Quyen Ta (NPI# 1003264250, PAC ID# 3375836265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003264250 |
| PAC ID by PECOS | 3375836265 |
| Professional Enrollment ID | I20160729002120 |
| Full Name | Quyen Ta |
| Organization Legal Name | LAVENDER INPATIENT SERVICES LLC |
| Address |
960 Joe Frank Harris Sepkwy Cartersville GA 30120-2129 |
| Phone Number | 7703821530 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810119153 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110030 | CARTERSVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 | 7703821530 | LAVENDER INPATIENT SERVICES LLC |
| Organization Legal Name | LAVENDER INPATIENT SERVICES LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thammi Raju Vegiraju | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Pavan K Mamilla | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Lakshman K Dinavahi | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Sukant Gupta | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Rama L Theegala | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Vishal K Burra | Family Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Delores I Ibetoh | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Michelle L Queen | Nurse Practitioner | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Vineet K Nair | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Silas O Gbenle | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Street Address |
960 JOE FRANK HARRIS SEPKWY |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30120-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan Wiener | Pathology | Etowah Pathology Associates LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Thammi Raju Vegiraju | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Pavan K Mamilla | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Carrie A Bowden | Nurse Practitioner | Ga-i Medical Services PC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Lakshman K Dinavahi | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Sukant Gupta | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Chris A Clark | Pathology | Etowah Pathology Associates LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Hany M Bishara | Pathology | Etowah Pathology Associates LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Rama L Theegala | Internal Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Vishal K Burra | Family Medicine | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Patterson | Chiropractic | 1010 N Tn St, Suite 116, Cartersville, GA 30120 | |
| Timothy J Lin | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Rebekah Smithey | Nurse Practitioner | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Angel T Brown | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Jill L Kachinsky | Chiropractic | 607 N Tennessee St, Cartersville, GA 30120-1697 | |
| Staci Nichole Kenner | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Brandon C Grinage | Anesthesiology | Sheridan Anesthesia Services of North Georgia, PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| David B Warren | Obstetrics/gynecology | Harbin Clinic LLC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Starr C Weather | Nurse Practitioner | Integumetrix | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Find all physicians in zip 30120 | |||
| City | CARTERSVILLE |
| Zip Code | 30120 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARTERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Quyen Ta.
| 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.