Christopher Alade Ibikunle
GEORGIA SURGICARE


Address: 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207
Phone: 6764666760

Christopher Alade Ibikunle (NPI# 1992981302, PAC ID# 7416031489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1992981302
PAC ID by PECOS 7416031489
Professional Enrollment ID I20110824000403
Full Name Christopher Alade Ibikunle
Organization Legal Name GEORGIA SURGICARE
Address 367 Athens Hwy
Bldg 100 Suite 100
Loganville
GA 30052-2207
Phone Number 6764666760
Gender M
Graduation Year 1996
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 8325217714
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110192 EASTSIDE MEDICAL CENTER
110230 EMORY JOHNS CREEK HOSPITAL

Other Locations

Address Phone Organization
367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 6764666760 GEORGIA SURGICARE

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 2%
MIPS_EC_047_overall Care Plan 2%
MIPS_EC_047_overall Care Plan 2%

Organization Information

Organization Legal Name GEORGIA SURGICARE
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Angelina Postoev General Surgery Georgia Surgicare 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207
Angel F Farinas General Surgery Georgia Surgicare 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207
Christian X Cruz Pico General Surgery Georgia Surgicare 367 Athens Hwy, Loganville, GA 30052-2207

Office Location

Street Address 367 ATHENS HWY
BLDG 100 SUITE 100
City LOGANVILLE
State GA
Zip 30052-2207

Physicians in the same location

Name Specialty Organization Address
Roberto Norniella Psychiatry Neuro Behavioral Health Associates, LLC 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293
Angelina Postoev General Surgery Georgia Surgicare 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207
Olufunke Adewunmi Nurse Practitioner Neuro Behavioral Health Associates, LLC 367 Athens Hwy, Suite 1800, Loganville, GA 30052-8293
Angel F Farinas General Surgery Georgia Surgicare 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207
Christian X Cruz Pico General Surgery Georgia Surgicare 367 Athens Hwy, Loganville, GA 30052-2207
Muntzra K Qadri Psychiatry Neuro Behavioral Health Associates, LLC 367 Athens Hwy, Loganville, GA 30052-8293

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Z Mikrut Internal Medicine 902 Athens Hwy, Loganville, GA 30052
Germaine D Cummings Family Medicine 4480 Atlanta Hwy, Loganville, GA 30052
Harrison C Ojimma Certified Registered Nurse Anesthetist (crna) 367 Athens Hwy 100, Loganville, GA 30052-2207
Jean Cadet Nurse Practitioner Neuro Behavioral Health Associates, LLC 367 Athens Hwy 1050, Loganville, GA 30052-2270
Kenyatta Merriweather Nurse Practitioner Neuro Behavioral Health Associates, LLC 367 Athens Hwy 1050, Loganville, GA 30052-2270
Mandy Michelle Miller Clinical Social Worker 125 Lee Byrd Rd, Loganville, GA 30052-2310
Kirk D Saddler Dermatology Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners 117 Lee Byrd Rd, Loganville, GA 30052-2310
Amy K Goodman Physician Assistant Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners 117 Lee Byrd Rd, Loganville, GA 30052-2310
Jessica J Mercer Pathology Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners 117 Lee Byrd Rd, Loganville, GA 30052-2310
Keith Wright Dermatology Gwinnett Dermatology, PC D/b/a Georgia Dermatology Partners 117 Lee Byrd Rd, Loganville, GA 30052-2310
Find all physicians in zip 30052

Competitor

Search similar physicians

City LOGANVILLE
Zip Code 30052
Specialty GENERAL SURGERY
City + Specialty LOGANVILLE + GENERAL SURGERY

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Dataset Information

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.

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