Michael D Dykes (NPI# 1164456240, PAC ID# 9739083031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1164456240 |
| PAC ID by PECOS | 9739083031 |
| Professional Enrollment ID | I20070524000443 |
| Full Name | Michael D Dykes |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Address |
18 Riverbend Dr Sw Suite 120 Rome GA 30161-6019 |
| Phone Number | 7063781202 |
| Gender | M |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 8123912326 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110001 | HAMILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1620 Prince Ave, Athens, GA 30606-6008 | 7095498114 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| 1503 Professional Ct, Suite 100, Dalton, GA 30720-2566 | 7062812121 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 | 7063781202 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| 24 Amherst Dr, Winder, GA 30680-7463 | 7708685644 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Nicole Mauney | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Dawnetta Janene Holladay | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| William D Hammonds | Anesthesiology | Northeast Georgia Anesthesia Services Inc. | 1030 Founders Row, Greensboro, GA 30642-5260 |
| Rachael Diane Green | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Richard Dean Campbell | Pain Management | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Rhonda K Puckett | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Reginald Strother | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Princess Bejacmar Clark | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Emily Diane Brooks | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Kerri Cassidy Mckinney | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Street Address |
18 RIVERBEND DR SW SUITE 120 |
| City | ROME |
| State | GA |
| Zip | 30161-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael Diane Green | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Rhonda K Puckett | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Princess Bejacmar Clark | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Coleburn | Physician Assistant | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Carol E Charles | Nurse Practitioner | Georgia Inpatient Medicine Associates LLC | 501 Redmond Rd, Rome, GA 30161-1415 |
| Judith Tutin | Psychologist, Clinical | 519 Broad St, Suite 202, Rome, GA 30161-1736 | |
| Lauren L Hudson | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Joseph N Herren | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Maryann N Mugo | Endocrinology | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Dona F Childers | Nurse Practitioner | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Jamie O Lin | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| George P Hotz | Internal Medicine | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Staci Robin Graves | Physician Assistant | Floyd Healthcare Management Inc | 123 Three Rivers Nedr, Rome, GA 30161-2300 |
| Find all physicians in zip 30161 | |||
| City | ROME |
| Zip Code | 30161 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | ROME + INTERVENTIONAL PAIN MANAGEMENT |
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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.