Gary W Killen (NPI# 1043223662, PAC ID# 7618953118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043223662 |
| PAC ID by PECOS | 7618953118 |
| Professional Enrollment ID | I20040625000585 |
| Full Name | Gary W Killen |
| Organization Legal Name | 24 ON PHYSICIANS PC |
| Address |
1412 Milstead Ave Ne Conyers GA 30012-3877 |
| Phone Number | 7707400895 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5698688141 |
| Number of Group Practice Members | 235 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| 111330 | POLK MEDICAL CENTER |
| 110168 | REDMOND REGIONAL MEDICAL CENTER |
| 010022 | CHEROKEE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 7707400895 | 24 ON PHYSICIANS PC |
| 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 7065095000 | 24 ON PHYSICIANS PC |
| 320 Turner Mccall Blvd, Rome, GA 30165-5621 | 7065094340 | 24 ON PHYSICIANS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 92% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 91% |
| Organization Legal Name | 24 ON PHYSICIANS PC |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn E Pingleton | Internal Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Irma Alves | Internal Medicine | 24 On Physicians PC | 300 Pinellas St, Clearwater, FL 33756-3804 |
| William Lievens | Neurology | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jesse Rizkalla | Internal Medicine | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Pallaki D Ravi | Family Medicine | 24 On Physicians PC | 217 S 3rd St, Danville, KY 40422-1823 |
| Hazem L Abugrara | Internal Medicine | 24 On Physicians PC | 300 Pinellas St, Clearwater, FL 33756-3804 |
| Christopher Scott Vagnoni | Hospitalist | 24 On Physicians PC | 800 N Fant St, Anderson, SC 29621-5708 |
| Thomas Manon Philip | Internal Medicine | 24 On Physicians PC | 800 N Fant St, Anderson, SC 29621-5708 |
| Srijana Ranjit | Hospitalist | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Street Address |
1412 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip | 30012-3877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Lowman White | Emergency Medicine | Walker Lake Emergency Group PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Babajide Falana | Hospitalist | Walker Lake Physician Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Cheryl H Mitcham | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| William Lievens | Neurology | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Ramona Davis | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Bobby A Smith | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Harold D Carlson | Interventional Cardiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jesse Rizkalla | Internal Medicine | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jimmie Dale Cannon Jr. | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Kenneth Lyda | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CONYERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary W Killen.
| 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.