Active NPI 1376576124 Individual Practitioner Male Practitioner

Dr. Bert Tsi Chen , MD

Urology • Conyers, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bert Chen, MD is a certified Urology practicing in Conyers, GA. With approximately 26 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2000, Dr. Chen delivers high-quality medical care to the local community at 1301 SIGMAN RD NE STE 250A.

Dr. Chen maintains professional affiliations with Urological Professional Services, Llc, Georgia Urology, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, psa (prostate specific antigen) measurement, total. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 Sigman Rd Ne Ste 250a

Conyers, GA 300123812

Telephone 7707609900

Fax 7707601709

Associated Practice Facility / Clinic

🏢 Georgia Urology Pa Facility NPI 1245455435

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Conyers, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -4.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Conyers, GA (422 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chen (26 Years) 26 Yrs

Conyers Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	578	334	$50.00	$16.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	280	$233.00	$126.02
84153 Psa (prostate specific antigen) measurement, total	213	163	$109.00	$18.02
99213 Established patient office or other outpatient visit, typically 15 minutes	176	151	$165.00	$89.34
51798 Ultrasound measurement of bladder capacity after voiding	92	76	$78.00	$11.11
52000 Diagnostic exam of bladder and urethra using an endoscope	91	86	$696.00	$78.49
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	81	19	$964.00	$179.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$350.00	$163.35
81003 Automated urinalysis test	55	53	$21.11	$2.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	47	46	$384.77	$237.61
76872 Ultrasound scan of pelvic region through rectum	42	42	$82.00	$31.45
51741 Electronic assessment of bladder emptying	35	35	$179.66	$6.11
55700 Biopsy of prostate gland	30	30	$606.00	$127.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	30	$85.00	$29.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	19	$58.00	$34.64
36415 Insertion of needle into vein for collection of blood sample	25	24	$17.00	$8.65
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	24	24	$188.33	$18.17
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	24	$225.58	$50.39
51702 Simple insertion of temporary bladder tube	23	16	$185.00	$59.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$241.00	$109.97
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$119.00	$80.96
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$2184.00	$340.96
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$2500.00	$377.43
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	12	12	$115.00	$68.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	255	$233.00	$126.57
99213 Established patient office or other outpatient visit, typically 15 minutes	225	182	$165.00	$89.45
84153 Psa (prostate specific antigen) measurement, total	203	159	$109.00	$18.02
52000 Diagnostic exam of bladder and urethra using an endoscope	109	98	$696.00	$78.15
81003 Automated urinalysis test	78	76	$21.13	$2.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	78	18	$964.00	$167.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$350.00	$164.96
51798 Ultrasound measurement of bladder capacity after voiding	65	59	$78.00	$10.67
76872 Ultrasound scan of pelvic region through rectum	55	55	$82.00	$31.68
55700 Biopsy of prostate gland	45	45	$606.00	$127.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	45	45	$85.00	$30.03
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	35	35	$286.80	$182.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$241.00	$111.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	18	$58.00	$33.63
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	27	$187.30	$18.18
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	27	$221.15	$52.30
51702 Simple insertion of temporary bladder tube	22	14	$185.00	$61.35
51741 Electronic assessment of bladder emptying	21	21	$148.95	$5.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$65.00	$49.04
36415 Insertion of needle into vein for collection of blood sample	17	17	$17.00	$8.40
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$119.00	$82.09
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	15	15	$115.00	$69.70
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$2184.00	$354.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	225	$188.95	$127.82
99213 Established patient office or other outpatient visit, typically 15 minutes	208	164	$127.50	$90.69
84153 Psa (prostate specific antigen) measurement, total	173	128	$109.00	$18.16
52000 Diagnostic exam of bladder and urethra using an endoscope	133	114	$605.53	$79.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$299.69	$167.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	94	20	$964.00	$176.60
81003 Automated urinalysis test	68	62	$21.12	$2.22
76872 Ultrasound scan of pelvic region through rectum	55	54	$92.80	$32.44
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	43	43	$297.81	$201.40
55700 Biopsy of prostate gland	38	38	$498.42	$128.45
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	38	$281.74	$30.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	24	$58.00	$33.42
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	36	36	$200.72	$19.16
51797 Insertion of device into abdomen with pressure and urine flow rate study	36	36	$231.42	$70.95
51798 Ultrasound measurement of bladder capacity after voiding	35	34	$78.00	$10.55
51741 Electronic assessment of bladder emptying	28	28	$146.04	$4.90
51702 Simple insertion of temporary bladder tube	23	11	$185.00	$63.02
36415 Insertion of needle into vein for collection of blood sample	21	21	$17.00	$2.96
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$2184.00	$368.52
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	14	14	$115.00	$70.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	407	267	$174.00	$129.97
99213 Established patient office or other outpatient visit, typically 15 minutes	269	202	$115.00	$92.44
84153 Psa (prostate specific antigen) measurement, total	181	135	$109.00	$18.39
81003 Automated urinalysis test	130	118	$21.40	$2.25
52000 Diagnostic exam of bladder and urethra using an endoscope	123	108	$568.00	$80.15
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	24	$964.00	$183.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$280.00	$168.90
51798 Ultrasound measurement of bladder capacity after voiding	72	65	$78.00	$10.48
76872 Ultrasound scan of pelvic region through rectum	62	59	$379.00	$32.47
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	54	51	$358.78	$247.80
55700 Biopsy of prostate gland	52	50	$460.00	$127.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	50	49	$352.00	$30.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	26	$58.00	$33.28
51797 Insertion of device into abdomen with pressure and urine flow rate study	39	38	$232.79	$83.24
51741 Electronic assessment of bladder emptying	38	37	$144.16	$5.73
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	37	36	$209.86	$20.21
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	21	21	$115.00	$71.82
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$2184.00	$382.22
51702 Simple insertion of temporary bladder tube	12	11	$185.00	$65.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	229	$174.00	$109.58
81003 Automated urinalysis test	330	269	$21.19	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	266	221	$115.00	$75.49
84153 Psa (prostate specific antigen) measurement, total	201	156	$109.00	$18.28
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	189	43	$964.00	$223.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$280.00	$165.19
52000 Diagnostic exam of bladder and urethra using an endoscope	122	112	$568.00	$82.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	73	48	$58.00	$31.60
51798 Ultrasound measurement of bladder capacity after voiding	61	56	$78.00	$10.39
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	40	40	$442.40	$287.93
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	38	38	$283.32	$29.17
51702 Simple insertion of temporary bladder tube	38	18	$185.00	$61.19
76872 Ultrasound scan of pelvic region through rectum	36	33	$379.00	$33.56
51797 Insertion of device into abdomen with pressure and urine flow rate study	35	35	$328.97	$124.27
51741 Electronic assessment of bladder emptying	32	32	$134.44	$5.68
55700 Biopsy of prostate gland	31	29	$460.00	$133.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	28	$352.00	$32.32
97530 Therapy procedure using functional activities	24	12	$76.00	$32.59
36415 Insertion of needle into vein for collection of blood sample	24	22	$17.00	$2.99
74178 Ct scan of abdomen and pelvis before and after contrast	21	21	$2184.00	$357.52
99221 Initial hospital inpatient care per day, typically 30 minutes	18	16	$119.00	$103.55
81000 Manual urinalysis test with examination using microscope, non-automated	18	18	$21.00	$3.98
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	17	11	$55.00	$29.18
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	13	13	$115.00	$74.20
82570 Creatinine level to test for kidney function or muscle injury	12	12	$21.00	$5.15
74176 Ct scan of abdomen and pelvis without contrast	12	12	$1649.00	$201.82
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$205.00	$87.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$201.00	$108.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	484	368	$21.09	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	271	$174.00	$108.86
99213 Established patient office or other outpatient visit, typically 15 minutes	359	256	$115.00	$74.51
84153 Psa (prostate specific antigen) measurement, total	238	164	$109.00	$20.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	39	$964.00	$224.02
52000 Diagnostic exam of bladder and urethra using an endoscope	131	116	$568.00	$83.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$280.00	$164.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	75	42	$58.00	$30.84
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	70	67	$251.03	$25.99
51797 Insertion of device into abdomen with pressure and urine flow rate study	62	61	$275.19	$98.86
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	62	61	$383.74	$237.91
51798 Ultrasound measurement of bladder capacity after voiding	50	49	$78.00	$12.78
51741 Electronic assessment of bladder emptying	43	42	$112.74	$5.02
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	41	13	$55.00	$27.74
76872 Ultrasound scan of pelvic region through rectum	39	39	$379.00	$33.79
97530 Therapy procedure using functional activities	35	11	$76.00	$36.04
36415 Insertion of needle into vein for collection of blood sample	35	28	$17.00	$2.94
51720 Instillation of anti-cancer drug into bladder	34	12	$330.00	$85.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	24	$65.00	$39.79
55700 Biopsy of prostate gland	32	32	$460.00	$134.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$352.00	$32.41
51702 Simple insertion of temporary bladder tube	30	15	$185.00	$62.78
81000 Manual urinalysis test with examination using microscope, non-automated	29	29	$21.00	$3.94
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	18	18	$115.00	$73.99
74178 Ct scan of abdomen and pelvis before and after contrast	17	16	$2184.00	$359.96
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$119.00	$102.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	423	334	$21.17	$2.71
99213 Established patient office or other outpatient visit, typically 15 minutes	383	293	$115.00	$72.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	235	$174.00	$107.95
84153 Psa (prostate specific antigen) measurement, total	273	195	$109.00	$22.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	159	30	$964.00	$213.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$280.00	$164.01
52000 Diagnostic exam of bladder and urethra using an endoscope	152	134	$568.00	$83.56
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	67	32	$58.00	$30.79
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	55	19	$60.00	$24.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	49	45	$245.73	$35.24
51798 Ultrasound measurement of bladder capacity after voiding	48	46	$78.00	$15.94
36415 Insertion of needle into vein for collection of blood sample	36	34	$17.00	$2.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	32	32	$241.94	$50.18
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	32	16	$55.00	$30.93
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	32	32	$216.00	$134.31
76872 Ultrasound scan of pelvic region through rectum	31	30	$379.00	$34.08
55700 Biopsy of prostate gland	30	30	$460.00	$135.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$352.00	$32.68
51741 Electronic assessment of bladder emptying	24	24	$144.63	$4.69
51702 Simple insertion of temporary bladder tube	21	11	$185.00	$64.88
74176 Ct scan of abdomen and pelvis without contrast	18	17	$1649.00	$201.17
51700 Simple bladder irrigation and/or instillation	18	16	$244.00	$74.84
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$2184.00	$349.19
76965 Ultrasonic guidance for administration of radiation therapy	14	14	$595.00	$68.17
55875 Insertion of needle or tube into prostate for radiation therapy	14	14	$3083.00	$787.82
97166 Evaluation of occupational therapy, typically 45 minutes	13	12	$200.00	$89.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$201.00	$108.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$704.00	$156.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	569	416	$21.10	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	421	304	$115.00	$72.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	203	$174.00	$105.17
84153 Psa (prostate specific antigen) measurement, total	254	178	$109.00	$24.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$280.00	$161.77
52000 Diagnostic exam of bladder and urethra using an endoscope	139	128	$568.00	$103.48
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	19	$964.00	$209.36
51798 Ultrasound measurement of bladder capacity after voiding	69	65	$78.00	$19.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	24	$58.00	$32.52
76872 Ultrasound scan of pelvic region through rectum	39	39	$379.00	$32.29
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	39	39	$352.00	$31.27
55700 Biopsy of prostate gland	39	39	$460.00	$129.17
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	38	36	$279.16	$44.29
51702 Simple insertion of temporary bladder tube	35	17	$185.00	$63.35
36415 Insertion of needle into vein for collection of blood sample	33	32	$17.00	$2.94
82570 Creatinine level to test for kidney function or muscle injury	33	33	$21.00	$6.96
74178 Ct scan of abdomen and pelvis before and after contrast	24	24	$2184.00	$353.05
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	24	16	$60.00	$26.22
99221 Initial hospital inpatient care per day, typically 30 minutes	23	19	$119.00	$101.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$201.00	$108.14
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$258.35	$156.18
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$257.76	$57.19
74176 Ct scan of abdomen and pelvis without contrast	16	16	$1649.00	$200.79
51700 Simple bladder irrigation and/or instillation	14	14	$244.00	$70.82
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	14	13	$115.00	$74.93
51741 Electronic assessment of bladder emptying	13	13	$143.15	$5.10

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 057443

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

468202870A (GA)

Hospital & Practice Group Affiliations

Georgia Urology, Pa

5730 Glenridge Dr, Atlanta, GA 303285579

Phone: 4042561844

Urological Professional Services, Llc

4450 Calibre Xing Nw, Acworth, GA 301014103

Phone: 7706071893

Georgia Urology, Pa

1301 Sigman Rd Ne, Conyers, GA 300123812

Phone: 7707609900

Georgia Urology, Pa

900 Towne Lake Pkwy, Woodstock, GA 301891603

Phone: 6784949201

Georgia Urology, Pa

2685 Milscott Dr, Decatur, GA 300335906

Phone: 4042923727

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Allen Futral , MD

Urology

NPI 1295839827

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location December 13, 2018

Registered at 1301 SIGMAN RD NE STE 250A, CONYERS, GA 300123812 (Tel: 7707609900)

✅

NPI Profile Active January 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2015

Registered at 1501 MILSTEAD RD NE, SUITE 100, CONYERS, GA 300123838 (Tel: 7707609900)

📍

Updated Business Mailing Address January 15, 2015

Registered at 1930 BRANNAN RD, MCDONOUGH, GA 302534310 (Tel: 6782844040)

👤

Provider Name / Credentials Updated January 15, 2015

Recorded as BERT CHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2015

Urology (License #057443 in GA)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376576124

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1930 Brannan Rd

Mcdonough, GA 302534310

Phone: 6782844040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.