Freeman M Montaque (NPI# 1215095591, PAC ID# 7113836081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215095591 |
| PAC ID by PECOS | 7113836081 |
| Professional Enrollment ID | I20050505000603 |
| Full Name | Freeman M Montaque |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
3600 Sandy Plains Rd Marietta GA 30066-3020 |
| Phone Number | 7709774547 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 | WELLSTAR MEDICAL GROUP, LLC | |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 2890 Delk Serd, Marietta, GA 30067-5326 | 7709558620 | WELLSTAR MEDICAL GROUP, LLC |
| 3600 Sandy Plains Rd, Marietta, GA 30066-3020 | 7709774547 | WELLSTAR MEDICAL GROUP, LLC |
| 1360 Upper Hembree Rd, Roswell, GA 30076-1230 | 7704753361 | 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 |
3600 SANDY PLAINS RD |
| City | MARIETTA |
| State | GA |
| Zip | 30066-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine M Meredith | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Yuliyan Vesselinov Donchev | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Warren J Falo | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Danielle Starnes | Chiropractic | 2323 Shallowford Rd, Suite 105c, Marietta, GA 30066-2000 | |
| David A Radin | Chiropractic | 2300 Shallowford Rd, Suite 8, Marietta, GA 30066-2075 | |
| August Vance | Chiropractic | Vance Chiropractic PC | 2300 Shallowford Rd, Marietta, GA 30066-2075 |
| Andrew H Krantz | Chiropractic | 3722 Canton Rd, Marietta, GA 30066-2621 | |
| Kenneth O Logan | Chiropractic | 3920 Canton Rd, Suite 190, Marietta, GA 30066-2849 | |
| Joseph V Haezebrouck | Chiropractic | 3417 Canton Rd, Suite 301, Marietta, GA 30066-2896 | |
| Denise Lowman-kedzierski | Nurse Practitioner | Piedmont Professional Services, LLC | 2988 Shallowford Rd, Marietta, GA 30066-3033 |
| Divyalata Vishal Patel | Nurse Practitioner | Piedmont Professional Services, LLC | 2988 Shallowford Rd, Marietta, GA 30066-3033 |
| Mirose P Verme | Nurse Practitioner | Piedmont Professional Services, LLC | 2988 Shallowford Rd, Marietta, GA 30066-3033 |
| Eileen D Keeton | Chiropractic | 4796 Canton Rd, Ste400, Marietta, GA 30066-3250 | |
| Find all physicians in zip 30066 | |||
| City | MARIETTA |
| Zip Code | 30066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARIETTA + 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.