Stanley R Mogelnicki (NPI# 1164411385, PAC ID# 1759469273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164411385 |
| PAC ID by PECOS | 1759469273 |
| Professional Enrollment ID | I20080424000411 |
| Full Name | Stanley R Mogelnicki |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
145 N Medical Pkwy Woodstock GA 30189-7031 |
| Phone Number | 7705923000 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 7705923000 | WELLSTAR MEDICAL GROUP, LLC |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
145 N MEDICAL PKWY |
| City | WOODSTOCK |
| State | GA |
| Zip | 30189-7031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Hudec | Family Medicine | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Vickie A Mcmillan | Nurse Practitioner | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Glenda Y Alvarez Tarnoff | Physician Assistant | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Asher F Niazi | Internal Medicine | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Sharnee E Straub | Nurse Practitioner | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Susan Kim | Family Medicine | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Margaret H Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 145 N Medical Pkwy, Woodstock, GA 30189-7031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lili D Gipson | Chiropractic | 715 A Bascomb Comm Pkwy, Woodstock, GA 30189 | |
| Carrie E Tyner | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Paula S Thibault | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Naomi S Morson | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Victoria M Wermers | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Safiah Vafaeian | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Reagan O'connor | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Anand Shantha | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| James M Elmore | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Andrew J Kirsch | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Find all physicians in zip 30189 | |||
| City | WOODSTOCK |
| Zip Code | 30189 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODSTOCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stanley R Mogelnicki.
| 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.