Takele Chala (NPI# 1578817383, PAC ID# 7315252079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1578817383 |
| PAC ID by PECOS | 7315252079 |
| Professional Enrollment ID | I20150811003647 |
| Full Name | Takele Chala |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
2518 Jimmy Lee Smith Pkwy Hiram GA 30141-2068 |
| Phone Number | 7707324022 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110042 | WELLSTAR PAULDING HOSPITAL |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 | 7707324022 | WELLSTAR MEDICAL GROUP, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 94% |
| 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 |
2518 JIMMY LEE SMITH PKWY |
| City | HIRAM |
| State | GA |
| Zip | 30141-2068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanchad Memark | General Surgery | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Mopelola Isola | Hospitalist | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Aidenojie E Ihenyen | Hospitalist | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Matthew L Estes | Nurse Practitioner | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Sanath K Allampati | Hospitalist | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Adam C Ferro | Radiation Oncology | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Adanna N Nwachukwu | Hospitalist | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Donna V Wall | Nurse Practitioner | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Sharon C Amaya | Emergency Medicine | The Bortolazzo Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Bruno J Grillo | Physician Assistant | Wellstar Medical Group, LLC | 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Lavengood Boucher | Chiropractic | 5447 Powder Springs Dallas Swrd, Hiram, GA 30141 | |
| Aubree L Tant | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Christina Adams | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Carl Goolsby | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Laura C Huenink | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Jeffrey Lanier Tharp | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Ramona Payton | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Roderick H Rhyant | Family Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Susan E Ashworth | Nurse Practitioner | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| David A Gose | Internal Medicine | Wellstar Medical Group, LLC | 176 Charles Hardy Pkwy C, Hiram, GA 30141-1836 |
| Find all physicians in zip 30141 | |||
| City | HIRAM |
| Zip Code | 30141 |
| Specialty | HOSPITALIST |
| City + Specialty | HIRAM + HOSPITALIST |
Please comment or provide details below to improve the information on Takele Chala.
| 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.