Enoch Kotei (NPI# 1205179512, PAC ID# 3173814977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205179512 |
| PAC ID by PECOS | 3173814977 |
| Professional Enrollment ID | I20160627001065 |
| Full Name | Enoch Kotei |
| Organization Legal Name | SOUTHSIDE MEDICAL CENTER, INC. |
| Address |
1046 Ridge Ave Sw Atlanta GA 30315-1640 |
| Phone Number | 4046881350 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6901700723 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 4046881350 | SOUTHSIDE MEDICAL CENTER, INC. |
| Organization Legal Name | SOUTHSIDE MEDICAL CENTER, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Williams | Family Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Timothy B Brown | Obstetrics/gynecology | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Frazier B Todd | Podiatry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Katerin Ortiz | Optometry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Donna C Sinclair | Obstetrics/gynecology | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Curtis L Champion | Emergency Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| John W Houser | General Practice | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Barbara L Mcmillan-persaud | Family Practice | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David Worth | Optometry | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Street Address |
1046 RIDGE AVE SW |
| City | ATLANTA |
| State | GA |
| Zip | 30315-1640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Williams | Family Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Frazier B Todd | Podiatry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Katerin Ortiz | Optometry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Donna C Sinclair | Obstetrics/gynecology | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Curtis L Champion | Emergency Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| John W Houser | General Practice | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Burgess | Family Medicine | 362 Augusta Seave, Atlanta, GA 30315-1448 | |
| Timothy B Brown | Obstetrics/gynecology | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Barbara L Mcmillan-persaud | Family Practice | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David Worth | Optometry | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Tunisia F Cornelius | Dermatology | 1039 Grant St Se, Suite A 11, Atlanta, GA 30315-2014 | |
| Ngozi Orabueze | Nurse Practitioner | 2049 Metropolitan Pkwy Sw, Atlanta, GA 30315-5926 | |
| Robert H Marmer | Ophthalmology | Marmer Medical Eye Center PC-dba Atlanta Fashion Optical | 777 Cleveland Sw Ave, Suite 102, Atlanta, GA 30315-7101 |
| Divina N Dyer | Family Medicine | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7116 | |
| Cathryn Johnson | Clinical Social Worker | 777 Cleveland Ave Sw, Suite 602, Atlanta, GA 30315-7116 | |
| Lashaundra R Dangerfield | Optometry | Nassar Enterprises,llc | 777 Cleveland Ave Sw, Suite 616, Atlanta, GA 30315-7116 |
| Find all physicians in zip 30315 | |||
| City | ATLANTA |
| Zip Code | 30315 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATLANTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Enoch Kotei.
| 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.