Aaron M. Fletcher MD PC
Organization Active NPI Otolaryngology Physician · Stockbridge, GA
NPI 1386090637 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1386090637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 72750 (GA)
- Legal business name
- AARON M. FLETCHER MD PC
- Practice address
- 1106 Hospital Dr
Stockbridge, GA 30281-6381 - Phone
- (678) 902-9495
- Fax
- (678) 815-1548
- NPI assigned
- May 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Aaron Michael Fletcher, MD
- Title
- Owner/Provider
- Phone
- (678) 902-9495
Practitioners 3
-
Aaron Michael Fletcher, M.D.
-
Ashley Monee Hayes, PA-C
-
Lindsey Nicole Parks, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160921002025 | GA | Part B Supplier - Clinic/Group Practice | 9133416993 |
Receives reassigned benefits from 3 practitioners Practice locations: Peachtree City, GA; Stockbridge, GA |
National Provider Directory
Locations
101 McWilliams Dr
Peachtree Cty, GA 30269
Phone (678) 902-9495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | 72750 | GA | Yes |
Addresses
Primary practice location
1106 Hospital Dr
Stockbridge, GA 30281-6381
Mailing address
1106 Hospital Dr
Stockbridge, GA 30281-6381
Phone (678) 902-9495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003151504E | Medicaid | GA | |
| 202I047197 | Other | GA | MEDICARE PTAN |
| 0035151504B | Medicaid | GA |
Other names
- Georgia Center For ENT & Facial Plastic Surgery
Other providers in Stockbridge, GA
- A Growth Place, Inc.
- A Journey to Empowerment, LLC
- A New Well, Inc
- A Plus Nursing Services, LLC
- A'Aura Health Solutions LLC
- Betelhem S Abatneh
- Natalia Abazeri
- Khadijah S Abdul-Azeez
- Kimberly P. Abernathy
- Sena Amandine Able
All providers in Stockbridge, GA · Otolaryngology 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 Sep 13, 2023. 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.