Joanne Talley (NPI# 1245490549, PAC ID# 4082763172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1245490549 |
| PAC ID by PECOS | 4082763172 |
| Professional Enrollment ID | I20090520000224 |
| Full Name | Joanne Talley |
| Organization Legal Name | NORTHSIDE SEPC PROFESSIONAL SERVICES LLC |
| Address |
105 Carnegie Pl Suite 103 Fayetteville GA 30214-5900 |
| Phone Number | 7707167999 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 6204186901 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 | 7707167999 | NORTHSIDE SEPC PROFESSIONAL SERVICES LLC |
| Organization Legal Name | NORTHSIDE SEPC PROFESSIONAL SERVICES LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Poonam Ramani | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Judith Currie | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Roger George Carr | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Magaly Colon | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Marcia Lanette Timmons | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Johnny Harris Ii | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Larry Bergere | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Tamra Jo James Casper | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Shearin Higgs | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| William R Osborne Jr. | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Street Address |
105 CARNEGIE PL SUITE 103 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Poonam Ramani | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Judith Currie | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Roger George Carr | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Magaly Colon | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Marcia Lanette Timmons | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Johnny Harris Ii | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Larry Bergere | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Tamra Jo James Casper | Nurse Practitioner | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Shearin Higgs | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| William R Osborne Jr. | Internal Medicine | Northside Sepc Professional Services LLC | 105 Carnegie Pl, Suite 103, Fayetteville, GA 30214-5900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | FAYETTEVILLE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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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.