Bernardine M King (NPI# 1639145253, PAC ID# 8820284029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1639145253 |
| PAC ID by PECOS | 8820284029 |
| Professional Enrollment ID | I20101130001151 |
| Full Name | Bernardine M King |
| Organization Legal Name | GAINESVILLE HEART AND VASCULAR GROUP PC |
| Address |
535 Jesse Jewell Pkwy Se Suite C Gainesville GA 30501-3772 |
| Phone Number | 77053490145645 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6507040409 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 | 77053490145645 | GAINESVILLE HEART AND VASCULAR GROUP PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | GAINESVILLE HEART AND VASCULAR GROUP PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Kuruvilla Pattam | Physician Assistant | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Claire Ledford | Physician Assistant | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| David Perry Johnson | Cardiovascular Disease (cardiology) | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Kelli Spivey | Nurse Practitioner | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Street Address |
535 JESSE JEWELL PKWY SE SUITE C |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-3772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Kuruvilla Pattam | Physician Assistant | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Claire Ledford | Physician Assistant | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| David Perry Johnson | Cardiovascular Disease (cardiology) | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Kelli Spivey | Nurse Practitioner | Gainesville Heart and Vascular Group PC | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GAINESVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Bernardine M King.
| 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.