John Douglas (NPI# 1316175797, PAC ID# 8820233273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316175797 |
| PAC ID by PECOS | 8820233273 |
| Professional Enrollment ID | I20150213001240 |
| Full Name | John Douglas |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
3805 Cherokee Nwst Kennesaw GA 30144-2085 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
3805 CHEROKEE NWST |
| City | KENNESAW |
| State | GA |
| Zip | 30144-2085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Jennifer Johnston | Nurse Practitioner | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Charles C Hoff | Family Medicine | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Jade Lam | Nurse Practitioner | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Jessica L Foster | Nurse Practitioner | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Remmya Nair | Family Medicine | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Carlos M Garcia | Internal Medicine | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Emma M Guice | Nurse Practitioner | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Iliana Vermillion | Nurse Practitioner | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Amanda Perkins | Clinical Psychologist | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
| Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
| Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
| Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
| Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
| Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
| Stephen K Green | Chiropractic | 4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 | |
| Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
| Find all physicians in zip 30144 | |||
| City | KENNESAW |
| Zip Code | 30144 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENNESAW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John Douglas.
| 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.