Centerwell Senior Primary Care Ga PC
Organization Active NPI Internal Medicine Physician · Miami, FL
NPI 1336713700 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1336713700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CENTERWELL SENIOR PRIMARY CARE GA PC
- Practice address
- 6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168 - Phone
- (407) 447-7120
- Fax
- (407) 770-0661
- NPI assigned
- May 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Angie Martinez
- Title
- Senior Credentialing Professional
- Phone
- (407) 447-7120
Corporate family (same tax ID) 12
Practitioners 34
-
Ugomma Abanukam, DNP, FNP
-
Temitope Ibereola Afon, M.D.
-
Tychelle Allen, NP-C
-
Neva R Allison, NP-C
-
Alice Amponsah Asare, NURSE PRACTITIONER
-
Sonia Andrea Brown, M.D.
-
Rita Renee Claxton, M.D.
-
Sahin Coban, MD
-
Elaine Grimes-Dixon, APRN, AGPCNP-BC
-
Alicia Haisley, NP
-
Isuan Iriabho, CRNP
-
Lonnie Jones, MSN, CNL, AGNP-C
-
Camille Antoinette Lindo-Wilson, MSN FNP
-
Sara Morris, MSN
-
Katina M New, FNP-C
National Provider Directory
- Tax ID family
- Centerwell Senior Primary Care Ga PC
Locations
3030 Headland Dr SW
Atlanta, GA 30311
Phone (404) 344-5383
3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331
Phone (470) 832-6550
2389 Wesley Chapel Rd
Ste 102
Decatur, GA 30035
Phone (404) 469-9867
210 Cobb Pkwy S
#100
Marietta, GA 30060
Phone (678) 941-6245
5234 Memorial Dr
Stone Mountain, GA 30083
5234 Memorial Dr
Ste 1101
Stone Mountain, GA 30083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| General Practice Physician |
208D00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other providers in Miami, FL
- Centerwell Senior Primary Care (TX) PA
- Centerwell Senior Primary Care Az CS PC
- Centerwell Senior Primary Care FL Inc
- Centerwell Senior Primary Care FL JV PLLC
- Centerwell Senior Primary Care Ga CS PC
- Centerwell Senior Primary Care Il CS PC
- Centerwell Senior Primary Care Ky CS PSC
- Centerwell Senior Primary Care NV P C
- Centerwell Senior Primary Care TN CS PC
- Centerwell Senior Primary Care TN PC
All providers in Miami, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.