Kimberly Hannon (NPI# 1861594566, PAC ID# 7911298021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1861594566 |
| PAC ID by PECOS | 7911298021 |
| Professional Enrollment ID | I20160621001858 |
| Full Name | Kimberly Hannon |
| Organization Legal Name | FAMILY PHYSICAL THERAPY AND WELLNESS LLC |
| Address |
11925 Jones Bridge Rd Suite 103 Johns Creek GA 30005-5076 |
| Phone Number | 7703145958 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5294025482 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11925 Jones Bridge Rd, Suite 103, Johns Creek, GA 30005-5076 | 7703145958 | FAMILY PHYSICAL THERAPY AND WELLNESS LLC |
| Organization Legal Name | FAMILY PHYSICAL THERAPY AND WELLNESS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charla Nelson | Physical Therapy | Family Physical Therapy and Wellness LLC | 11925 Jones Bridge Rd, Suite 103, Johns Creek, GA 30005-5076 |
| Street Address |
11925 JONES BRIDGE RD SUITE 103 |
| City | JOHNS CREEK |
| State | GA |
| Zip | 30005-5076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charla Nelson | Physical Therapy | Family Physical Therapy and Wellness LLC | 11925 Jones Bridge Rd, Suite 103, Johns Creek, GA 30005-5076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Beth Ann Rosenberg | Occupational Therapy | N Motion Hand and Physical Therapy, LLC | 3155 Northpoint Pkwy, Bldg D Suite 100, Alpharetta, GA 30005 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Robert A Mills | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Elizabeth Boyter | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Crystal C Sen | Physician Assistant | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Stacey C Cox | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Blair Hoffman | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Julia Anne Bern | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Find all physicians in zip 30005 | |||
| City | JOHNS CREEK |
| Zip Code | 30005 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | JOHNS CREEK + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kimberly Hannon.
| 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.