Theodis Buggs Jr. (NPI# 1215034483, PAC ID# 2466434600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1215034483 |
| PAC ID by PECOS | 2466434600 |
| Professional Enrollment ID | I20141014000879 |
| Full Name | Theodis Buggs Jr. |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Address |
750 Townpark Ln Nw Kennesaw GA 30144-5579 |
| Phone Number | 7705145405 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6204829013 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| Address | Phone | Organization |
|---|---|---|
| 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 7706776043 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 | 4043647206 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 7705145405 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Physicians | 720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sapna Ashok Patel | Otolaryngology | The Southeast Permanente Medical Group | 2470 Mount Zion Pkwy, Bldg 200, Jonesboro, GA 30236-2500 |
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Joan Mary Gopin | Hospitalist | The Southeast Permanente Medical Group | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 |
| Sandra Nicole Jackson-dent | Family Medicine | The Southeast Permanente Medical Group | 2240 Fountain Dr, Snellville, GA 30078-2919 |
| Emily K Deschler | Ophthalmology | The Southeast Permanente Medical Group | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
| Vicki L Yates | Certified Nurse Midwife (cnm) | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Lisa Michaels | Podiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Seema Panduranga Kini | Dermatology | The Southeast Permanente Medical Group | 1435 Broadmoor Blvd, Buford, GA 30518-5408 |
| Modesta Tako | Family Medicine | The Southeast Permanente Medical Group | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 |
| Samir Patel | Internal Medicine | The Southeast Permanente Medical Group | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 |
| Street Address |
750 TOWNPARK LN NW |
| City | KENNESAW |
| State | GA |
| Zip | 30144-5579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Hellstrom | Otolaryngology | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Angela H Coleman | Emergency Medicine | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Paul D Johnson | Nurse Practitioner | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Susan P Goggans | Emergency Medicine | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Ashwin Murigeppa Sheelvanth | Hematology/oncology | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Tanya Menard | Psychiatry | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Jennifer Yam | Internal Medicine | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Christy L Joubert | Physician Assistant | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Lubaina Rangwala | Ophthalmology | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Kathleen M Rodriguez | General Surgery | The Southeast Permanente Medical Group | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
| Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
| Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
| Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
| Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
| Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
| Stephen K Green | Chiropractic | 4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 | |
| Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
| Find all physicians in zip 30144 | |||
| City | KENNESAW |
| Zip Code | 30144 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | KENNESAW + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Theodis Buggs 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.