Audrey H Nuccio (NPI# 1386960532, PAC ID# 5294046900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1386960532 |
| PAC ID by PECOS | 5294046900 |
| Professional Enrollment ID | I20150623000405 |
| Full Name | Audrey H Nuccio |
| Organization Legal Name | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Address |
1121 Johnson Ferry Rd Bldg 1 Marietta GA 30068-5425 |
| Phone Number | 6787182940 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2010 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2668458530 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6135 Barfield Rd, Atlanta, GA 30328-4307 | 4042568500 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| 1121 Johnson Ferry Rd, Bldg 1, Marietta, GA 30068-5425 | 6787182940 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Upasana Bagaria | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Jenny Lin | Rheumatology | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Laurie A Walsh | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Morris E Brown | Endocrinology | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Rebecca Mcphail | Physician Assistant | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Laura E Vanpatten | Nurse Practitioner | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Mary Elizabeth Hardin | Internal Medicine | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Melanie B Lavoie | Internal Medicine | Laureate Medical Group At Northside, LLC | 6135 Barfield Rd, Atlanta, GA 30328-4307 |
| Cheryl L Orlansky | Registered Dietitian Or Nutrition Professional | Laureate Medical Group At Northside, LLC | 7823 Spivey Station Blvd, Suite 310, Jonesboro, GA 30236-2886 |
| Vanessa Kiepura | Internal Medicine | Laureate Medical Group At Northside, LLC | 3400 C Old Milton Prkwy, Suite 500, Alpharetta, GA 30005 |
| Street Address |
1121 JOHNSON FERRY RD BLDG 1 |
| City | MARIETTA |
| State | GA |
| Zip | 30068-5425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel J Alexander | Otolaryngology | Milton Hall Surgical Associates, LLC | 1121 Johnson Ferry Rd, Suite 240, Marietta, GA 30068-5425 |
| Ericka Ilene Pegler-tucker | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1121 Johnson Ferry Rd, Suite 240, Marietta, GA 30068-5425 |
| Jennifer Chen | Physician Assistant | Milton Hall Surgical Associates, LLC | 1121 Johnson Ferry Rd, Suite 240, Marietta, GA 30068-5425 |
| Rebecca C Davis | Nurse Practitioner | Northside Primary Care Professional Services,llc | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5404 |
| Sidney P Chastang | Internal Medicine | 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 | |
| Vinaya Gokki | Family Medicine | Northside Primary Care Professional Services,llc | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5404 |
| Jonathan C Newton | Anesthesiology | 1121 Johnson Ferry Rd, Suite 400, Marietta, GA 30068-5420 |
| 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 | NEUROLOGY |
| City + Specialty | MARIETTA + NEUROLOGY |
Please comment or provide details below to improve the information on Audrey H Nuccio.
| 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.