Margo A Jimenez (NPI# 1083670673, PAC ID# 8921011321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1083670673 |
| PAC ID by PECOS | 8921011321 |
| Professional Enrollment ID | I20060802000280 |
| Full Name | Margo A Jimenez |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Address |
2295 Parklake Nedr Suite 150 Atlanta GA 30345-2825 |
| Phone Number | 7709385974 |
| Gender | F |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587646971 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 | 7709385974 | VILLAGE PODIATRY GROUP, LLC. |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahar Mahzoon | Podiatry | Village Podiatry Group, LLC. | 625 Cook St, Royston, GA 30662-3932 |
| Jose Manuel Gonzalez | Podiatry | Village Podiatry Group, LLC. | 1610 Mulkey Rd, Austell, GA 30106-1182 |
| Ryan Hudson Fitzgerald | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Jason E Morris | Podiatry | Village Podiatry Group, LLC. | 1711 Mount Vernon Rd, Dunwoody, GA 30338-4242 |
| Christopher Russel Corwin | Podiatry | Village Podiatry Group, LLC. | 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 |
| Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Andrew D Warner | Podiatry | Village Podiatry Group, LLC. | 3506 Old Milton Pkwy, Alpharetta, GA 30005-4458 |
| Steven A Weiskopf | Podiatry | Village Podiatry Group, LLC. | 1198 Buckhead Xing, D, Woodstock, GA 30189-4293 |
| Patricia W Morris | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Allen T Raphael | Podiatry | Village Podiatry Group, LLC. | 3200 Highlands Pkwy Se, Suite 100, Smyrna, GA 30082-5192 |
| Street Address |
2295 PARKLAKE NEDR SUITE 150 |
| City | ATLANTA |
| State | GA |
| Zip | 30345-2825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan S Banks | Podiatry | Village Podiatry Group, LLC. | 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 |
| Stuart M Tuck | Podiatry | Village Podiatry Group, LLC. | 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 |
| Thomas E Osborne | Oral Surgery | 2295 Parklake Nedr, Suite 240, Atlanta, GA 30345-2844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nakeya Johnson Gore | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Rd, Rome, GA 30345 |
| Jacqulyn D. Mckinney | Clinical Psychologist | Lifesource of North Carolina | 1345 Redmond Rd, Rome, GA 30345 |
| James Opie Wells | Nephrology | 2300 Henderson Mill Nerd, Suite 421, Atlanta, GA 30345-2704 | |
| Sarah W Jones | Psychologist, Clinical | 2300 Henderson Mill Rd Ne, Suite 308, Atlanta, GA 30345-2704 | |
| Syed Rahman | Internal Medicine | 2296 Henderson Mill Rd Ne, Suite 303, Atlanta, GA 30345-2739 | |
| Azeez P Adeduntan | Vascular Surgery | 2296 Henderson Mill Rd Ne, Suite 302, Atlanta, GA 30345-2739 | |
| Anh M Phung | Optometry | Dr. Steven R. Warstadt and Associates, P.C. | 4800 Briarcliff Nerd, Suite 1173, Atlanta, GA 30345-2743 |
| Steven R Warstadt | Optometry | Dr. Steven R. Warstadt and Associates, P.C. | 4800 Briarcliff Nerd, Suite 1173, Atlanta, GA 30345-2743 |
| Sonal M Patel | Optometry | Dr. Steven R. Warstadt and Associates, P.C. | 4800 Briarcliff Nerd, Suite 1173, Atlanta, GA 30345-2743 |
| Melina Deborah Friedman | Optometry | Dr. Steven R. Warstadt and Associates, P.C. | 4800 Briarcliff Nerd, Suite 1173, Atlanta, GA 30345-2743 |
| Find all physicians in zip 30345 | |||
| City | ATLANTA |
| Zip Code | 30345 |
| Specialty | PODIATRY |
| City + Specialty | ATLANTA + PODIATRY |
Please comment or provide details below to improve the information on Margo A Jimenez.
| 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.