Pulmonary and Sleep Specialists of Northeast Georgia, PC
Organization Active NPI Pulmonary Disease Physician · Winder, GA
NPI 1194048561 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1194048561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- PULMONARY AND SLEEP SPECIALISTS OF NORTHEAST GEORGIA, PC
- Practice address
- 30 Satellite Dr
Suite 200
Winder, GA 30680-6211 - Phone
- (770) 586-0300
- Fax
- (770) 586-0311
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Rami B Arfoosh, M.D.
- Title
- President
- Phone
- (770) 586-0300
Subparts reporting this organization as parent 1
Practitioners 18
-
Rami Badr Arfoosh, M.D.
-
Malik M Malik, MBBS
-
Rachel Elizabeth Nisbet, M.D.
-
Shashvat Sukhal, M.D.
-
Samiha Ahsan, PA
-
Corinne B Ellis, FNP-C
-
Carlyn Hamilton, FNP
-
Shannon Hawks, NP
-
Jami Jefferson, F.N.P.-C
-
Justin Mukhalian, PA
-
Mary Bowen Owens, PA-C
-
Varin Sachhathep, PA-C
-
Mazin Shaikhoun, MD
-
Nadia Yimer, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101004000421 | GA | Part B Supplier - Clinic/Group Practice | 4587856059 |
Receives reassigned benefits from 18 practitioners Practice locations: Dacula, GA; Winder, GA |
National Provider Directory
Locations
2075 Hamilton Creek Pkwy
#200
Dacula, GA 30019
2075 Hamilton Creek Pkwy
Dacula, GA 30019
1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300
30 Satellite Dr
#200
Winder, GA 30680
30 Satellite Dr
Winder, GA 30680
Phone (770) 586-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Pulmonary Disease Physician |
207RP1001X | Yes | ||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X |
Addresses
Primary practice location
30 Satellite Dr
Suite 200
Winder, GA 30680-6211
Mailing address
30 Satellite Dr
Suite 200
Winder, GA 30680-6211
Phone (770) 586-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063559 | Other | GA | MEDICAL LICENSE |
Other names
- Pulmonary and Sleep Medicine Center of Winder
Other providers in Winder, GA
- Project Adam Community Assistance Center, Incorporated
- Anna Beth Pruitt
- Pruitthealth Home Health, Inc.
- Publix Super Markets Inc
- Publix Super Markets, Inc
- Flor Quijada
- Ragland Chiropractic Center, LLC
- David Ragland
- Rhett K Rainey
- Eddie Ramirez-Morales
All providers in Winder, GA · Pulmonary Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.