Edward P Mahan (NPI# 1790800472, PAC ID# 6305961939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790800472 |
| PAC ID by PECOS | 6305961939 |
| Professional Enrollment ID | I20100920000227 |
| Full Name | Edward P Mahan |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Address |
400 Tower Nerd Suite 200 Marietta GA 30060-9412 |
| Phone Number | 7705147550 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830082825 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| 110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 | 4043673210 | PIEDMONT PROVIDERS LLC |
| 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 | 7705147550 | PIEDMONT PROVIDERS LLC |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Steven Bour | General Surgery | Piedmont Providers LLC | 4062 Peachtree Nerd, C, Atlanta, GA 30319-3021 |
| Annie Quinn Morrissey | Endocrinology | Piedmont Providers LLC | 1265 Hwy 54 W, Fayetteville, GA 30214-4548 |
| Jessica Howard Phillips | Nurse Practitioner | Piedmont Providers LLC | 77 Collier Rd Nw, Suite 2080, Atlanta, GA 30309-1762 |
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Ibrahim Wiah Adamu | General Surgery | Piedmont Providers LLC | 775 Poplar Rd, Suite 230, Newnan, GA 30265-8305 |
| Maria M D'angelo | Physician Assistant | Piedmont Providers LLC | 1741 Newnan Crossing Blvd E, Suite G, Newnan, GA 30265-6601 |
| Norman M Gibby Jr. | Physician Assistant | Piedmont Providers LLC | 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 |
| Shelby Boggus King | Physician Assistant | Piedmont Providers LLC | 4181 Hospital Dr Ne, Covington, GA 30014-2541 |
| Minaz N Khetani | Nurse Practitioner | Piedmont Providers LLC | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 |
| Trang Mai Nguyen | Nurse Practitioner | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| Street Address |
400 TOWER NERD SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-9412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trang Mai Nguyen | Nurse Practitioner | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| Catherine A Wells | Physician Assistant | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| Lindsay Logan | Anesthesiology Assistant | Georgia Anesthesiologists, P.C. | 400 Tower Nerd, Suite 350, Marietta, GA 30060-9415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARIETTA + PHYSICIAN ASSISTANT |
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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.