Lata Parvathaneni (NPI# 1629396585, PAC ID# 3375782162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629396585 |
| PAC ID by PECOS | 3375782162 |
| Professional Enrollment ID | I20171102001677 |
| Full Name | Lata Parvathaneni |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
900 Towne Lake Pkwy Suite 410 Woodstock GA 30189-1604 |
| Phone Number | 6784450819 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110161 | NORTHSIDE HOSPITAL |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| Address | Phone | Organization |
|---|---|---|
| 900 Towne Lake Pkwy, Suite 410, Woodstock, GA 30189-1604 | 6784450819 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
900 TOWNE LAKE PKWY SUITE 410 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30189-1604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Reagan O'connor | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Cesar Cruz Aguilar | Cardiac Electrophysiology | Northside Cardiovascular Professional Services,llc | 900 Towne Lake Pkwy, Suite 400, Woodstock, GA 30189-1604 |
| Nicole Tabatha Rivera | Physician Assistant | Aga Professional Services LLC | 900 Towne Lake Pkwy, Suite 308, Woodstock, GA 30189-1604 |
| Anand Shantha | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| James M Elmore | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Andrew J Kirsch | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Beniam Tefera Abebe | Physician Assistant | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Robert S Kaufmann | Internal Medicine | The Kaufmann Clinic Inc | 900 Towne Lake Pkwy, Suite 300, Woodstock, GA 30189-1604 |
| Adamantios Michael Mellis | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lili D Gipson | Chiropractic | 715 A Bascomb Comm Pkwy, Woodstock, GA 30189 | |
| Carrie E Tyner | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Paula S Thibault | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Naomi S Morson | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Victoria M Wermers | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Safiah Vafaeian | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Eden Y Shapiro | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Fernando A Duralde | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Graham B Matthews | Family Medicine | Perimeter Professional Services, LLC | 900 Towne Lake Pkwy, Suite 210, Woodstock, GA 30189-1603 |
| Emily Ussery | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Find all physicians in zip 30189 | |||
| City | WOODSTOCK |
| Zip Code | 30189 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WOODSTOCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lata Parvathaneni.
| 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.