Fatisha Enahora E Gayton (NPI# 1508979097, PAC ID# 4183698152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1508979097 |
| PAC ID by PECOS | 4183698152 |
| Professional Enrollment ID | I20040825000061 |
| Full Name | Fatisha Enahora E Gayton |
| Organization Legal Name | GEORGIA INTERVENTIONAL AND VASCULAR SPECIALISTS, PC |
| Address |
264 19th St Nw Suite 2240 Atlanta GA 30363-1139 |
| Phone Number | 4045321564 |
| Gender | F |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0143472019 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110042 | WELLSTAR PAULDING HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 | 4045321564 | GEORGIA INTERVENTIONAL AND VASCULAR SPECIALISTS, PC |
| 305 Brookhaven Neave, B1180, Atlanta, GA 30319-7232 | 4047059099 | GEORGIA PHLEBOLOGY PC |
| 3950 Austell Rd, Austell, GA 30106-1121 | 7707324000 | THE BORTOLAZZO GROUP, LLC |
| 1300 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30152-5007 | 6783854670 | GEORGIA PHLEBOLOGY PC |
| Organization Legal Name | GEORGIA INTERVENTIONAL AND VASCULAR SPECIALISTS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur M James | Thoracic Surgery | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Kristin Alexis Bourg | Physician Assistant | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Street Address |
264 19TH ST NW SUITE 2240 |
| City | ATLANTA |
| State | GA |
| Zip | 30363-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur M James | Thoracic Surgery | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Kristin Alexis Bourg | Physician Assistant | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reginald S Fowler | Internal Medicine | Mdvip Medical Group Ga-atl | 232 19th St Nw, Suite 7225, Atlanta, GA 30363-1130 |
| Alan David Perry | Family Medicine | Piedmont Medical Care Corporation | 232 19th St Nw, Atlanta, GA 30363-1130 |
| Sumayah Taliaferro | Dermatology | 232 19th Nwst, Suite 7230, Atlanta, GA 30363-1131 | |
| Mary Jansson Carmon | Nurse Practitioner | Atlanta Dermatology and Aesthetics, PC | 232 19th Nwst, Atlanta, GA 30363-1131 |
| Kimberly M Lee-okonya | Clinical Social Worker | 201 17th St Nw, Suite 300, Atlanta, GA 30363-1191 | |
| William G Mason | Diagnostic Radiology | Radiology Physician Solutions of Georgia LLC | 270 17th St Nw, Unit 4103, Atlanta, GA 30363-1272 |
| City | ATLANTA |
| Zip Code | 30363 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ATLANTA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Fatisha Enahora E Gayton.
| 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.