Evangelio Gonzalez (NPI# 1598739609, PAC ID# 6608887286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598739609 |
| PAC ID by PECOS | 6608887286 |
| Professional Enrollment ID | I20060510000426 |
| Full Name | Evangelio Gonzalez |
| Organization Legal Name | TANNER MEDICAL GROUP INC |
| Address |
705 Dallas Hwy Suite 101 Villa Rica GA 30180-1243 |
| Phone Number | 7704594411 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769536143 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110015 | TANNER MEDICAL CENTER VILLA RICA |
| 110011 | TANNER MEDICAL CENTER - CARROLLTON |
| 111320 | HIGGINS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 | 7704594411 | TANNER MEDICAL GROUP INC |
| Organization Legal Name | TANNER MEDICAL GROUP INC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin J Lewis | General Surgery | Tanner Medical Group Inc | 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 |
| Ruth Anne Farrell | Obstetrics/gynecology | Tanner Medical Group Inc | 109 Professional Pl, Carrollton, GA 30117-3862 |
| Holly M Jackson | Nurse Practitioner | Tanner Medical Group Inc | 905 Dixie St, Carrollton, GA 30117-4417 |
| Emily H Turney | Obstetrics/gynecology | Tanner Medical Group Inc | 150 Henry Burson Ave, Suite 215, Carrollton, GA 30117-4466 |
| Stephen Housman Kahler | Plastic and Reconstructive Surgery | Tanner Medical Group Inc | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3818 |
| David G Helton | Obstetrics/gynecology | Tanner Medical Group Inc | 706 Dixie St, Suite 200, Carrollton, GA 30117-3819 |
| David W Griffin | General Surgery | Tanner Medical Group Inc | 204 Allen Memorial Dr, Suite 101, Bremen, GA 30110-2063 |
| James R Bland Iii | Radiation Oncology | Tanner Medical Group Inc | 165 Clinic Ave, Carrollton, GA 30117-4413 |
| Kenneth L Boss | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Alexander Mayer | Cardiovascular Disease (cardiology) | Tanner Medical Group Inc | 157 Clinic Ave, Carrollton, GA 30117-4454 |
| Street Address |
705 DALLAS HWY SUITE 101 |
| City | VILLA RICA |
| State | GA |
| Zip | 30180-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Boss | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Vinaya K Puppala | Pain Management | 705 Dallas Hwy, Suite 205, Villa Rica, GA 30180-1243 | |
| Lawrence Price | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Eric C Andrist | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| John Henry Burson Iii | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| Martha L Clabby | Pediatric Medicine | Emory Egleston Childrens Heart Center | 705 Dallas Hwy, Suite 204, Villa Rica, GA 30180-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Chukelu | Hospitalist | Apogee Medical Group Georgia | 601 Dallas Hwy, Villa Rica, GA 30180-1202 |
| Gina D Duggar | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Melissa D Walker | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Erin De Los Reyes | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| John D Vickery Iv | Allergy/immunology | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| Ryan Davis | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Hector A Caceres Serrano | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Julie S Williard | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1262 |
| Charisma N Manley | Obstetrics/gynecology | Tanner Medical Group Inc | 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1262 |
| Robin Childress- Rodriguez | Nurse Practitioner | Center for Allergy and Asthma of Georgia PC | 690 Dallas Hwy, Villa Rica, GA 30180-1262 |
| Find all physicians in zip 30180 | |||
| City | VILLA RICA |
| Zip Code | 30180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VILLA RICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Evangelio Gonzalez.
| 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.