Philip Alton Berry (NPI# 1497916753, PAC ID# 7012154479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1497916753 |
| PAC ID by PECOS | 7012154479 |
| Professional Enrollment ID | I20141111002166 |
| Full Name | Philip Alton Berry |
| Organization Legal Name | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| Address |
2000 Howard Farm Dr Suite 400 Cumming GA 30041-6084 |
| Phone Number | 4707473134 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 2668458530 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 1110 W Peachtree St Nw, Suite 1100, Atlanta, GA 30309-3609 | 4048922131 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| 2000 Howard Farm Dr, Suite 400, Cumming, GA 30041-6084 | 4707473134 | LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC |
| 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 |
2000 HOWARD FARM DR SUITE 400 |
| City | CUMMING |
| State | GA |
| Zip | 30041-6084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Amy L Ravindra | Orthopedic Surgery | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Jeffrey S Trimble | Physician Assistant | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Alan B Fishman | Rheumatology | Laureate Medical Group At Northside, LLC | 2000 Howard Farm Dr, Suite 400, Cumming, GA 30041-6084 |
| Kellie Kristin Middleton | Orthopedic Surgery | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Kara J Pepper | Internal Medicine | Laureate Medical Group At Northside, LLC | 2000 Howard Farm Dr, Suite 400, Cumming, GA 30041-6084 |
| Richard Henry Sullivan Iii | Physician Assistant | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Milan Mehta | Interventional Radiology | Northside Radiology Associates PC | 2000 Howard Farm Dr, Suite 150, Cumming, GA 30041-6075 |
| Radhika Sampat | Neurology | Laureate Medical Group At Northside, LLC | 2000 Howard Farm Dr, Suite 400, Cumming, GA 30041-6084 |
| Jochebed A Pink | Internal Medicine | Laureate Medical Group At Northside, LLC | 2000 Howard Farm Dr, Suite 400, Cumming, GA 30041-6084 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | CUMMING + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Philip Alton Berry.
| 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.