Stacy Kendrick (NPI# 1821064395, PAC ID# 0042239030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821064395 |
| PAC ID by PECOS | 0042239030 |
| Professional Enrollment ID | I20051118000554 |
| Full Name | Stacy Kendrick |
| Organization Legal Name | RESURGENS, PC |
| Address |
3698 Largent Nw Way Ste103 Marietta GA 30064-5923 |
| Phone Number | 6783542883 |
| Gender | F |
| Credential | PA |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153224142 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 | 4048479999 | RESURGENS, PC |
| 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 | 6783542883 | RESURGENS, PC |
| Organization Legal Name | RESURGENS, PC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Kolski | Physician Assistant | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Stephanie M Wordes | Physician Assistant | Resurgens, PC | 1495 Hickory Flat Hwy, Suite 200, Canton, GA 30115-4229 |
| Brooks W Ficke | Orthopedic Surgery | Resurgens, PC | 1285 Hembree Rd, 200a, Roswell, GA 30076-4995 |
| Angela E Cochran | Nurse Practitioner | Resurgens, PC | 105 Regency Park Dr, Mcdonough, GA 30253-6649 |
| Bennett D Grimm | Orthopedic Surgery | Resurgens, PC | 61 Whitcher Nest, Marietta, GA 30060-1142 |
| Chealon D Miller | Orthopedic Surgery | Resurgens, PC | 3211 Iris Dr, Covington, GA 30316 |
| Scott A Kelly | Physical Medicine and Rehabilitation | Resurgens, PC | 1336 Hwy 54 W, Fayetteville, GA 30214-4535 |
| Jason D Grabrovac | Physician Assistant | Resurgens, PC | 5671 Peachtree Dunwoody Rd Ne, Suite 900 950, Atlanta, GA 30342-5022 |
| Roderica E Cottrell | Physical Medicine and Rehabilitation | Resurgens, PC | 6635 Lake Dr, Morrow, GA 30260-2354 |
| Raymond C Hui | Orthopedic Surgery | Resurgens, PC | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 |
| Street Address |
3698 LARGENT NW WAY STE103 |
| City | MARIETTA |
| State | GA |
| Zip | 30064-5923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Kolski | Physician Assistant | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Todd A Sacks | Orthopedic Surgery | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Marly N Dows-martinez | Physical Medicine and Rehabilitation | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| April Amaral | Physician Assistant | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Raj Bhole | Orthopedic Surgery | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Robin Lisa Dennis | Physical Medicine and Rehabilitation | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Mikael Starecki | Hand Surgery | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Anthony C Carantzas | Orthopedic Surgery | Resurgens, PC | 3698 Largent Nw Way, Ste103, Marietta, GA 30064-5923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Schaner Ii | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064 |
| Jamie Murray-green | Chiropractic | 3901 Mary Eliza Trace, Suite 201, Marietta, GA 30064 | |
| Mitchell S Arnold | Chiropractic | 3894 Due W Rd Nw, Suite 210, Marietta, GA 30064-1072 | |
| Ranan Boyett Stimpson | Optometry | 3700 Largent Nw Way, Suite 200, Marietta, GA 30064-1670 | |
| Virginia L Gifford | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Robert Jason Mann | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Ashley Underwood | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kimberlyn Johnson-ruise | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Jason D Murphy | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kristen Michelle Waddell | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Find all physicians in zip 30064 | |||
| City | MARIETTA |
| Zip Code | 30064 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARIETTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacy Kendrick.
| 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.