Shontreka A Glover (NPI# 1134541097, PAC ID# 8224260450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134541097 |
| PAC ID by PECOS | 8224260450 |
| Professional Enrollment ID | I20140422001247 |
| Full Name | Shontreka A Glover |
| Organization Legal Name | AGA PROFESSIONAL SERVICES LLC |
| Address |
34 Upper Riverdale Rd Se Suite 201 Riverdale GA 30274-2635 |
| Phone Number | 6789040094 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870768997 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3758 Hwy 42, Suite 301, Locust Grove, GA 30248-3653 | 6784328246 | AGA CLINICAL SERVICES, LLC |
| 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 | 6789040094 | AGA PROFESSIONAL SERVICES LLC |
| 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 | AGA CLINICAL SERVICES, LLC | |
| 150 N Park Trl, Suite B, Stockbridge, GA 30281-7372 | 7705070909 | AGA PROFESSIONAL SERVICES LLC |
| Organization Legal Name | AGA PROFESSIONAL SERVICES LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Azelton | Nurse Practitioner | Aga Professional Services LLC | 226 E College St, Suite B, Griffin, GA 30224-4348 |
| Susan Danielle Beitzell | Nurse Practitioner | Aga Professional Services LLC | 340 N Milledge Ave, Suite B, Athens, GA 30601-3806 |
| Heather Rose Van Duys | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Tracy J Herring | Nurse Practitioner | Aga Professional Services LLC | 2020 Cumming Hwy, Suite 102, Canton, GA 30115-8071 |
| Jaime G Ackerman | Physician Assistant | Aga Professional Services LLC | 488 Kennesaw Ave, Marietta, GA 30060-9409 |
| Melissa B Baughcum | Nurse Practitioner | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Rayllensons Itacy | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| Aakashi D Patel | Physician Assistant | Aga Professional Services LLC | 2401 Newnan Crossing Blvd, Suite 110, Newnan, GA 30265-2408 |
| David A Atefi | Gastroenterology | Aga Professional Services LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 3007638ND |
| Street Address |
34 UPPER RIVERDALE RD SE SUITE 201 |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reginald R Jackson | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | |
| Monica E Burrell | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 34 Upper Riverdale Rd Se, Suite 201b, Riverdale, GA 30274-2635 |
| David Miller Fulmer | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 34 Upper Riverdale Rd Se, Suite 201b, Riverdale, GA 30274-2635 |
| Amanda Rae Hinson | Nurse Practitioner | Aga Clinical Services, LLC | 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 |
| Terry W Slaughter | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 34 Upper Riverdale Rd Se, Suite 201b, Riverdale, GA 30274-2635 |
| Kristopher G Key | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 34 Upper Riverdale Rd Se, Suite 201b, Riverdale, GA 30274-2635 |
| Vickie H Browne | Nurse Practitioner | Aga Clinical Services, LLC | 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 |
| Xavier C Moore | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 100, Riverdale, GA 30274-2635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIVERDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shontreka A Glover.
| 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.