Eric C Andrist (NPI# 1568435642, PAC ID# 2466495445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1568435642 |
| PAC ID by PECOS | 2466495445 |
| Professional Enrollment ID | I20050610000080 |
| Full Name | Eric C Andrist |
| Organization Legal Name | CHATTAHOOCHEE HEALTHCARE LLC |
| Address |
705 Dallas Hwy Suite 301 Villa Rica GA 30180 |
| Phone Number | 7704590408 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 6608772439 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| Address | Phone | Organization |
|---|---|---|
| 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 | 7704590408 | CHATTAHOOCHEE HEALTHCARE LLC |
| Organization Legal Name | CHATTAHOOCHEE HEALTHCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Henry Burson Iii | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| Street Address |
705 DALLAS HWY SUITE 301 |
| City | VILLA RICA |
| State | GA |
| Zip | 30180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Boss | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Vinaya K Puppala | Pain Management | 705 Dallas Hwy, Suite 205, Villa Rica, GA 30180-1243 | |
| Lawrence Price | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| John Henry Burson Iii | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| Evangelio Gonzalez | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Martha L Clabby | Pediatric Medicine | Emory Egleston Childrens Heart Center | 705 Dallas Hwy, Suite 204, Villa Rica, GA 30180-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Chukelu | Hospitalist | Apogee Medical Group Georgia | 601 Dallas Hwy, Villa Rica, GA 30180-1202 |
| Gina D Duggar | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Melissa D Walker | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Erin De Los Reyes | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| John D Vickery Iv | Allergy/immunology | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| Ryan Davis | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Hector A Caceres Serrano | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Julie S Williard | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| Charisma N Manley | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Robin Childress- Rodriguez | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Villa Rica, GA 30180-1262 |
| Find all physicians in zip 30180 | |||
| City | VILLA RICA |
| Zip Code | 30180 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | VILLA RICA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Eric C Andrist.
| 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.