CH Specialty Services Ga LLC
Organization Active NPI Internal Medicine Physician · Atlanta, GA
NPI 1306545181 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1306545181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CH SPECIALTY SERVICES GA LLC
- Practice address
- 3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353 - Phone
- (337) 991-9276
- NPI assigned
- Mar 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Practitioners 71
-
Eboni Davis, NP
-
Sheryl Ann Dixon, FNP-C
-
Helen E Heiskell, NP
-
Chelsea Marie Monroy, FNP-C
-
Samantha Philyaw Banks, APRN
-
Hollie Weeks Mendricks, APRN
-
Kimberly J Winters, MSN
-
Rachel E. Yaghi, APRN
-
William Alan Morton, M.D.
-
Donald R Nelson, MD
-
Betty Lou Yul Riner, APRN
-
Latoya Ann Simon, NP-C
-
Cassie H Smith, NP-C
-
Solomon Tafari, M.D.
-
Luther M Thomas III, M.D.
-
David Maynoldi, M.D.
-
Vlastimil Smetka, MD
-
Jodie Ward, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230524000367 | GA | Part B Supplier - Clinic/Group Practice | 8921464579 |
Receives reassigned benefits from 67 practitioners Practice locations: Atlanta, GA; Port Wentworth, GA; Savannah, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Other providers in Atlanta, GA
- Elizabeth Ceuninck
- CFJR Safe Travels Organization
- CG Anesthesia
- Cga Care of Ga II, LLC
- CH MH Services (Ga), LLC
- Hyun Ah Cha
- Nisha Chachad
- Audry Stefany Chacin Suarez
- Ethan Chacko
- Sandy Elizabeth Chacko
All providers in Atlanta, GA · Internal Medicine 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 Jul 24, 2025. 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.