Phyllis S Tong (NPI# 1376651190, PAC ID# 7719179977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1376651190 |
| PAC ID by PECOS | 7719179977 |
| Professional Enrollment ID | I20101006000173 |
| Full Name | Phyllis S Tong |
| Organization Legal Name | PERSONALIZED PRIMARY CARE OF ATLANTA LLC |
| Address |
57 Executive Park S Suite 390 Atlanta GA 30329-2201 |
| Phone Number | 4049976790 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789717018 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110010 | EMORY UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 57 Executive Park S, Suite 390, Atlanta, GA 30329-2201 | 4049976790 | PERSONALIZED PRIMARY CARE OF ATLANTA LLC |
| Organization Legal Name | PERSONALIZED PRIMARY CARE OF ATLANTA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet K Mavromatis | Internal Medicine | Personalized Primary Care of Atlanta LLC | 57 Executive Park S, Suite 390, Atlanta, GA 30329-2201 |
| Street Address |
57 EXECUTIVE PARK S SUITE 390 |
| City | ATLANTA |
| State | GA |
| Zip | 30329-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliet K Mavromatis | Internal Medicine | Personalized Primary Care of Atlanta LLC | 57 Executive Park S, Suite 390, Atlanta, GA 30329-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Hughes | Clinical Social Worker | 2801 Buford Nehwy 503, Atlanta, GA 30329 | |
| Michael L Serrano | Optometry | Michael L Serrano Od | 3103 Clairmont Rd Ne, Brookhaven, GA 30329-1043 |
| Naureen Munawar | Geriatric Psychiatry | Mental Health Comprehensive Services | 3103 Clairmont Rd Ne, Suite B, Brookhaven, GA 30329-1043 |
| Ellen M Benson | Nurse Practitioner | Mental Health Comprehensive Services | 3103 Clairmont Rd Ne, Suite B, Brookhaven, GA 30329-1043 |
| Donald L Gibson | Psychiatry | Mental Health Comprehensive Services | 3103 Clairmont Rd Ne, Brookhaven, GA 30329-1043 |
| Craig A Senft | Chiropractic | 2987 Clairmont Nerd, Suite 105, Atlanta, GA 30329-1636 | |
| Ingrid A Ellison | Ophthalmology | 2901 Clairmont Rd Ne, Suite A, Brookhaven, GA 30329-1639 | |
| Astrid Rozo Rivera | Nurse Practitioner | Saint Joseph's Mercy Care Services Inc | 3367 Burford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 |
| Marly A Santana | Clinical Social Worker | Saint Joseph's Mercy Care Services Inc | 3367 Burford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 |
| Joy Fernandez | Nurse Practitioner | Saint Joseph's Mercy Care Services Inc | 3367 Burford Hwy Ne, Suite 910, Atlanta, GA 30329-1709 |
| Find all physicians in zip 30329 | |||
| City | ATLANTA |
| Zip Code | 30329 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATLANTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Phyllis S Tong.
| 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.