Krishna J Goli (NPI# 1932384427, PAC ID# 7416033477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1932384427 |
| PAC ID by PECOS | 7416033477 |
| Professional Enrollment ID | I20130823000466 |
| Full Name | Krishna J Goli |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Address |
220 J L White Dr Suite 120 Jasper GA 30143-4894 |
| Phone Number | 7066923539 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 9830082825 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 220 J L White Dr, Suite 120, Jasper, GA 30143-4894 | 7066923539 | PIEDMONT PROVIDERS LLC |
| Organization Legal Name | PIEDMONT PROVIDERS LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Steven Bour | General Surgery | Piedmont Providers LLC | 4062 Peachtree Nerd, C, Atlanta, GA 30319-3021 |
| Annie Quinn Morrissey | Endocrinology | Piedmont Providers LLC | 1265 Hwy 54 W, Fayetteville, GA 30214-4548 |
| Jessica Howard Phillips | Nurse Practitioner | Piedmont Providers LLC | 77 Collier Rd Nw, Suite 2080, Atlanta, GA 30309-1762 |
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Ibrahim Wiah Adamu | General Surgery | Piedmont Providers LLC | 775 Poplar Rd, Suite 230, Newnan, GA 30265-8305 |
| Maria M D'angelo | Physician Assistant | Piedmont Providers LLC | 1741 Newnan Crossing Blvd E, Suite G, Newnan, GA 30265-6601 |
| Norman M Gibby Jr. | Physician Assistant | Piedmont Providers LLC | 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 |
| Shelby Boggus King | Physician Assistant | Piedmont Providers LLC | 4181 Hospital Dr Ne, Covington, GA 30014-2541 |
| Minaz N Khetani | Nurse Practitioner | Piedmont Providers LLC | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 |
| Trang Mai Nguyen | Nurse Practitioner | Piedmont Providers LLC | 400 Tower Nerd, Suite 200, Marietta, GA 30060-9412 |
| Street Address |
220 J L WHITE DR SUITE 120 |
| City | JASPER |
| State | GA |
| Zip | 30143-4894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Douglas Hooker | Internal Medicine | 220 J L White Dr, Suite 110, Jasper, GA 30143-4894 | |
| Jeffrey W Ellis | Obstetrics/gynecology | Piedmont Providers LLC | 220 J L White Dr, Suite 120, Jasper, GA 30143-4894 |
| Sanjay I Serrao | Internal Medicine | Piedmont Medical Care Corporation | 220 J L White Dr, Suite 150, Jasper, GA 30143-4895 |
| Otto Umana | Obstetrics/gynecology | Piedmont Providers LLC | 220 J L White Dr, Suite 120, Jasper, GA 30143-4894 |
| Kathirae S Severson | Internal Medicine | Piedmont Medical Care Corporation | 220 J L White Dr, Suite 150, Jasper, GA 30143-4895 |
| Keyasha Beaty Robbs | Obstetrics/gynecology | Piedmont Providers LLC | 220 J L White Dr, Suite 120, Jasper, GA 30143-4894 |
| Laura S Irwin | Obstetrics/gynecology | Piedmont Providers LLC | 220 J L White Dr, Jasper, GA 30143-4894 |
| Vincent G Molinari | Obstetrics/gynecology | Piedmont Providers LLC | 220 J L White Dr, Suite 120, Jasper, GA 30143-4894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Rainwater | Family Medicine | Piedmont Medical Care Corporation | 1020 Jl White Dr, Suite 170, Jasper, GA 30143 |
| Nathan Smith | Anesthesiology | Physician Pain Care,p.c. | 49 Gordon Rd, Suite 101, Jasper, GA 30143-1017 |
| Kumi D Swart | Family Medicine | Internal Medicine Associates of Jasper, PC | 51 Gordon Rd, Suite 201, Jasper, GA 30143-1017 |
| Kathleen J Dunn | Clinical Social Worker | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Ann S Pike | Psychologist, Clinical | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Mary L Denton | Clinical Social Worker | 505 Cove Rd, Suite 6, Jasper, GA 30143-1363 | |
| Rose A Darby | Optometry | 800 W Church St, Jasper, GA 30143-1406 | |
| Nathan L Chapman | Chiropractic | 49 Bryant St, F, Jasper, GA 30143-1490 | |
| Karl W Kurth | Chiropractic | 95 N Main St, Jasper, GA 30143-1503 | |
| John T Mauldin Jr. | Clinical Psychologist | John Mauldin Phd LLC | 35 B N Main St, Jasper, GA 30143-1558 |
| Find all physicians in zip 30143 | |||
| City | JASPER |
| Zip Code | 30143 |
| Specialty | NEUROLOGY |
| City + Specialty | JASPER + NEUROLOGY |
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| 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.