Kenneth D Wenslow (NPI# 1295805661, PAC ID# 5991764425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295805661 |
| PAC ID by PECOS | 5991764425 |
| Professional Enrollment ID | I20041008000768 |
| Full Name | Kenneth D Wenslow |
| Organization Legal Name | HIDDEN VALLEY MEDICAL CENTER INC |
| Address |
2855 Old Hwy 5 105 Blue Ridge GA 30513-6239 |
| Phone Number | 7062583661 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799768248 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Riverstone Vis, Blue Ridge, GA 30513-6665 | HIDDEN VALLEY MEDICAL CENTER INC | |
| 2855 Old Hwy 5, Blue Ridge, GA 30513-6239 | HIDDEN VALLEY MEDICAL CENTER INC | |
| 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 | 7062583661 | HIDDEN VALLEY MEDICAL CENTER INC |
| 2855 Old Hwy 5 N, Blue Ridge, GA 30513-6239 | HIDDEN VALLEY MEDICAL CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 50% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | HIDDEN VALLEY MEDICAL CENTER INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shayne Squires | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Richard L Tanner | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 N, Suite 111, Blue Ridge, GA 30513-6239 |
| Camille Y Ledford | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6665 |
| Elias G Issa | Emergency Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Lindsey Panter Niknezhad | Physician Assistant | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Lee Ann Tidman | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Hamidreza Doroodchi | Orthopedic Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Paula Watkins Millhouse | Nurse Practitioner | Hidden Valley Medical Center Inc | 101 Riverstone Vis, Blue Ridge, GA 30513-6648 |
| Joshua David Curtis | Nurse Practitioner | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Nathan William Kincaid | General Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 N, Suite 108, Blue Ridge, GA 30513-6239 |
| Street Address |
2855 OLD HWY 5 105 |
| City | BLUE RIDGE |
| State | GA |
| Zip | 30513-6239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shayne Squires | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Elias G Issa | Emergency Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Lindsey Panter Niknezhad | Physician Assistant | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Hamidreza Doroodchi | Orthopedic Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Joshua David Curtis | Nurse Practitioner | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Raymond E Tidman | Family Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Erich S Pearson | Internal Medicine | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Jonathan Anthony Bloch | General Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Clifford T. Thompson | General Surgery | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Mark Beattie | Diagnostic Radiology | Hidden Valley Medical Center Inc | 2855 Old Hwy 5 105, Blue Ridge, GA 30513-6239 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Andrew Krout | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Renee S Rimmer | Optometry | 3831 E 1st St, Blue Ridge, GA 30513 | |
| Angela Mundy Swartz | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Brittany Northcutt | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Michael W Darnell | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Kristen Farist | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Ronald T Jabaley Ii | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | |
| Kenney S Atkins | General Practice | 4799 Blue Ridge Dr, Suite 100, Blue Ridge, GA 30513-3240 | |
| Nancy E Chancey | Clinical Social Worker | 4528 Lickskillet Rd, Blue Ridge, GA 30513-3446 | |
| Joel Yagoda | Optometry | Jumpstart Fitness | 97 Commerce Dr, Blue Ridge, GA 30513-3677 |
| Find all physicians in zip 30513 | |||
| City | BLUE RIDGE |
| Zip Code | 30513 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLUE RIDGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth D Wenslow.
| 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.