Elizabeth Heath Grass (NPI# 1861858623, PAC ID# 4284938051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1861858623 |
PAC ID by PECOS | 4284938051 |
Professional Enrollment ID | I20160215002838 |
Full Name | Elizabeth Heath Grass |
Organization Legal Name | KIDNEY CARE CENTER OF GEORGIA LLC |
Address |
4035 Johns Creek Pkwy Suite C Suwanee GA 30024-1213 |
Phone Number | 6784500202 |
Gender | F |
Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9638200819 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110005 | NORTHSIDE HOSPITAL FORSYTH |
110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
Address | Phone | Organization |
---|---|---|
1505 Northside Blvd, Suite 3800, Cumming, GA 30041-8247 | 6784500202 | KIDNEY CARE CENTER OF GEORGIA LLC |
663 Lanier Park Dr, Gainesville, GA 30501-2059 | 6784500202 | KIDNEY CARE CENTER OF GEORGIA LLC |
4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 | 6784500202 | KIDNEY CARE CENTER OF GEORGIA LLC |
Organization Legal Name | KIDNEY CARE CENTER OF GEORGIA LLC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bradee Burrell Aderholt | Nurse Practitioner | Kidney Care Center of Georgia LLC | 663 Lanier Park Dr, Gainesville, GA 30501-2059 |
Amanda Marie Aguirre-johnson | Physician Assistant | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Montish Singla | Nephrology | Kidney Care Center of Georgia LLC | 1505 Northside Blvd, Suite 3800, Cumming, GA 30041-8247 |
Marlene A Anderson-reid | Nurse Practitioner | Kidney Care Center of Georgia LLC | 1505 Northside Blvd, Suite 3800, Cumming, GA 30041-8247 |
Joanna B Holder | Physician Assistant | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Sunitha Kalyanam | Nephrology | Kidney Care Center of Georgia LLC | 663 Lanier Park Dr, Gainesville, GA 30501-2059 |
Tonya R Ramey | Nurse Practitioner | Kidney Care Center of Georgia LLC | 663 Lanier Park Dr, Gainesville, GA 30501-2059 |
Miriam Gentin | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Prashant R Amin | Nephrology | Kidney Care Center of Georgia LLC | 663 Lanier Park Dr, Gainesville, GA 30501-2059 |
Khaled Nass | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Street Address |
4035 JOHNS CREEK PKWY SUITE C |
City | SUWANEE |
State | GA |
Zip | 30024-1213 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Marie Aguirre-johnson | Physician Assistant | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Joanna B Holder | Physician Assistant | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Miriam Gentin | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Khaled Nass | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Lalitha Bandi | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Deepak K Aggarwal | Nephrology | Kidney Care Center of Georgia LLC | 4035 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1213 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
Find all physicians in zip 30024 |
City | SUWANEE |
Zip Code | 30024 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | SUWANEE + PHYSICIAN ASSISTANT |
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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.