Athena J Fountain (NPI# 1356560577, PAC ID# 7214035625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356560577 |
| PAC ID by PECOS | 7214035625 |
| Professional Enrollment ID | I20070608000280 |
| Full Name | Athena J Fountain |
| Organization Legal Name | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Address |
340 Hodgson Ct Savannah GA 31406-1523 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618962291 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 340 Hodgson Ct, Savannah, GA 31406-1523 | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Organization Legal Name | SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS, PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Adam Mccoy | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 131 Silverwood Ct, Suite 100, Rincon, GA 31326-5131 |
| Michael A Errico | Nephrology | Southeast Lung and Critical Care Specialists, PC | 12 B Arley Way, Suite 102, Bluffton, SC 29910-4883 |
| Maria Mascolo | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 209 A Mims Rd, Sylvania, GA 30467-1994 |
| Ryan B Moody | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 601 E Genral Stewart Way, Hinesville, GA 31313-2627 |
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| James A Daly Iii | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Randall Brian Evans | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 23 Main St, Suite 202, Hilton Head, SC 29926-1648 |
| Masood Ahmed | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| Michael D Mullins | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Street Address |
340 HODGSON CT |
| City | SAVANNAH |
| State | GA |
| Zip | 31406-1523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Joshua T Bonin | Physician Assistant | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Michael Paul Perkins | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Kevin Kruenegel | Physician Assistant | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Mark E Domanski | Chiropractic | 320 E Montgomery Crossroads, Suite 30, Savannah, GA 31406 | |
| Monica R Kenney | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Colleen Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Bruce Daniel Finkel | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Todd M Titus | Chiropractic | 7373 Hodgson Memorial Dr, Suite 6, Savannah, GA 31406-1503 | |
| Adelle Burnsed-geffen | Psychologist, Clinical | 7203 Hodgson Memorial Dr, Suite C, Savannah, GA 31406-1525 | |
| Judy S Saucerman | Clinical Social Worker | Georgia Outreach, LLC | 7130 Hodgson Memorial Dr, Suite 101, Savannah, GA 31406-1527 |
| Ashley Marie Richbourg | Clinical Social Worker | Georgia Outreach, LLC | 7130 Hodgson Memorial Dr, Suite 101, Savannah, GA 31406-1527 |
| Joshua D Visalli | Optometry | Childrens Eye Institute of Savannah, Inc. | 340 Eisenhower Dr Bldg, 1400 Bldg 1400 Suite A, Savannah, GA 31406-1600 |
| Find all physicians in zip 31406 | |||
| City | SAVANNAH |
| Zip Code | 31406 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAVANNAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Athena J Fountain.
| 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.