Glen Morehead (NPI# 1720169386, PAC ID# 3274517057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1720169386 |
| PAC ID by PECOS | 3274517057 |
| Professional Enrollment ID | I20101118000467 |
| Full Name | Glen Morehead |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
601 S 8th St Griffin GA 30224-4213 |
| Phone Number | 7702282721 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1983 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 S 8th St, Griffin, GA 30224-4213 | 7702282721 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
601 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip | 30224-4213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| May Y Choi | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Cyril Mark Anara | Hospitalist | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| John Themistocles Chryssochoos | General Surgery | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Winston C Ugbajah | Hospitalist | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Kenneth Wayne Jones Jr | Internal Medicine | Georgia Hospitalists Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Cherry L Tison | Nurse Practitioner | Georgia Hospitalists Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Richard L Kuntz | Anesthesiology | Mak Anesthesia Holdings, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Noah F Delone | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Carlos R Roman | Anesthesiology | Mak Anesthesia Holdings, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Nilam Vaughan | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
| Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
| Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Dwayne L Watkins | Internal Medicine | Heartland Healthcare PC | 327 S 9th St, Griffin, GA 30224-4111 |
| Find all physicians in zip 30224 | |||
| City | GRIFFIN |
| Zip Code | 30224 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | GRIFFIN + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Glen Morehead.
| 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.