Provider Directory Directorio De Proveedores Metro Atlanta and North Regions/Metro Atlanta Y Norte
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Provider Directory Directorio de Proveedores Metro Atlanta and North Regions/Metro Atlanta y Norte Supplemental 1-800-704-1484 TDD/TTY: 1-800-255-0056 pshp.com TABLE OF CONTENTS Page Hospitals ................................................................................................ 3 Primary Care Providers ........................................................................ 4 Specialists ........................................................................................... 18 Self-Referred Service Providers........................................................ 72 Federally Quali®ed Health Centers (FQHCs)............................. 72 Clinic ............................................................................................. 73 Mental Health/Substance Abuse................................................ 74 Routine Dental Services.............................................................. 75 Routine Vision Services ............................................................ 111 Ancillary ............................................................................................. 113 Pharmacy........................................................................................... 115 Index................................................................................................... 116 NOTE: The information in this directory was accurate when published. Since then, changes may have occurred that affect the information. Please call Member Services at 1-800-704-1484 or TTD/TTY 1-800- 255-0056 for the most current provider information. 3/2018 This directory is current as of the date listed below. A provider's listing in the directory does not guarantee that the provider is still in the network or accepting new members. Peach State Health Plan 3/2018 1 TABLA DE CONTENIDOS Pagina Hospitales.............................................................................................. 3 Proveedores de atencion primaria...................................................... 4 Especialistas ....................................................................................... 18 Proveedores de servicios con autoreferencia ................................. 72 Centros de salud certi®cadospor el gobierno federal............. 72 ClÂõnica ........................................................................................... 73 Salud mental y abuso desustancias quÂõmicas ......................... 74 Servicios dentales de rutina ....................................................... 75 Servicios de la vista de rutina .................................................. 111 Auxiliar ............................................................................................... 113 Farmacia ............................................................................................ 115 ÂIndice ................................................................................................. 116 OBSERVACIO N: La informacion en este directorio era precisa al momento de publicacion. Desde ese momento, pueden haber ocurrido cambios que podrÂõan afectar la informacion. Llame a la lÂõnea de servicios a los miembros al 1-800-704-1484 o a la lÂõnea TDD/TTY para personas con problemas de audicion al 1-800-255-0056 para obtener la informacion mas actualizada de los proveedores. 3/2018 Este directorio esta actualizado a la fecha que se indica en el pie de pagina. La inclusion de un proveedor en el directorio no garantiza que el proveedor siga en la red o que este aceptando a miembros nuevos. Peach State Health Plan 3/2018 2 Hospitals/Hospitales General Acute Care Hospital/Hospital general para enfermedades agudas - DeKalb County General Acute Walton County Care Hospital/ Clearview Regional Medical Center Hospital general 2151 W Spring Street para Monroe, GA 30655 enfermedades 770-267-8461 agudas DeKalb County Emory Wesley Woods Hospital 1821 Clifton Road NE Atlanta, GA 30329 404-728-6200 Floyd County Floyd Medical Center 304 Turner McCall Boulevard SW Rome, GA 30165 706-291-3700 Redmond Regional Medical Center 501 Redmond Road Rome, GA 30165 706-291-0291 Fulton County Piedmont Hospital 1968 Peachtree Road NW Atlanta, GA 30309 404-605-5000 WellStar Atlanta Medical Center, Inc 1170 Cleveland Avenue East Point, GA 30344 404-305-3500 WellStar North Fulton Hospital 3000 Hospital Boulevard Roswell, GA 30076 770-751-2500 Gordon County Gordon Hospital 1035 Red Bud Road NE Calhoun, GA 30701 706-629-2895 Gwinnett County Emory Eastside Medical Center 1700 Medical Way Snellville, GA 30078 770-979-0200 Jackson County Northridge Medical Center 70 Medical Center Drive Commerce, GA 30529 706-335-1000 Patient Centered Medical Home Ð NCQA Certi®ed. cTelehealth Telehealth participant (receiving sites). The receiving site is where the doctor on the telehealth screen is located. Telehealth Participante en Telehealth (sitios receptores). El sitio receptor es donde el medico en la pantalla de Telehealth esta ubicado. nTelemedicine Telemedicine Participant (presentation site). A presentation site is where the member goes for a telehealth visit. Telemedicine Participante en telemedicine (sitio de presentacion). Un sitio de presentacion es donde el miembro va para una visita de telehealth. > Established patients only/Los pacientes establecidos solo n Not accepting new patients/No aceptando nuevos a pacientes B Restrictions/Restricciones *Language(s) spoken other than English/Idiomas ademas de ingles - Facility can accommodate wheelchairs/La instalacion puede acomodar sillas de ruedas Mon/lun Tues/mar Wed/mier Thurs/jue Fri/vier Sat/sab Sun/dom 3 Primary Care Providers/Proveedores de atencion primaria |Region|Main Spencer, Louis A, MD Toney, Cheryl W, APRN Ireland, Stanley, MD Kothapally, Swachitha, MD Header|SPECIALTY|Last Sex/Sexo: M Sex/Sexo: F Sex/Sexo: M Sex/Sexo: F Spencer Family Medicine Caroll County Primary Health Board Certi®ed/Certi®cado Northside Primary Care Name|First Name|Middle 650 Henderson Drive Rhc Whitesburg por la Junta: Yes Professional Services Initial|Suf®x|Degree|Gender|Hospital|BoarSuite 504 d 41 Wellington Mill Road TCFPA Family Medical 200 Eagles Nest Drive Status|Institution Cartersville, GA 30120 Whitesburg, GA 30185 Center Suite 300D 770-607-9032 770-836-0504 4700 Battle®eld Parkway Canton, GA 30115 Name|Practice - -> Suite 200 678-455-3200 Name|ADDRESS1|ADDRESS2|CITY|STB 0 M-99 Y ATE|COUNTY|ZIP|PHONE|MaximumB 0 M-99 Y Ringgold, GA 30736 - Age|Minimum Mon-Thur: 8:00 AM - 5:00 Mon-Fri: 8:00 AM - 4:00 PM, 423-495-4848 B 0 M-99 Y PM, Fri: 8:00 AM - 12:00 Sat-Sun: Closed - Mon-Fri: 8:00 AM - 5:00 PM, Age|Gender PM, Sat-Sun: Closed B 0 Y-99 Y Sat-Sun: Closed Restrictions|HANDICAP Catoosa County Mon-Fri: 9:00 AM - 5:00 PM, ACCESS|Accepting Butts County Sat-Sun: Closed McCloskey, Amy Bell, MD Chaudhari, Kaushal, MD Sex/Sexo: F New Bailey, Tannisa D, NP Sex/Sexo: M Phillips, Melissa, MD Northside Surgical Patients|LANGUAGE|OFFICEHOURSÐSex/Sexo: F Board Certi®ed/Certi®cado Sex/Sexo: F Professional Services LLC SU|OFFICEHOURSÐ Southside Medical Center por la Junta: Yes Board Certi®ed/Certi®cado 460 Northside Cherokee Inc TCFPA Family Medical por la Junta: Yes Boulevard MO|OFFICEHOURSÐ 176 Lyons Street Center TCFPA Family Medical Suite 400 TU|OFFICEHOURSÐ Jackson, GA 30233 4700 Battle®eld Parkway Center Canton, GA 30115 WE|OFFICEHOURSÐ 404-688-1350 Suite 200 4700 Battle®eld Parkway 404-459-1900 - Ringgold, GA 30736 Suite 200 - TH|OFFICEHOURSÐ B 0 M-99 Y 423-495-4848 Ringgold, GA 30736 B 0 M-99 Y FR|OFFICEHOURSÐ Mon-Fri: 8:00 AM - 5:00 PM, - 423-495-4848 Mon-Fri: 8:00 AM - 5:00 PM, SA|TELEMEDICINE|TELEHEALSat-Sun:TH|PCMH Closed B 0 Y-99 Y - Sat-Sun: Closed Mon-Fri: 9:00 AM - 5:00 PM, B 0 Y-99 Y RECOGNITION|PCMH Sat-Sun: Closed PROVIDER Carroll County Mon-Fri: 9:00 AM - 5:00 PM, McCloskey, Amy Bell, MD Sat-Sun: Closed Sex/Sexo: F Allen, Amber B, NP Cornwell, William, NP Family Medicine/ Sex/Sexo: F Northside Surgical Sex/Sexo: M Tur, Louisa, NP Professional Services LLC Medicina general West Georgia Family TCFPA Family Medical Medicine Sex/Sexo: F 900 Towne Lake Parkway para la familia Center North Georgia Health Care Suite 302 705 Dallas Highway 4700 Battle®eld Parkway Suite 101 Center Woodstock, GA 30189 Suite 200 6120 Alabama Highway 404-459-1900 Banks County Villa Rica, GA 30180 Ringgold, GA 30736 770-459-4411 Ringgold, GA 30736 - Wills, Valerie A, NP 423-495-4848 706-935-6442 B 0 M-99 Y Sex/Sexo: F - - B 0 M-99 Y - Mon-Fri: 8:00 AM - 5:00 PM, Medlink Banks B 0 Y-99 Y B 0 M-99 Y Sat-Sun: Closed 1244 Historic Homer Mon-Fri: 8:00 AM - 5:00 PM, Mon-Fri: 9:00 AM - 5:00 PM, Sat-Sun: Closed Mon-Fri: 8:00 AM - 5:00 PM, Highway Sat-Sun: Closed Sat-Sun: Closed Homer, GA 30547 McMillan, Vickie A, FNP 706-677-4568 Boswell, Dennis H, PA Sex/Sexo: F Dant, Michael, MD WellStar Towne Lake Medical - Sex/Sexo: M Sex/Sexo: M Cherokee B 0 Y-99 Y West Carroll Family Center Board Certi®ed/Certi®cado County 145 N Medical Parkway Mon-Tue: 8:00 AM - 7:00 Healthcare Center por la Junta: Yes PM, Wed-Fri: 8:00 AM - 1125 East Highway 166 Daya, Uma T, PA Woodstock, GA 30189 TCFPA Family Medical 770-592-3000 5:00 PM, Sat-Sun: Closed Bowdon, GA 30108 Center Sex/Sexo: F 770-258-5424 Georgia Highlands Medical -> 4700 Battle®eld Parkway B 0 M-99 Y - Suite 200 Services Inc. Bartow County B 0 M-99 Y 220 Oakside Lane Mon-Fri: 8:00 AM - 5:00 PM, Ringgold, GA 30736 Sat-Sun: Closed Bar®eld, Mary K, MD Mon-Fri: 8:00 AM - 5:00 PM, 423-495-4848 Canton, GA 30114 Sex/Sexo: F Sat-Sun: Closed - 678-807-1050 Board Certi®ed/Certi®cado