Johana Andrea Polanco (NPI# 1578946133, PAC ID# 8426347790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1578946133 |
| PAC ID by PECOS | 8426347790 |
| Professional Enrollment ID | I20180103002425 |
| Full Name | Johana Andrea Polanco |
| Organization Legal Name | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Address |
50 Kelly Rd Mcdonough GA 30253-6012 |
| Phone Number | 7709571887 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8022901925 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 50 Kelly Rd, Mcdonough, GA 30253-6012 | 7709571887 | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Organization Legal Name | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco Echevarria-santiago | Internal Medicine | Eagle's Landing Family Practice, Inc. | 1101 Nortec Sedr, Conyers, GA 30013-5835 |
| Niraj Patel | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Ashly E Joseph | Internal Medicine | Eagle's Landing Family Practice, Inc. | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 |
| Lokhana Kong | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Rose Kombe | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Maritess Thomas-ford | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Michelle Denise Bush | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 3758 Hwy 42, Locust Grove, GA 30248-3653 |
| Jennifer Brown | Physician Assistant | Eagle's Landing Family Practice, Inc. | 2200 Hwy 155 N, Mcdonough, GA 30252-4806 |
| Stephanie S Rushing | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1100 Hospital Dr, Stockbridge, GA 30281-6381 |
| Joseph Barr | General Practice | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Street Address |
50 KELLY RD |
| City | MCDONOUGH |
| State | GA |
| Zip | 30253-6012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lokhana Kong | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Kenyatta Collins | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Julie Allen | Family Medicine | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Vahid Yeganeh | Family Medicine | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan B Imes Jr. | Physician Assistant | Family Medical and Urgent Care Center of Mcdonough, LLC | 1631 Hwy 20 W, Mcdonough, GA 30253 |
| Ricardo Akstein | Ophthalmology | 102 Atlanta St, Mcdonough, GA 30253-2161 | |
| Adam Anglyn | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Derrell W Anglyn Jr. | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Humberto C Fallas | Optometry | 69 Griffin St, Mcdonough, GA 30253-3138 | |
| William H Vanlaar | General Practice | 68 Hampton St, Mcdonough, GA 30253-3150 | |
| Galen B Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Jason R Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Collin James Rodgers | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| James E Adams | Optometry | 183 Keys Ferry St, Suite A, Mcdonough, GA 30253-3232 | |
| Find all physicians in zip 30253 | |||
| City | MCDONOUGH |
| Zip Code | 30253 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MCDONOUGH + GENERAL PRACTICE |
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| 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.