Michael Vincent M Mendoza (NPI# 1265745491, PAC ID# 6406125632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1265745491 |
| PAC ID by PECOS | 6406125632 |
| Professional Enrollment ID | I20170703001134 |
| Full Name | Michael Vincent M Mendoza |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
303 Pkwy Dr Ne Atlanta GA 30312-1212 |
| Phone Number | 4042654000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 | 4042654000 | 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 |
303 PKWY DR NE |
| City | ATLANTA |
| State | GA |
| Zip | 30312-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dipa Ketan Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Miriam Parker | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Jessica L Olson | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Thomas R Lall | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Nomi L Traub | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Katherine Lanning | Neurology | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Sharon B Williams | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Andy Quoc Truong | Anesthesiology | Mak Anesthesia Holdings, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Hesham S Sherif | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Kibrewessen Tefera | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Malone | Podiatry | 285 Blvd Ne, Suite L 3, Atlanta, GA 30312 | |
| Althea L Turk | Ophthalmology | 315 Boulevard, Suite 242, Atlanta, GA 30312-1202 | |
| Sonya D Marks | Obstetrics/gynecology | Obhg Georgia, P.C. | 303 Pkwy Nedr, Atlanta, GA 30312-1212 |
| Steven P Bondell | Pathology | Atlanta Pathology Pa | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Vijaykumar G Patel | General Surgery | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Rifquat Giwa | Hospitalist | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Richard M Majeste | Pathology | Atlanta Pathology Pa | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Seth M Eisenberg | Anesthesiology | Mak Anesthesia Holdings, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Kari Suzanne Hatfield | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Philip T Ramsay | General Surgery | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in zip 30312 | |||
| City | ATLANTA |
| Zip Code | 30312 |
| Specialty | NEUROLOGY |
| City + Specialty | ATLANTA + NEUROLOGY |
Please comment or provide details below to improve the information on Michael Vincent M Mendoza.
| 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.