Joel Joseph Pranckun (NPI# 1972949519, PAC ID# 8224354154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1972949519 |
| PAC ID by PECOS | 8224354154 |
| Professional Enrollment ID | I20190920001785 |
| Full Name | Joel Joseph Pranckun |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
4800 Olde Towne Pkwy Suite 430 Marietta GA 30068-4424 |
| Phone Number | 7705176636 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 4800 Olde Towne Pkwy, Suite 430, Marietta, GA 30068-4424 | 7705176636 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| 900 Towne Lake Pkwy, Suite 320, Woodstock, GA 30189-1604 | 7705176636 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Tayler Mauldin | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee, Suite 410, Canton, GA 30115-8016 |
| Eddie K Abdalla | General Surgery | Northside Surgical Professional Services LLC | 980 Johnson Fy Rd Ne, Suite 170, Atlanta, GA 30342-1607 |
| Kelley Dawn Harrelson | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Soyini Mattis Hawkins | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Crystal R Dininger | Physician Assistant | Northside Surgical Professional Services LLC | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 |
| Rama K Rao | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 2001 Peachtree Nerd, Suite 650, Atlanta, GA 30309-1432 |
| Street Address |
4800 OLDE TOWNE PKWY SUITE 430 |
| City | MARIETTA |
| State | GA |
| Zip | 30068-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Oh | Emergency Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Faresa Z Weragoda | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424 |
| Bernard F Oddi | Internal Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Melissa Denise Pruitt | Nurse Practitioner | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Brittany Elisa Esposito | Nurse Practitioner | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Marc B Sonenshine | Gastroenterology | Aga, LLC | 4800 Olde Towne Pkwy, Suite 370, Marietta, GA 30068-4396 |
| Brian K Nadolne | Family Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Keith D Osborn | Orthopedic Surgery | Northside Surgical Professional Services LLC | 4800 Olde Towne Pkwy, Suite 430, Marietta, GA 30068-4424 |
| Donnamarie Mitchell | Physician Assistant | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Daniel J. Musser | Family Medicine | Northside Urgent Care Holding LLC | 4800 Olde Towne Pkwy, Suite 150a, Marietta, GA 30068-4357 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Biga | Physical Therapy | 1230 Johnson Ferry Pl, H20, Marietta, GA 30068-2057 | |
| Sinan N Feidy | Chiropractic | 1230 Johnson Ferry Pl, Suite G30, Marietta, GA 30068-2058 | |
| Elbert H Cardwell | Chiropractic | 1230 Johnson Ferry Pl, G30, Marietta, GA 30068-2058 | |
| Nicole L Mosley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Christie E Parker | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Joseph W Slaughter | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Jorge A Gonzalez-ocasio | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Donald Ray Nunn | Plastic and Reconstructive Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Find all physicians in zip 30068 | |||
| City | MARIETTA |
| Zip Code | 30068 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MARIETTA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Joel Joseph Pranckun.
| 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.