Bhairavi Dholakia (NPI# 1669585022, PAC ID# 9436157708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1669585022 |
| PAC ID by PECOS | 9436157708 |
| Professional Enrollment ID | I20110929000473 |
| Full Name | Bhairavi Dholakia |
| Organization Legal Name | NORTH GEORGIA EYE CLINIC INC |
| Address |
2089 Teron Trace Suite 160 Dacula GA 30019 |
| Phone Number | 7702710000 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2002 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8022099175 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 | 7702921999 | NORTH GEORGIA EYE CLINIC INC |
| 2089 Teron Trace, Suite 160, Dacula, GA 30019 | 7702710000 | NORTH GEORGIA EYE CLINIC INC |
| Organization Legal Name | NORTH GEORGIA EYE CLINIC INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheetal M Shah | Ophthalmology | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Mark M Novotny | Optometry | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Matthew Webster Hollar | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Larry J Payne | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Kevin Gertsch | Ophthalmology | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Theresa M Panter | Nurse Practitioner | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Matthew B Kaufman | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Brent R Hayek | Ophthalmology | North Georgia Eye Clinic Inc | 1485 Jesse Jewell Pkwy Ne, Suite 100, Gainesville, GA 30501-3086 |
| Elise Marie Bugenske | Optometry | North Georgia Eye Clinic Inc | 1485 Jesse Jewell Pkwy Ne, Suite 100, Gainesville, GA 30501-3086 |
| Street Address |
2089 TERON TRACE SUITE 160 |
| City | DACULA |
| State | GA |
| Zip | 30019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna L Richardson | Nurse Practitioner | Atlanta Allergy and Asthma, Pa | 2089 Teron Trace, Suite 250, Dacula, GA 30019 |
| Yadira Nmi Cardona Rohena | Maxillofacial Surgery | 2089 Teron Trace, Suite 215, Dacula, GA 30019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl M Hughes | Clinical Social Worker | 3617 Braselton Hwy, Suite 104, Dacula, GA 30019 | |
| Shirley A Boone-sanford | Psychologist, Clinical | 2078 Teron Trace, Suite 250, Dacula, GA 30019 | |
| Lorraine Laura Laplace | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Aishah Boodram | Clinical Social Worker | 3581 Braselton Hwy, Dacula, GA 30019-1027 | |
| Russell Glassman | Chiropractic | Hamilton Mill Family Chiropractic | 3509 Braselton Hwy, Dacula, GA 30019-1027 |
| Elvira Jasarevic | Family Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Jay H Joseph | Cardiovascular Disease (cardiology) | Heart Center LLC | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Kate A. Bass | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Holly Corley | Internal Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Inchol Yun | Family Medicine | Northeast Georgia Physicians Group Inc | 3575 Braselton Hwy, Dacula, GA 30019-1027 |
| Find all physicians in zip 30019 | |||
| City | DACULA |
| Zip Code | 30019 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | DACULA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Bhairavi Dholakia.
| 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.