Paul Lawrence Douglass (NPI# 1063406262, PAC ID# 3375623424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1063406262 |
| PAC ID by PECOS | 3375623424 |
| Professional Enrollment ID | I20110526000076 |
| Full Name | Paul Lawrence Douglass |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
229 Peachtree St Ne Suite 1200 Atlanta GA 30303-1620 |
| Phone Number | 4048741788 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 | 4048741788 | WELLSTAR MEDICAL GROUP, LLC |
| 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 | 4042654000 | 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 |
229 PEACHTREE ST NE SUITE 1200 |
| City | ATLANTA |
| State | GA |
| Zip | 30303-1620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar Rafik Kashlan | Internal Medicine | Wellstar Medical Group, LLC | 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 |
| Anne Constania Bullock | Nuclear Medicine | Wellstar Medical Group, LLC | 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy J Broe | Chiropractic | 241 Peachtre St, Suite B, Atlanta, GA 30303 | |
| Melissa Myers | Nurse Practitioner | Minute Clinic LLC | 133 Peachtree St Ne, Ga Pacific Bldg, Atlanta, GA 30303-1804 |
| Thomas W Kauffman | Oral Surgery | 133 Peachtree St Ne, Suite 4050, Atlanta, GA 30303-1819 | |
| Benjamin D Renelus | Internal Medicine | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Martha L Elks | Endocrinology | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Abraham Oyewo | Geriatric Medicine | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Atlanta, GA 30303-2507 |
| Harry J Heiman | Family Practice | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Dion S Metzger | Psychiatry | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Atlanta, GA 30303-2507 |
| Terri S Chambers | Certified Nurse Midwife | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Atlanta, GA 30303-2507 |
| Christine T Charaf | Internal Medicine | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Find all physicians in zip 30303 | |||
| City | ATLANTA |
| Zip Code | 30303 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ATLANTA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.