Neil Anthony Persaud (NPI# 1356428700, PAC ID# 9335174994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1356428700 |
| PAC ID by PECOS | 9335174994 |
| Professional Enrollment ID | I20101228000013 |
| Full Name | Neil Anthony Persaud |
| Organization Legal Name | EAR, NOSE AND THROAT PLASTIC SURGERY CENTER |
| Address |
6130 Prestley Mill Rd C Douglasville GA 30134-2288 |
| Phone Number | 6788383903 |
| Gender | M |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2961497318 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6130 Prestley Mill Rd, C, Douglasville, GA 30134-2288 | 6788383903 | EAR, NOSE AND THROAT PLASTIC SURGERY CENTER |
| Organization Legal Name | EAR, NOSE AND THROAT PLASTIC SURGERY CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Barak | Otolaryngology | Ear, Nose and Throat Plastic Surgery Center | 6130 Prestley Mill Rd, C, Douglasville, GA 30134-2288 |
| Jahmal A Hairston | Otolaryngology | Ear, Nose and Throat Plastic Surgery Center | 6130 Prestley Mill Rd, C, Douglasville, GA 30134-2288 |
| Street Address |
6130 PRESTLEY MILL RD C |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30134-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Barak | Otolaryngology | Ear, Nose and Throat Plastic Surgery Center | 6130 Prestley Mill Rd, C, Douglasville, GA 30134-2288 |
| Thomas C Varughese | Internal Medicine | 6130 Prestley Mill Rd, B, Douglasville, GA 30134-2288 | |
| Jahmal A Hairston | Otolaryngology | Ear, Nose and Throat Plastic Surgery Center | 6130 Prestley Mill Rd, C, Douglasville, GA 30134-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Paine | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Jennifer L Hayes | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Lucy Schmidt Sugg | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Anesthesia Associates, LLC | 885 Hospital Dr, Suite 102, Douglasville, GA 30134 |
| Rhona A Hyman | Nurse Practitioner | Wellstar Medical Group, LLC | 9280 Hwy 5 H, Douglasville, GA 30134-1501 |
| Albert M Edwards | Family Medicine | 9280 Hwy 5 D, Douglasville, GA 30134-1501 | |
| Mohamad A Hamki | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Dominic I Asika | Emergency Medicine | Prime Immediate Care LLC | 9280 Hwy 5 E, Douglasville, GA 30134-1501 |
| Michelle Huggins | Internal Medicine | 6934 Hwy 78, Douglasville, GA 30134-1604 | |
| David M Lebhaft | Chiropractic | 6602 Church St, Douglasville, GA 30134-1808 | |
| Michael Shannon Moody | Family Medicine | 8464 Adair St, Douglasville, GA 30134-1839 | |
| Find all physicians in zip 30134 | |||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DOUGLASVILLE + OTOLARYNGOLOGY |
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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.