Jonathan M.c. Threadgill
ATLANTA ORAL AND FACIAL SURGERY LLC


Address: 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Phone: 7709770364

Jonathan M.c. Threadgill (NPI# 1093881021, PAC ID# 3779749361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1093881021
PAC ID by PECOS 3779749361
Professional Enrollment ID I20120726000126
Full Name Jonathan M.c. Threadgill
Organization Legal Name ATLANTA ORAL AND FACIAL SURGERY LLC
Address 1000 Johnson Ferry Rd
Building H
Marietta
GA 30068-2100
Phone Number 7709770364
Gender M
Graduation Year 2012
Primary Specialty MAXILLOFACIAL SURGERY
Secondary Specialties ORAL SURGERY
Group Practice PAC ID 8628062387
Number of Group Practice Members 23
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110076 DEKALB MEDICAL CENTER

Other Locations

Address Phone Organization
1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 7709770364 ATLANTA ORAL AND FACIAL SURGERY LLC

Organization Information

Organization Legal Name ATLANTA ORAL AND FACIAL SURGERY LLC
Physicians 24

Physicians with the same organization

Name Specialty Organization Address
Robert Carl Wunderle Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Paul J Schaner Ii Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064
John P Labanc Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Steven Jule Levy Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Chris Jo Oral Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Louis Sheldon Belinfante Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Martin R Velez Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 3400 Old Milton Pkwy, C525, Alpharetta, GA 30005-4486
Robert K Mcghee Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518
Christopher Hugh Kragor Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100
Erik David Belinfante Maxillofacial Surgery Atlanta Oral and Facial Surgery LLC 3890 Johns Creek Pkwy, Suite 340, Suwanee, GA 30024-1285

Office Location

Street Address 1000 JOHNSON FERRY RD
BUILDING H
City MARIETTA
State GA
Zip 30068-2100

Physicians in the same location

Name Specialty Organization Address
Amar R Herndon Anesthesiology Assistant Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Sarah M Von Thaer Anesthesiology Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Susan C Osgood Certified Registered Nurse Anesthetist (crna) Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Dana Erickson Certified Registered Nurse Anesthetist (crna) Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Erica Addison Anesthesiology Assistant Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Allyson B Richmond Anesthesiology Assistant Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Cheryl L Worthen Certified Registered Nurse Anesthetist (crna) Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Megan M Ashcraft Certified Registered Nurse Anesthetist (crna) Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Christopher M Helwig Anesthesiology Assistant Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
Cherie A Doersam Certified Registered Nurse Anesthetist (crna) Northside Anesthesiology Consultants, LLC 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606
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Physicians in the same zip code

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
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
Yen-i Grace Chen Family Medicine Wellstar Medical Group, LLC 1010 Johnson Ferry Rd, Marietta, GA 30068-2108
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Competitor

Search similar physicians

City MARIETTA
Zip Code 30068
Specialty MAXILLOFACIAL SURGERY
City + Specialty MARIETTA + MAXILLOFACIAL SURGERY

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Dataset Information

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.

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