Melvin Dana Bullock (NPI# 1093869786, PAC ID# 9335287176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093869786 |
| PAC ID by PECOS | 9335287176 |
| Professional Enrollment ID | I20100524000708 |
| Full Name | Melvin Dana Bullock |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS,PC |
| Address |
11685 Alpharetta Hwy 320 Roswell GA 30076-4910 |
| Phone Number | 7704425882 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 8628063633 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110198 | WELLSTAR NORTH FULTON HOSPITAL |
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1776 Old Spring House Ln, Atlanta, GA 30338-6225 | 7704540091 | EMORY MEDICAL GROUP, LLC |
| 5669 Peachtree Dunwoody Rd, Suite 270, Atlanta, GA 30342-1786 | 4042551000 | GASTROENTEROLOGY CONSULTANTS,PC |
| 2701 N Decatur Rd, Decatur, GA 30033-5918 | 4045011000 | EMORY MEDICAL GROUP, LLC |
| 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 | 7704425882 | GASTROENTEROLOGY CONSULTANTS,PC |
| 3000 Hospital Blvd, Roswell, GA 30076-4915 | 7708216791 | GASTROENTEROLOGY CONSULTANTS,PC |
| Organization Legal Name | GASTROENTEROLOGY CONSULTANTS,PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay A Cherner | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| M. Thomas Riddick | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| Alan M Fixelle | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| Eugene H Hirsh | Gastroenterology | Gastroenterology Consultants,pc | 5669 Peachtree Dunwoody Rd, Atlanta, GA 30342-1786 |
| Street Address |
11685 ALPHARETTA HWY 320 |
| City | ROSWELL |
| State | GA |
| Zip | 30076-4910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay A Cherner | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| M. Thomas Riddick | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| Alan M Fixelle | Gastroenterology | Gastroenterology Consultants,pc | 11685 Alpharetta Hwy 320, Roswell, GA 30076-4910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick D Fraser | Psychologist, Clinical | 11755 Point Place, Suite B, Roswell, GA 30076 | |
| Katharine Haase | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Alexandra N. Katsorelos | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Jennifer Bush | Nurse Practitioner | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark L Gravlee | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| James Haynes | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Sachin Lavania | Pulmonary Disease | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Justin Kunes | Orthopedic Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark H Middleton | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Jacob Holloway | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Find all physicians in zip 30076 | |||
| City | ROSWELL |
| Zip Code | 30076 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROSWELL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Melvin Dana Bullock.
| 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.