Anand Mehta (NPI# 1629365283, PAC ID# 6305010638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629365283 |
| PAC ID by PECOS | 6305010638 |
| Professional Enrollment ID | I20141229001280 |
| Full Name | Anand Mehta |
| Organization Legal Name | MC MEDICAL LLC |
| Address |
3615 Charles Hardy Pkwy Suite 200 Dallas GA 30157-9472 |
| Phone Number | 7707675542 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183955974 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110198 | WELLSTAR NORTH FULTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3615 Charles Hardy Pkwy, Suite 200, Dallas, GA 30157-9472 | 7707675542 | MC MEDICAL LLC |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 9420 Willeo Rd, Suite 206, Roswell, GA 30075-6773 | 4044399851 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | MC MEDICAL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine N Kiarie | Nurse Practitioner | Mc Medical LLC | 3615 Charles Hardy Pkwy, Suite 200, Dallas, GA 30157-9472 |
| Street Address |
3615 CHARLES HARDY PKWY SUITE 200 |
| City | DALLAS |
| State | GA |
| Zip | 30157-9472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine N Kiarie | Nurse Practitioner | Mc Medical LLC | 3615 Charles Hardy Pkwy, Suite 200, Dallas, GA 30157-9472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Northrop | Clinical Social Worker | 110 Evans Mills Dr, Suite 305, Dallas, GA 30157 | |
| Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Richard B Burris | Orthopedic Surgery | Pinnacle Orthopaedics and Sports Medicine Specialists LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Clifford D Ostrow | Chiropractic | 101 Greystone Power Blvd, B, Dallas, GA 30157-0962 | |
| Jessica Lyn Bykowski | Clinical Social Worker | 110 Evans Mill Dr, Suite 305, Dallas, GA 30157-1623 | |
| Edward D Pham | Chiropractic | 110 Evans Mill Dr, Suite 302, Dallas, GA 30157-1623 | |
| Delbert G Sines | Chiropractic | 110 Evans Mill Dr, Suite 309, Dallas, GA 30157-1623 | |
| Warren Smith | Chiropractic | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1623 | |
| Laura C Schell | Physical Therapy | 110 Evans Mill Dr, Suite 206, Dallas, GA 30157-1624 | |
| Kimdi J Fair | Chiropractic | Back In Line Systems LLC | 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1643 |
| Find all physicians in zip 30157 | |||
| City | DALLAS |
| Zip Code | 30157 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DALLAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Anand Mehta.
| 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.