Richard Lassiter (NPI# 1376593780, PAC ID# 4981634748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1376593780 |
| PAC ID by PECOS | 4981634748 |
| Professional Enrollment ID | I20111101000515 |
| Full Name | Richard Lassiter |
| Organization Legal Name | CEP AMERICA LLC |
| Address |
2801 Dekalb Medical Pkwy Lithonia GA 30058-4996 |
| Phone Number | 4045018110 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6608056171 |
| Number of Group Practice Members | 201 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| Address | Phone | Organization |
|---|---|---|
| 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 4045018110 | CEP AMERICA LLC |
| Organization Legal Name | CEP AMERICA LLC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Conrad D Souza | Emergency Medicine | Cep America LLC | 2041 Georgia Ave Nw, Washington, DC 20060-0001 |
| Jennifer Berman | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Autumn Hays | Nurse Practitioner | Cep America LLC | 1606 N 7th St, Terre Haute, IN 47804-2706 |
| Dianna Lee Binnion | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Bryce Curtis Inman | Emergency Medicine | Cep America LLC | 1775 Thompson Rd, Coos Bay, OR 97420-2125 |
| Charles M Reynolds | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Shane Kenneth Marshall | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Adrian Zielinski | Emergency Medicine | Cep America LLC | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Elizabeth Kersten Wolpaw | Emergency Medicine | Cep America LLC | 21601 76th Ave W, Edmonds, WA 98026-7507 |
| Eric T Ory | Emergency Medicine | Cep America LLC | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 |
| Street Address |
2801 DEKALB MEDICAL PKWY |
| City | LITHONIA |
| State | GA |
| Zip | 30058-4996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Martin | Emergency Medicine | Cep America LLC | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 |
| Jimson O Smith | Emergency Medicine | Cep America LLC | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 |
| Julian Albritton | Physician Assistant | Cep America LLC | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Berman | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Michelle K Carpenter | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 5403 Hillandale Park Ct A, Lithonia, GA 30058 |
| John E Spaulding Jr. | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Marlon G Fisher | Emergency Medicine | Cep America LLC | 2801 Dekalb Pkwy, Lithonia, GA 30058 |
| Yara Venita Robertson | General Surgery | Metro Surgical Associates, Inc | 5910 Hillandale Dr, Suite 104, Lithonia, GA 30058-1877 |
| Rogsbert F Phillips | General Surgery | Metro Surgical Associates, Inc | 5910 Hillandale Dr, Suite 104, Lithonia, GA 30058-1877 |
| Sherell Vicks | Internal Medicine | 5910 Hillandale Dr, Suite 202, Lithonia, GA 30058-1877 | |
| Alan R Friedman | General Surgery | Alan R Friedman, Md PC | 5910 Hillandale Dr, Lithonia, GA 30058-1878 |
| Wallace Duncan | Internal Medicine | Privia Medical Group of Georgia LLC | 5910 Hillandale Dr, Suite 355, Lithonia, GA 30058-1880 |
| Clifford R Seward | Ophthalmology | 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 | |
| Find all physicians in zip 30058 | |||
| City | LITHONIA |
| Zip Code | 30058 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LITHONIA + EMERGENCY MEDICINE |
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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.