Otis S Powell Jr. (NPI# 1285654301, PAC ID# 6103804554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1285654301 |
PAC ID by PECOS | 6103804554 |
Professional Enrollment ID | I20040713000109 |
Full Name | Otis S Powell Jr. |
Address |
1203 Cleveland Ave Suite 2d Atlanta GA 30344-3417 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1982 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110115 | WELLSTAR ATLANTA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1203 Cleveland Ave, Suite 2d, Atlanta, GA 30344-3417 |
Street Address |
1203 CLEVELAND AVE SUITE 2D |
City | ATLANTA |
State | GA |
Zip | 30344-3417 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jimmy L Gregory | Podiatry | 1203 Cleveland Ave, Suite 2, East Point, GA 30344-3417 | |
Zada Y Weston Hill | Family Medicine | 1203 Cleveland Ave, Suite 1a, East Point, GA 30344-3417 |
Name | Specialty | Organization | Address |
---|---|---|---|
Esther I Iwotor | Nurse Practitioner | Grady Memorial Hospital Corporation | 1595 W Cleveland Ave, East Point, GA 30344-3200 |
Khadeja J Johnson | Internal Medicine | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Marissa Benn Lapedis | Family Medicine | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Marvin L Crawford | Internal Medicine | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Kitty Carter-wicker | Family Medicine | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Sheril Kalarithara | Psychiatry | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Dolapo Babalola | Family Medicine | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Shaneeta Monique Johnson | General Surgery | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Gloria E Westney | Pulmonary Disease | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Deirdre A Evans-cosby | Psychiatry | Morehouse Healthcare, Inc. | 1595 Cleveland Ave, East Point, GA 30344-3200 |
Find all physicians in zip 30344 |
City | ATLANTA |
Zip Code | 30344 |
Specialty | FAMILY MEDICINE |
City + Specialty | ATLANTA + FAMILY 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.