Kenneth Jeremy Micheff (NPI# 1649677709, PAC ID# 2769793652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1649677709 |
| PAC ID by PECOS | 2769793652 |
| Professional Enrollment ID | I20150618002045 |
| Full Name | Kenneth Jeremy Micheff |
| Organization Legal Name | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| Address |
9 Medical Dr Ne Cartersville GA 30121-8003 |
| Phone Number | 4702271600 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375591209 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9 Medical Dr Ne, Cartersville, GA 30121-8003 | 4702271600 | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| 2253 Chambliss Ave Nw, Suite 300, Cleveland, TN 37311-3861 | 4234723332 | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8662 | 7062777311 | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| 4700 Battlefield Pkwy, Suite 340, Ringgold, GA 30736-5178 | 7064063900 | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| 10 Medical Dr Ne, Rome, GA 30161-4912 | 7063782235 | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| Organization Legal Name | SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Roberts | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 2600 Taft Hwy, Suite 300, Signal Mountain, TN 37377-2775 |
| Shimon Oami | Pathology | Skin Cancer and Cosmetic Dermatology Center PC | 4548 Brainerd Rd, Chattanooga, TN 37411-5418 |
| Austin Greenwood | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 2253 Chambliss Ave Nw, Suite 300, Cleveland, TN 37311-3861 |
| Tricia Collins | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 10 Medical Dr Ne, Rome, GA 30161-4912 |
| Ashley Miller | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 425 Old Riceville Rd, Suite 3, Athens, TN 37303-3072 |
| Chad Schoenmann | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 400 Timms Nerd, Calhoun, GA 30701-7016 |
| Margie A Cook | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-4904 |
| Joseph D Ballard Iii | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 2253 Chambliss Ave Nw, Suite 300, Cleveland, TN 37311-3861 |
| Jamie Beth Raisor | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 101 Riverstone Vis, Suite 215, Blue Ridge, GA 30513-6665 |
| Lyndsey Randolph | Nurse Practitioner | Skin Cancer and Cosmetic Dermatology Center PC | 2253 Chambliss Ave Nw, Suite 300, Cleveland, TN 37311-3861 |
| Street Address |
9 MEDICAL DR NE |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30121-8003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Y Chung | Dermatology | Skin Cancer and Cosmetic Dermatology Center PC | 9 Medical Dr Ne, Cartersville, GA 30121-8003 |
| Douglas C Diruggiero | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 9 Medical Dr Ne, Cartersville, GA 30121-8003 |
| Jodi-ann C Moore | Physician Assistant | Skin Cancer and Cosmetic Dermatology Center PC | 9 Medical Dr Ne, Cartersville, GA 30121-8003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irene Ibenyenwa | Nurse Practitioner | 22 Maple Ridge Dr, Cartersville, GA 30121-2228 | |
| Larry R Brown | Optometry | 101 Market Place Blvd, Cartersville, GA 30121-2236 | |
| Meredith Duggan | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 122 N Morningside Dr, Cartersville, GA 30121-2912 |
| Jason Salisbury | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Ansley Della Taylor | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Shraddha Patel | Physical Therapy | Physiotherapy Associates Inc | 110 Cherokee Pl, Cartersville, GA 30121-2954 |
| Amana Eliora Andrews | Family Medicine | Eastside Urgent Care LLC | 10 Main St Market Pl Se, Cartersville, GA 30121-3309 |
| David E Kim | Internal Medicine | 491 E Main St, Cartersville, GA 30121-3353 | |
| Margaret Ladell Conley | Clinical Social Worker | 24 A Falcon Cir Nw, Cartersville, GA 30121-7362 | |
| Jacqueline K Foley | Occupational Therapy | Hand Therapy Services Inc | 12 Medical Dr Ne, Cartersville, GA 30121-8002 |
| Find all physicians in zip 30121 | |||
| City | CARTERSVILLE |
| Zip Code | 30121 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CARTERSVILLE + 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.