Kathleen A Long (NPI# 1043215403, PAC ID# 9234036138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1043215403 |
| PAC ID by PECOS | 9234036138 |
| Professional Enrollment ID | I20100209000196 |
| Full Name | Kathleen A Long |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
625 Church Nest Marietta GA 30060-1101 |
| Phone Number | 7704222004 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1988 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110042 | WELLSTAR PAULDING HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3950 Austell Rd, Austell, GA 30106-1121 | WELLSTAR MEDICAL GROUP, LLC | |
| 6002 Professional Pkwy, Douglasville, GA 30134-5627 | WELLSTAR MEDICAL GROUP, LLC | |
| 8954 Hospital Dr, Douglasville, GA 30134-2272 | WELLSTAR MEDICAL GROUP, LLC | |
| 144 Bill Carruth Pkwy, Suite 4200, Hiram, GA 30141-3819 | 6783244444 | WELLSTAR MEDICAL GROUP, LLC |
| 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 7707324022 | WELLSTAR MEDICAL GROUP, LLC |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 625 Church Nest, Marietta, GA 30060-1101 | 7704222004 | WELLSTAR MEDICAL GROUP, LLC |
| 677 Church Nest, Marietta, GA 30060-1101 | WELLSTAR MEDICAL GROUP, LLC | |
| 677 Church St Ne, Suite 100p, Marietta, GA 30060-1101 | 4707938585 | 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 |
625 CHURCH NEST |
| City | MARIETTA |
| State | GA |
| Zip | 30060-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Stacey G. Malstrom | Nurse Practitioner | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Safal Shetty | Pulmonary Disease | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Erin Alexandra Oweida | Physician Assistant | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Vaishali S Shah | Hospitalist | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Joanne Z Zhu | Hospitalist | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Bryan T Piedad | Internal Medicine | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Chitra J Kanyadan | Hospitalist | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Michael Riley | Cardiac Electrophysiology | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Carter Marie Whatley | Physician Assistant | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | MARIETTA + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kathleen A Long.
| 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.