Dawit T Antonios (NPI# 1063461846, PAC ID# 6305807009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1063461846 |
| PAC ID by PECOS | 6305807009 |
| Professional Enrollment ID | I20041026000398 |
| Full Name | Dawit T Antonios |
| Organization Legal Name | MARCY INPATIENT SERVICES LLC |
| Address |
1700 Medical Way Snellville GA 30078-2195 |
| Phone Number | 7709790200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244555613 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 6783123294 | GWINNETT PHYSICIAN GROUP,LLC |
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6783124321 | GWINNETT PHYSICIAN GROUP,LLC |
| 1700 Medical Way, Snellville, GA 30078-2195 | 7709790200 | MARCY INPATIENT SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | MARCY INPATIENT SERVICES LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karine Gelin | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Haritha R Challa | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Donna C Arthur | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Kavita Kotte | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Lashonda K Bloodsaw | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Chirag Shrikant Kulahalli | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Hanna Z Saade | Family Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Fisseha Bekele | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Pinkesh A Bhuta | Hospitalist | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Meraj M Asif | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Street Address |
1700 MEDICAL WAY |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-2195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karine Gelin | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Donald C Spoon | Nurse Practitioner | Ga-i Medical Services PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Haritha R Challa | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Donna C Arthur | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Kavita Kotte | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Charlotte Hayes | Diagnostic Radiology | South Gwinnett Radiology PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Lashonda K Bloodsaw | Physician Assistant | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Micheal T Wright | Nurse Practitioner | Ga-i Medical Services PC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Chirag Shrikant Kulahalli | Internal Medicine | Marcy Inpatient Services LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Tiencia D James | Emergency Medicine | Maroon Bells Emergency Physicians LLC | 1700 Medical Way, Snellville, GA 30078-2195 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | HOSPITALIST |
| City + Specialty | SNELLVILLE + HOSPITALIST |
Please comment or provide details below to improve the information on Dawit T Antonios.
| 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.