Faresa Z Weragoda (NPI# 1053555870, PAC ID# 1254649254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1053555870 |
| PAC ID by PECOS | 1254649254 |
| Professional Enrollment ID | I20150924000888 |
| Full Name | Faresa Z Weragoda |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Address |
4800 Olde Towne Pkwy Suite 420 Marietta GA 30068-4424 |
| Phone Number | 7709245095 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9739189838 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Johnson Ferry Rd, Suite 780, Atlanta, GA 30342-1606 | 4048516198 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 550 Peachtree St Ne, Suite 1550, Atlanta, GA 30308-2253 | 4048922131 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 5670 Peachtree Dunwoody Rd, Suite 880, Atlanta, GA 30342-4789 | 4042562525 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 6135 Barfield Rd, Suite 200, Atlanta, GA 30328-4308 | 4042568500 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 | 7709961122 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424 | 7709245095 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 7703438565 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 3000 Hospital Blvd, Roswell, GA 30076-4915 | 7707512500 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| 6135 Barfield Rd, Suite 100, Sandy Springs, GA 30328-4308 | 4048470049 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Rebecca Radke | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 |
| Mary E Bergh | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Niraj Sharma | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Yirima Simon | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Lois A Fairfield | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Carolyn M Moore | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Gordon Jerome Azar Jr. | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Street Address |
4800 OLDE TOWNE PKWY SUITE 420 |
| City | MARIETTA |
| State | GA |
| Zip | 30068-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Oh | Emergency Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Bernard F Oddi | Internal Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Melissa Denise Pruitt | Nurse Practitioner | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Brittany Elisa Esposito | Nurse Practitioner | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Marc B Sonenshine | Gastroenterology | Aga, LLC | 4800 Olde Towne Pkwy, Suite 370, Marietta, GA 30068-4396 |
| Brian K Nadolne | Family Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Keith D Osborn | Orthopedic Surgery | Northside Surgical Professional Services LLC | 4800 Olde Towne Pkwy, Suite 430, Marietta, GA 30068-4424 |
| Donnamarie Mitchell | Physician Assistant | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Daniel J. Musser | Family Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Cyrus Irani | Internal Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Biga | Physical Therapy | 1230 Johnson Ferry Pl, H20, Marietta, GA 30068-2057 | |
| Sinan N Feidy | Chiropractic | 1230 Johnson Ferry Pl, Suite G30, Marietta, GA 30068-2058 | |
| Elbert H Cardwell | Chiropractic | 1230 Johnson Ferry Pl, G30, Marietta, GA 30068-2058 | |
| Nicole L Mosley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Christie E Parker | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Joseph W Slaughter | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Jorge A Gonzalez-ocasio | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Donald Ray Nunn | Plastic and Reconstructive Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Find all physicians in zip 30068 | |||
| City | MARIETTA |
| Zip Code | 30068 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MARIETTA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Faresa Z Weragoda.
| 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.