Robert A Gadlage (NPI# 1588753719, PAC ID# 7719949320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1588753719 |
| PAC ID by PECOS | 7719949320 |
| Professional Enrollment ID | I20041029000147 |
| Full Name | Robert A Gadlage |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Address |
3460 Summit Ridge Pkwy Suite 101 Duluth GA 30096-1623 |
| Phone Number | 6785849223 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4284951542 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1623 | 6785849223 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| 3855 Pleasant Hill Rd, Suite 420, Duluth, GA 30096-8030 | 7704951955 | ROBERT A. GADLAGE, M.D., P.C. |
| 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-7663 | 7704604285 | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP OF GEORGIA LLC |
| Physicians | 225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Deason Perritt | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1218 Alice St, Waycross, GA 31501-4525 |
| Angela Duke | Nurse Practitioner | Privia Medical Group of Georgia LLC | 106 Pilgrim Village Dr, Suite 400, Cumming, GA 30040-9242 |
| Daniel John Callahan | Physician Assistant | Privia Medical Group of Georgia LLC | 100 Genevieve Ct, Suite A, Peachtree City, GA 30269-4868 |
| Holly M Loesch | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 440 Washington St Se, Gainesville, GA 30501-3619 |
| Lyudmila P Carter | Internal Medicine | Privia Medical Group of Georgia LLC | 109 W Oglethorpe Hwy, Hinesville, GA 31313-3657 |
| Michaela Seward Jones | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1010 E Fwy Dr Se, Conyers, GA 30094-5965 |
| Erin Wells Raser | Physician Assistant | Privia Medical Group of Georgia LLC | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 |
| Morgan Charlotte Jackson | Nurse Practitioner | Privia Medical Group of Georgia LLC | 119 W Hill St, Thomasville, GA 31792-6618 |
| Ashley Paige Keen | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2402 Osler Ct, Albany, GA 31707-0205 |
| Jeanette Dormio | Nurse Practitioner | Privia Medical Group of Georgia LLC | 1655 Lebanon Rd, Suite A, Lawrenceville, GA 30043-5116 |
| Street Address |
3460 SUMMIT RIDGE PKWY SUITE 101 |
| City | DULUTH |
| State | GA |
| Zip | 30096-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Peabody | Nurse Practitioner | Privia Medical Group of Georgia LLC | 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1623 |
| Shonda Shanel Bailey | Qualified Audiologist | Privia Medical Group of Georgia LLC | 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1623 |
| Philip R Kennedy | Neurology | Privia Medical Group of Georgia LLC | 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Mark Sommer | Chiropractic | 3699 Duluth Park Lane, Suite 110, Duluth, GA 30096 | |
| Janet S Waldt | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Richard Reid Maxa | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Otis Winston Clark | Physical Therapy | Pt Solutions of Acworth LLC | 3455 Peachtree Indus Blvd, Suite 130, Duluth, GA 30096 |
| Cori Folkes Harrell | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Benigno B Bobon | Internal Medicine | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Joel Kent Phillips | Physician Assistant | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Sherry E Johnson | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Danielle R Mcgee | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| Laura E Lashley | Nurse Practitioner | Maxa Internal Medicine Associates PC | 3505 Duluth Park Lane, Bldg 4 Suite 400, Duluth, GA 30096 |
| Find all physicians in zip 30096 | |||
| City | DULUTH |
| Zip Code | 30096 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DULUTH + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Robert A Gadlage.
| 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.