Tracey L St Julian (NPI# 1306901467, PAC ID# 3577522754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1306901467 |
| PAC ID by PECOS | 3577522754 |
| Professional Enrollment ID | I20041004000998 |
| Full Name | Tracey L St Julian |
| Organization Legal Name | PREMIER WOMENS OBGYN LLC |
| Address |
237 Upper Riverdale Swrd Riverdale GA 30274-2537 |
| Phone Number | 7709095003 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3274628094 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 | 7709095003 | PREMIER WOMENS OBGYN LLC |
| Organization Legal Name | PREMIER WOMENS OBGYN LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn J Jones | Obstetrics/gynecology | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Ariana Henri Thompson | Nurse Practitioner | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Leslie Michelle Brown | Obstetrics/gynecology | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Anna Rebecca Pestine | Certified Nurse Midwife (cnm) | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Street Address |
237 UPPER RIVERDALE SWRD |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn J Jones | Obstetrics/gynecology | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Ariana Henri Thompson | Nurse Practitioner | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Leslie Michelle Brown | Obstetrics/gynecology | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Anna Rebecca Pestine | Certified Nurse Midwife (cnm) | Premier Womens Obgyn LLC | 237 Upper Riverdale Swrd, Riverdale, GA 30274-2537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | RIVERDALE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Tracey L St Julian.
| 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.