Mark H Middleton (NPI# 1710977202, PAC ID# 6608838230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1710977202 |
| PAC ID by PECOS | 6608838230 |
| Professional Enrollment ID | I20041027000371 |
| Full Name | Mark H Middleton |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
4500 Hospital Blvd Suite 230 Roswell GA 30076-0001 |
| Phone Number | 7704104520 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110198 | WELLSTAR NORTH FULTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3000 Hospital Blvd, Roswell, GA 30076-4915 | 7707512912 | WELLSTAR MEDICAL GROUP, LLC |
| 3000 Hospital Blvd, Fl 2, Roswell, GA 30076-4915 | 7707512777 | WELLSTAR MEDICAL GROUP, LLC |
| 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 | 7704104520 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
4500 HOSPITAL BLVD SUITE 230 |
| City | ROSWELL |
| State | GA |
| Zip | 30076-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Bush | Nurse Practitioner | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark L Gravlee | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| James Haynes | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Sachin Lavania | Pulmonary Disease | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Justin Kunes | Orthopedic Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Jacob Holloway | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Jerome Silver | Diagnostic Radiology | Roswell Radiology Associates | 4500 Hospital Blvd, Suite 100, Roswell, GA 30076-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick D Fraser | Psychologist, Clinical | 11755 Point Place, Suite B, Roswell, GA 30076 | |
| Katharine Haase | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Alexandra N. Katsorelos | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Priya Palliyil | Internal Medicine | 1240 Upper Hembree Rd D, Roswell, GA 30076-0914 | |
| Shelley S Staton | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Shelley M Dunson-allen | Obstetrics/gynecology | Shelley Dunson-allen, M.d., P.C. | 1300 Upper Hembree Rd, Suite 100, Roswell, GA 30076-0927 |
| Leigh E Wenslow | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Kristl L Kamm | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Mary M Pettignano | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Anna L Bradley | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Find all physicians in zip 30076 | |||
| City | ROSWELL |
| Zip Code | 30076 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ROSWELL + GENERAL SURGERY |
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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.