Deidra Munsanto (NPI# 1235432170, PAC ID# 9830351352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235432170 |
| PAC ID by PECOS | 9830351352 |
| Professional Enrollment ID | I20141203002313 |
| Full Name | Deidra Munsanto |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
4895 Windward Pkwy Suite 200 Alpharetta GA 30004-3850 |
| Phone Number | 7704750888 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12460 Crabapple Rd, Alpharetta, GA 30004-6602 | 6787620574 | WELLSTAR MEDICAL GROUP, LLC |
| 260 Rucker Rd, Alpharetta, GA 30004-4198 | 4048741788 | WELLSTAR MEDICAL GROUP, LLC |
| 4895 Windward Pkwy, Suite 200, Alpharetta, GA 30004-3850 | 7704750888 | WELLSTAR MEDICAL GROUP, LLC |
| 5655 Atlanta Hwy, Alpharetta, GA 30004-5208 | 7706910819 | WELLSTAR MEDICAL GROUP, LLC |
| 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 | 6783540230 | WELLSTAR MEDICAL GROUP, LLC |
| 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 | 7704248222 | WELLSTAR MEDICAL GROUP, LLC |
| 105 Arnold Mill Rd, Woodstock, GA 30188-5027 | 7709260016 | WELLSTAR MEDICAL GROUP, LLC |
| 12201 Hwy 92, Woodstock, GA 30188-7140 | 7705174621 | WELLSTAR MEDICAL GROUP, LLC |
| 14025 Hwy 92, Suite 105, Woodstock, GA 30188-7138 | WELLSTAR MEDICAL GROUP, LLC | |
| 203 Woodpark Pl, Suite 200, Woodstock, GA 30188-3705 | 7709264150 | WELLSTAR MEDICAL GROUP, LLC |
| 203 Woodpark Pl C, Woodstock, GA 30188-3764 | 7709264150 | WELLSTAR MEDICAL GROUP, LLC |
| 3385 Trickum Rd, Woodstock, GA 30188-4234 | 6789094930 | WELLSTAR MEDICAL GROUP, LLC |
| 756 Neese Rd, Woodstock, GA 30188-4297 | 6783415719 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
4895 WINDWARD PKWY SUITE 200 |
| City | ALPHARETTA |
| State | GA |
| Zip | 30004-3850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John N Aaron | Physician Assistant | Wellstar Medical Group, LLC | 4895 Windward Pkwy, Suite 200, Alpharetta, GA 30004-3850 |
| Cristina M Dasoveanu | Family Medicine | Wellstar Medical Group, LLC | 4895 Windward Pkwy, Suite 200, Alpharetta, GA 30004-3850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Kager | Chiropractic | 13800 Ga Hwy 9, Suite H, Alpharetta, GA 30004 | |
| Mary Elizabeth Williamson | Otolaryngology | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30004 |
| Tania R Aurora | Physician Assistant | Milton Hall Surgical Associates, LLC | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30004 |
| Katherine V Patton | Physical Therapy | 1071 Cambridge Square, Suite E, Alpharetta, GA 30004-1843 | |
| Neil Patel | Internal Medicine | Dhiraj A Patel Md | 401 S Main St, A4, Alpharetta, GA 30004-1957 |
| Dhiraj A Patel | Internal Medicine | Dhiraj A Patel Md | 401 S Main St, A4, Alpharetta, GA 30004-1957 |
| Mike M Difrakhsh | Physical Therapy | 105 Sable Pointe Dr, Milton, GA 30004-2773 | |
| Steven P Shaffer | Chiropractic | Ths Atlanta, LLC | 4914 Atlanta Hwy, Alpharetta, GA 30004-2921 |
| Courtney Ryan Sharpe | Chiropractic | Ths Atlanta, LLC | 4914 Atlanta Hwy, Alpharetta, GA 30004-2921 |
| Sarah Bland | Chiropractic | Ths Atlanta, LLC | 4914 Atlanta Hwy, Alpharetta, GA 30004-2921 |
| Find all physicians in zip 30004 | |||
| City | ALPHARETTA |
| Zip Code | 30004 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALPHARETTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Deidra Munsanto.
| 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.