicine | Piedmont Athens Primary Care LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Sameer Patel | Family Medicine | Piedmont Athens Regional Firstcare LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Uzoma E Ndukwe | Family Practice | Piedmont Athens Primary Care LLC | 340 Exchange Blvd, Bethlehem, GA 30620-1759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonnica Shenea Dozier | Podiatry | 656 Exchange Circle, Suite 200, Bethlehem, GA 30620-1763 | |
| Manan I Shah | Ophthalmology | 14 Vision St, Suite 100, Bethlehem, GA 30620-1769 | |
| Brent Joseph Davis | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| John David Williams | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| Kimberly Christine Thomas | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| Lora Elizabeth Walker | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| Stephanie Grace Bair | Occupational Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| Jessica Thai Haynie | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 916 Loganville Hwy, Suite 1130, Bethlehem, GA 30620-2153 |
| City | BETHLEHEM |
| Zip Code | 30620 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BETHLEHEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Leah Marie Gumucio.
| 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.