JAMES P BRANNON JR.
WELLSTAR MEDICAL GROUP, LLC

Address: 8954 Hospital Dr, Douglasville, GA 30134-2272

JAMES P BRANNON JR. (NPI# 1598779977, PAC ID# 1557393816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1598779977
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 1557393816
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20050907000885
Last Name BRANNON
First Name JAMES
Middle Name P
Suffix JR.
Gender M
Credential MD
Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Address 8954 Hospital Dr
Douglasville
GA 30134-2272
Phone Number
Medical School MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 6709065402
Number of Group Practice Members 1440
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110143 WELLSTAR COBB HOSPITAL
110184 WELLSTAR DOUGLAS HOSPITAL

Other Locations

Organization Location Address Phone
8954 Hospital Dr, Douglasville, GA 30134-2272 WELLSTAR MEDICAL GROUP, LLC
3950 Austell Rd, Austell, GA 30106-1121 WELLSTAR MEDICAL GROUP, LLC

Provider Overview

Nation Provider ID (NPI) 1598779977
by National Plan and Provider Enumeration System (NPPES)
Full Name JAMES PATRICK BRANNON
Other Name
Taxonomy Code 208600000X
Taxonomy Classification Surgery
Location 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135

Organization Information

Organization Legal Name WELLSTAR MEDICAL GROUP, LLC

Physicians Physicians in the same organization

Name Specialty Organization Address
Jessica L Pedersen Nurse Practitioner Wellstar Medical Group, LLC 100 Glenn Bass Rd, Lagrange, GA 30240-5809
Alexander Liaugminas Physical Medicine and Rehabilitation Wellstar Medical Group, LLC 100 Lacy N W St, Suite 150, Marietta, GA 30060-1273
Vimala P Nair Physical Medicine and Rehabilitation Wellstar Medical Group, LLC 100 Lacy Nwst, 150b, Marietta, GA 30060-1271
Yen-I Grace Chen Family Medicine Wellstar Medical Group, LLC 1010 Johnson Ferry Rd, Marietta, GA 30068-2108
Madhavi M Naik Obstetrics/Gynecology Wellstar Medical Group, LLC 106 Lukken Industrial Dr W, Lagrange, GA 30240-5912
Venu Karthik Thirukonda Hematology/Oncology Wellstar Medical Group, LLC 111 Medical Dr, Lagrange, GA 30240-4157
Carolyn R Smallwood Family Medicine Wellstar Medical Group, LLC 114 Cherry Nest A, Marietta, GA 30060-7277
Abhishek Kumar Singh Family Medicine Wellstar Medical Group, LLC 116 Upper Riverdale Swrd, Riverdale, GA 30274-2527
Sheri D Campbell Obstetrics/Gynecology Wellstar Medical Group, LLC 120 Greystone Power Blvd, Dallas, GA 30157-8297
Ernesto E Hernandez Cardiovascular Disease (cardiology) Wellstar Medical Group, LLC 120 Stonebridge Pkwy, Woodstock, GA 30189-3768
Find all physicians in the same organization

Office Location

Street Address 8954 HOSPITAL DR
City DOUGLASVILLE
State GA
Zip Code 30134-2272

Physicians in the same location

Name Specialty Organization Address
Anant G Dalvi Pulmonary Disease Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Reyes Torres IIi Physician Assistant Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Leena Shah Physician Assistant Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Katelyn Hamilton Physician Assistant Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Lenora Y Bullock Emergency Medicine The Bortolazzo Group, LLC 8954 Hospital Dr, 115b, Douglasville, GA 30134-2282
Lawrence David Segal Emergency Medicine The Bortolazzo Group, LLC 8954 Hospital Dr, 115b, Douglasville, GA 30134-2282
Karen R Castle Nurse Practitioner Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Charu G Prakash Hospitalist Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Mohammad A Al-Azem Pulmonary Disease Wellstar Medical Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2272
Dana M Myers Nurse Practitioner The Bortolazzo Group, LLC 8954 Hospital Dr, Douglasville, GA 30134-2282
Find all in the same location

Physicians in the same zip code prefix

Name Specialty Organization Address
David M Lebhaft Chiropractic 6602 Church St, Douglasville, GA 30134-1808
Kelsey Moody Mileski Optometry Marietta Eye Clinic, Pa 8841 Hospital Dr, Douglasville, GA 30134-2267
Felicia L. Berry Psychologist, Clinical 6576 Church St, Douglasville, GA 30134-1884
Allison A Dublin Ophthalmology Marietta Eye Clinic, Pa 8841 Hospital Dr, Douglasville, GA 30134-2267
Lucy Schmidt Sugg Certified Registered Nurse Anesthetist (crna) Gastroenterology Anesthesia Associates, LLC 885 Hospital Dr, Suite 102, Douglasville, GA 30134
Michael Shannon Moody Family Medicine 8464 Adair St, Suite A, Douglasville, GA 30134-1836
Phung N Lu Nurse Practitioner The Lung Centers of Georgia 8901 Stonebridge Blvd, Suite 100, Douglasville, GA 30134-2210
Charles G Denton IIi Internal Medicine Wellstar Medical Group, LLC 8820 Hospital Dr, Douglasville, GA 30134-2266
Rhona A Hyman Nurse Practitioner Wellstar Medical Group, LLC 9280 Hwy 5 H, Douglasville, GA 30134-1501
Michelle D Wigley Clinical Social Worker Wellstar Medical Group, LLC 8820 Hospital Dr, Douglasville, GA 30134-2266
Find all in zip 30134

Competitor

Search similar physicians

City DOUGLASVILLE
Zip Code 30134
Specialty GENERAL SURGERY
City + Specialty DOUGLASVILLE + GENERAL SURGERY

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Dataset Information

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.