Joseph J Braintwain (NPI# 1003854084, PAC ID# 3870494909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003854084 |
| PAC ID by PECOS | 3870494909 |
| Professional Enrollment ID | I20101213000614 |
| Full Name | Joseph J Braintwain |
| Organization Legal Name | NORTHSIDE URGENT CARE HOLDING, LLC |
| Address |
81 Northside Dawson Dr Dawsonville GA 30534-7166 |
| Phone Number | 7062166000 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4587984695 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 81 Northside Dawson Dr, Dawsonville, GA 30534-7166 | 7062166000 | NORTHSIDE URGENT CARE HOLDING, LLC |
| 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 | 7062166000 | NORTHSIDE URGENT CARE HOLDING, LLC |
| Organization Legal Name | NORTHSIDE URGENT CARE HOLDING, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Lamb | Nurse Practitioner | Northside Urgent Care Holding, LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Kristofer R Foreman | Physician Assistant | Northside Urgent Care Holding, LLC | 684 Sixes Rd, 125a, Holly Springs, GA 30115-8758 |
| Maureen L Olson | Emergency Medicine | Northside Urgent Care Holding, LLC | 81 Northside Dawson Dr, Dawsonville, GA 30534-7166 |
| David I Lubin | Emergency Medicine | Northside Urgent Care Holding, LLC | 81 Northside Dawson Dr, Dawsonville, GA 30534-7166 |
| Street Address |
81 NORTHSIDE DAWSON DR |
| City | DAWSONVILLE |
| State | GA |
| Zip | 30534-7166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Cox | Family Medicine | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Mary Kathleen Hesidence | Nurse Practitioner | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Kanitha Sar | Nurse Practitioner | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Crystal D Owens | Family Medicine | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Cymanthia Keesha Connell | Family Medicine | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Melissa M Davidson | Physician Assistant | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Heather L Brown | Physician Assistant | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Amanda Calchary | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 81 Northside Dawson Dr, Suite 203, Dawsonville, GA 3053464ND |
| Kelly Ann Russin | Physician Assistant | Northside Urgent Care Holding LLC | 81 Northside Dawson Dr, Suite 100a, Dawsonville, GA 30534-7166 |
| Larry W Anderson | Family Medicine | Northside Primary Care Professional Services,llc | 81 Northside Dawson Dr, Suite 205, Dawsonville, GA 30534-7169 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nabil Keith | Family Medicine | Ghosn Family Medicine | 6002 Hwy 53 E, Suite 100, Dawsonville, GA 30534 |
| Torre S Massey | Nurse Practitioner | Interventional Spine and Pain Management Center, PC | 6002 Hwy 53 E 110, Dawsonville, GA 30534 |
| Ramzi N Ghosn | Family Medicine | Ghosn Family Medicine | 6002 Hwy 53 E, Suite 100, Dawsonville, GA 30534 |
| Timothy A Annis | Chiropractic | 66 S 400 Ctr Ln, Suite 105, Dawsonville, GA 30534-0607 | |
| Harleen Singh | Family Medicine | Dawsonville Family Medicine | 1080 Lumpkin Campground S Rd, Suite 300, Dawsonville, GA 30534-0989 |
| William J Keating | Family Medicine | Dawsonville Family Medicine | 1080 Lumpkin Campground S Rd, Suite 300, Dawsonville, GA 30534-0989 |
| Austin Reid Shelnutt | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 78 Dawson Village Way N, Suite 230, Dawsonville, GA 30534-5642 |
| Charlotte Holt Baird | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 78 Dawson Village Way N, Suite 230, Dawsonville, GA 30534-5642 |
| Andrew Jonathan Sigers Jones | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 78 Dawson Village Way N, Suite 230, Dawsonville, GA 30534-5642 |
| David Meuesen | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 78 Dawson Village Way N, Suite 230, Dawsonville, GA 30534-5642 |
| Find all physicians in zip 30534 | |||
| City | DAWSONVILLE |
| Zip Code | 30534 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DAWSONVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Joseph J Braintwain.
| 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.