Ellis Hedaya (NPI# 1528032596, PAC ID# 9638258593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1528032596 |
| PAC ID by PECOS | 9638258593 |
| Professional Enrollment ID | I20080502000423 |
| Full Name | Ellis Hedaya |
| Organization Legal Name | PEACHTREE NEUROLOGICAL CLINIC, P.C. |
| Address |
550 W Peachtree Nw St Suite 1200 Atlanta GA 30308-3512 |
| Phone Number | 4042211899 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4880681980 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| 110078 | EMORY UNIVERSITY HOSPITAL MIDTOWN |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3200 Downwood Nw Cir, Suite 550, Atlanta, GA 30327-1624 | 4043510205 | THE MULTIPLE SCLEROSIS CENTER OF GEORGIA |
| 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 | 4042211899 | PEACHTREE NEUROLOGICAL CLINIC, P.C. |
| 95 Collier Rd Nw, Suite 4045, Atlanta, GA 30309-1749 | 4043512270 | PEACHTREE NEUROLOGICAL CLINIC, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PEACHTREE NEUROLOGICAL CLINIC, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Seiden | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Jeffrey B English | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Robert W Gilbert Jr. | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Street Address |
550 W PEACHTREE NW ST SUITE 1200 |
| City | ATLANTA |
| State | GA |
| Zip | 30308-3512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Seiden | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Jeffrey B English | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Robert W Gilbert Jr. | Neurology | Peachtree Neurological Clinic, P.C. | 550 W Peachtree Nw St, Suite 1200, Atlanta, GA 30308-3512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dexter Page | Obstetrics/gynecology | 550 Peactree St Ne, Suite 1275, Atlanta, GA 30308 | |
| Frederick T Work Jr. | Plastic and Reconstructive Surgery | One Baltimore Place, Suite 400, Atlanta, GA 30308 | |
| Shelby R Wilkes | Ophthalmology | Atlanta Eye Consultants | 830 W Peachtree St Nw, Suite 100, Atlanta, GA 30308-1129 |
| Jettie M Burnett | Ophthalmology | Atlanta Eye Consultants | 830 W Peachtree St Nw, Suite 100, Atlanta, GA 30308-1129 |
| Mary E Gower | Occupational Therapy | Center for The Visually Impaired | 739 W Peachtree St Nw, Atlanta, GA 30308-1137 |
| Alexandra Gale Dempsey | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 800 Peachtree St Ne, Suite E2, Atlanta, GA 30308-1245 |
| James Brooks | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 800 Peachtree St Ne, Suite E2, Atlanta, GA 30308-1245 |
| Amelia Persaud | Occupational Therapy | Independent Physical Therapy of Georgia, LLC | 800 Peachtree St Ne, Suite E2, Atlanta, GA 30308-1245 |
| Danielle Leigh Drobbin | Chiropractic | 814 Juniper St Ne, Suite 201, Atlanta, GA 30308-1300 | |
| Dan Shuman | Chiropractic | 100 6th Street Ne, Suite 150, Atlanta, GA 30308-1302 | |
| Find all physicians in zip 30308 | |||
| City | ATLANTA |
| Zip Code | 30308 |
| Specialty | NEUROLOGY |
| City + Specialty | ATLANTA + NEUROLOGY |
Please comment or provide details below to improve the information on Ellis Hedaya.
| 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.