aetna medicare plan (hmo) (ppo) provider...
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Aetna MedicareSM Plan (HMO) (PPO)Provider Directory
Georgia
Y0001_M_PE_MM_10537 CMS Approved 07/28/2011
www.aetnamedicare.com
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Aetna Medicare Plan Information...............................................................................III
Maps of Service Areas................................................................................................IV
Introduction ..............................................................................................................VII
Spanish Version..........................................................................................................IX
Hospitals and Skilled Nursing Facilities ........................................................................2
Primary Care Physicians.............................................................................................14
Obstetricians and Gynecologists / Women's Health Specialists.................................80
Specialists................................................................................................................114
Behavioral Health Providers.....................................................................................482
Eye Care Providers ..................................................................................................510
Dental Providers......................................................................................................554
Pharmacies..............................................................................................................571
Other Participating Providers...................................................................................596
Institutes of Excellence™ Transplant Facilities .........................................................625
Institutes of Quality® ...............................................................................................631
Index of Providers Speaking Additional Languages.................................................644
Index of Providers ...................................................................................................662
www.aetnamedicare.com
Table of Contents
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Aetna MedicareSM Plan (HMO) (PPO)Provider Directory
Individual Plan Names:ValueSM Plan (HMO) StandardSM Plan (PPO)PremierSM Plan (HMO)
Employer Group Plan Names:Aetna MedicareSM Plan (HMO) Aetna MedicareSM Plan (PPO)
This directory provides a list of Aetna MedicareSM Plan (HMO) (PPO) network providers.
Please refer to the Service Area Maps starting on the next page for the service area countiesincluded in this directory.
This directory is current as of January 1, 2012. Some network providers may have been addedor removed from our network after this directory was printed. We do not guarantee that eachprovider is still accepting new members.
To get the most up-to-date information about Aetna Medicare Plan (HMO) (PPO) networkproviders in your area, you can visit www.aetnamedicare.com or call our Customer ServiceDepartment at 1-800-282-5366, 8 am to 8 pm, 7 days a week. TTY/TDD users should call 1-888-760-4748.
This information is available for free in other languages. Please contact our Customer Servicenumber at 1-800-282-5366 for additional information. (TTY/TDD: 1-888-760-4748). Hours of operation: 7 days per week, 8 a.m. to 8 p.m. Esta información está disponible enotros idiomas de manera gratuita. Si desea más información, comuníquese con Servicios alCliente al 1-800-282-5366 (TTY/TDD: 1-888-760-4748). Horario de atención: los 7 días de lasemana, de 8 a.m. a 8 p.m.
This document may be available in an alternate format such as Braille, larger print or audio,please contact our Customer Service number listed above for more information.
A Medicare Advantage organization with a Medicare contract.
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Aetna MedicareSMIndividual Plan (HMO) (PPO)
Service Area MapThis map represents the counties in which Aetna Medicare Individual Plans (HMO) (PPO) are offered.
Fulton DeKalb
Forsyth
Gwinnett
Cherokee
Cobb
Questions? Members: Sales: TTY/TDD:Call toll-free 1-800-282-5366 1-800-832-2640 1-888-760-4748
(Hearing-impaired only)
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Aetna Medicare Individual Plan (HMO) (PPO)Aetna Medicare Individual Plan (HMO)
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Aetna MedicareSMEmployer Group Plan (HMO) (PPO)
Service Area MapThis map represents the counties in which Aetna Medicare Employer Group Plans (HMO) (PPO) are offered.
Questions? Members: Sales: TTY/TDD:Call toll-free Call the number 1-800-307-4830 1-888-760-4748
on your ID card (Hearing-impaired only)
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Aetna Medicare Employer Group Plan (HMO) (PPO)Aetna Medicare Employer Group Plan (PPO)
Cherokee
Cobb
Fulton DeKalb
Forsyth
Clayton
Gwinnett
Paulding
Douglas
Henry
Rockdale
Chatham
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Section 1 – IntroductionThis directory provides a list of Aetna Medicare (HMO)(PPO) network providers. To get detailed informationabout your health care coverage, please see yourEvidence of Coverage.If you are enrolled in a standard Aetna MedicareHealth Maintenance Organization (HMO) plan,you will have to choose one of our network providerswho are listed in this directory to be your Primary Care{Physician/Provider} (PCP). The term “PCP” will beused throughout this directory. Generally, you mustget your health care coverage from your PCP. YourPCP will issue referrals to participating specialists andfacilities for certain services. For some services, yourPCP is required to obtain prior authorization fromAetna. You must use network providers except forurgent care or out-of-area urgent care or renal dialysis.Except for those benefits described in your plandocuments as direct-access benefits, or in anemergency, you will need to obtain a referral fromyour PCP before seeking covered non-emergencyspecialty or hospital care. You must use plan providersexcept in emergency or urgent care situations or forout-of-area renal dialysis. If you obtain routine carefrom out-of-network providers neither Medicare norAetna Medicare will be responsible for the costs.If you are enrolled in an Aetna Medicare (HMO)Open Access plan, you are not required to choosea primary care physician (PCP) and are free to visitnetwork providers without a referral to receive coveredservices. You must use network providers except foran emergency, urgent care, out-of-area urgent care,or renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor AetnaMedicare will be responsible for the costs.If you are enrolled in an Aetna MedicarePreferred Provider Organization (PPO) plan, youhave the flexibility to choose either network providersto receive covered services at lower out-of-pocketcosts, or out-of-network providers at a higher costsharing level. With the exception of emergencies,urgent care or out-of-network renal dialysis, it maycost PPO members more to get care from out-of-network providers. You can use any Aetna MedicarePPO network PCP and pay the plan’s lower primary
doctor visit copay. Although you are not required toselect a PCP, you are encouraged to do so. If youreceive covered services from an out-of-networkprovider, it is important to confirm they will acceptyour PPO plan and are eligible to receive Medicarepayment.The “network providers” listed in this directory haveagreed to provide you with your health care, vision,hearing and dental coverage. You may go to any ofour network providers listed in this directory; however,some services may require a referral. If you have beengoing to one network provider, you are not requiredto continue going to that same provider. In somecases, you may get covered services from non-networkproviders. In cases where non-contracting providers submit a billdirectly to you, you should not pay the bill, but submitit to Aetna Medicare for processing and determinationof your financial liability, if any. Certain health care services, such as hospitalization oroutpatient surgery, require precertification with Aetna.This means the service must be approved by Aetnabefore it will be covered under the plan. Check yourEvidence of Coverage for a complete list of servicesthat require this approval. When you are to obtainservices requiring precertification from a participatingprovider, the provider is responsible to precertify thoseservices prior to treatment. If your plan includes anout-of-network benefit and you decide to receivecovered services from an out-of-network provider it isyour responsibility to contact Aetna to precertify thoseservices.If you need emergency care, you are covered 24 hoursa day, 7 days a week, anywhere in the world. Whetheryou are in or out of an Aetna Medicare service area,we simply ask that you follow the guidelines belowwhen you believe you need emergency care.■ Call the local emergency hotline (ex. 911) or go to
the nearest emergency facility. If a delay would notbe detrimental to your health, call your PCP. Notifyyour PCP as soon as possible after receivingtreatment.
■ If you are admitted to an inpatient facility, you or afamily member or friend on your behalf shouldnotify your PCP or Aetna as soon as possible.
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If you are traveling outside of the Aetna Medicare(HMO) (PPO) plan service area, you are covered foremergency and urgently needed care. Urgent caremay be obtained from a private practice physician, awalk-in clinic, an urgent care center or an emergencyfacility. If, after reviewing information submitted to usby the provider that supplied care, the nature of theurgent or emergency problem does not qualify forcoverage, it may be necessary to provide us withadditional information.Follow-up care after emergenciesAll follow-up care should be coordinated by your PCP.Follow-up care with nonparticipating providers is onlycovered with a referral from your PCP and priorauthorization from Aetna. Whether you were treatedinside or outside your Aetna Medicare service area, ifyour plan requires referrals, you must obtain a referralbefore any follow-up care can be covered. If your plandoes not require referrals you should contact Aetna atthe number on your ID card before care is received atnon–network facilities. Suture removal, cast removal,X-rays and clinic and emergency room revisits aresome examples of follow-up care. PPO plans: All in-network and out-of-network follow-up care will be covered under the terms andconditions of your plan.Emergency care can always be obtained in or out ofthe service area from the nearest available provider.When in the service area HMO plan members mustuse plan providers for urgent care. When out of theservice area urgent care may be obtained from thefirst available provider. In addition, when out of theservice area you can obtain dialysis treatment from anyqualified dialysis provider. If HMO plan membersobtain routine care from out-of-network providersneither Medicare nor Aetna Medicare will beresponsible for the costs.
What is the service area for the AetnaMedicare (HMO) (PPO) plan?The counties in our service area are listed below.Individual and Employer Group Service AreaCounties: See Service Area Maps at the front of this directory forproduct detail.Chatham, Cherokee, Clayton, Cobb, DeKalb, Douglas,Forsyth, Fulton, Gwinnett, Henry, Paulding, Rockdale
How do you find Aetna Medicare (HMO)(PPO) plan providers in your area? To find a plan provider near your home, look underthe plan provider section of your choice (for example,“Primary Care Physicians”). The county and city arelisted alphabetically in each plan provider section.If you have questions about your Aetna MedicareHMO or PPO plan or require assistance in selecting aPCP, please call our Member Service Department at 1-800-282-5366, 8 am to 8 pm, 7 days a week.TTY/TDD users should call 1-888-760-4748. Or, visit www.aetnamedicare.com.
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Información del plan de Aetna Medicare...................................................................XI
Mapas del área de servicio........................................................................................XII
Introducción .............................................................................................................XV
Hospitales y establecimientos de enfermería especializada.........................................2
Médicos de familia....................................................................................................14
Obstetras y ginecólogos / Especialistas de salud para la mujer .................................80
Especialistas ............................................................................................................114
Proveedores de la salud del comportamiento .........................................................482
Proveedores del cuidado de la vista ........................................................................510
Proveedores del cuidado dental ..............................................................................554
Farmacias................................................................................................................571
Otros proveedores de la red....................................................................................596
Centros de trasplante de los Institutes of Excelence™ (Institutos de Excelencia) ....625
Institutes of Quality® (Institutos de Calidad)............................................................631
Índice de proveedores que hablan otros idiomas....................................................644
Índice de proveedores.............................................................................................662
www.aetnamedicare.com
Índice
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Directorio de proveedores del Plan (HMO) (PPO) de Aetna MedicareSM
Nombres de planes individuales:Plan (HMO) ValueSM Plan (PPO) StandardSM
Plan (HMO) PremierSM
Nombres de planes de grupo del empleador:Plan (HMO) de Aetna MedicareSM Plan (PPO) de Aetna MedicareSM
Este directorio contiene una lista de proveedores que pertenecen a la red del plan (HMO)(PPO) de Aetna MedicareSM.
Por favor consulte los mapas del área de servicio a partir de la siguiente página para loscondados del área de servicio incluidos en este directorio.
Este directorio es válido al 1 de enero de 2012. Se pueden haber agregado o retirado algunosproveedores de nuestra red después que este directorio fue impreso. No garantizamos quecada proveedor sigue aceptando nuevos miembros.
Para obtener información actual sobre los proveedores que pertenecen a la red del plan (HMO)(PPO) de Aetna Medicare en su área, puede visitar el sitio de Internet www.aetnamedicare.como llame nuestro Departamento de Servicios al Cliente al 1-800-282-5366, de 8 a.m. a 8 p.m., los7 días de la semana. Los usuarios TTY/TDD pueden llamar al 1-888-760-4748.
Esta información está disponible en otros idiomas de forma gratuita. Para obtener másinformación, comuníquese con el número de Servicios al Cliente al 1-800-282-5366 (TTY/TDD: 1-888-760-4748). Horario de atención: los 7 días de la semana, de 8 a.m. a 8 p.m.
Este documento puede estar disponible en un formato alternativo, como Braille, letra grandeo audio. Por favor comuníquese con el número de Servicios al Cliente que aparece arriba paraobtener más información.
Una organización de Medicare Advantage con un contrato de Medicare.
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Mapa del área de servicio del planindividual de Aetna MedicareSM
(HMO) (PPO)Este mapa representa a los condados en los que se ofrecen los planes individuales de Aetna Medicare (HMO) (PPO).
Fulton DeKalb
Forsyth
Gwinnett
Cherokee
Cobb
¿Tiene preguntas? Miembros: Ventas:Llame sin cargo 1-800-282-5366 1-800-832-2640
TTY/TDD: 1-888-760-4748 (Sólo para personas con impedimentos auditivos)
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Plan individual de Aetna Medicare (HMO) (PPO)Plan individual de Aetna Medicare (HMO)
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Mapa del área de servicio del plande grupo de empleador de
Aetna MedicareSM (HMO) (PPO)Este mapa representa a los condados en los que se ofrecen los planes de grupo de empleador de Aetna Medicare (HMO) (PPO).
¿Tiene preguntas? Miembros: Llame al número que Ventas:Llame sin cargo aparece en su tarjeta de identificación 1-800-307-4830
TTY/TDD: 1-888-760-4748 (Sólo para personas con impedimentos auditivos)
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Plan de grupo de empleador de Aetna Medicare (HMO) (PPO)Plan de grupo de empleador de Aetna Medicare (PPO)
Cherokee
Cobb
Fulton DeKalb
Forsyth
Clayton
Gwinnett
Paulding
Douglas
Henry
Rockdale
Chatham
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Sección 1: IntroducciónEste directorio contiene una lista de proveedores quepertenecen a la red de la (HMO) (PPO) de AetnaMedicare. Para obtener información detallada sobre sucobertura médica, por favor consulte la Evidencia deCobertura.Si está inscrito en un plan estándar deOrganización de Mantenimiento de la Salud(HMO) de Aetna Medicare, tendrá que seleccionar auno de nuestros proveedores que pertenecen a la redque aparecen en este directorio como su médico defamilia (PCP). El término “PCP” se usará en todo eldirectorio. Por lo general, debe obtener su coberturamédica de su médico de familia (PCP). Su PCP le daráreferencias médicas a los especialistas y centrosmédicos que pertenecen a la red para la proporción deciertos servicios. En el caso de algunos servicios, suPCP deberá obtener autorización previa de Aetna.Usted debe usar la red de proveedores excepto encaso de atención de urgencia o atención de urgenciao diálisis renal fuera del área. Excepto en los casos delos beneficios de acceso directo o en caso deemergencia según se indica en los documentos delplan, usted tendrá que obtener una referencia médicade su PCP antes de obtener atención médica deespecialidad u hospitalaria si no se trata de unaemergencia. Usted debe usar a los proveedores delplan excepto en casos de emergencia o urgencia, o dediálisis renal fuera del área. Si obtiene atención derutina de proveedores que no pertenecen a la red, niMedicare ni Aetna se responsabilizarán por los costos.Si está inscrito en un plan (HMO) de accesodirecto de Aetna Medicare, no tiene que seleccionara un médico de familia (PCP) y puede atenderse conproveedores que pertenecen a la red sin una referenciamédica para recibir los servicios cubiertos. Usted debeusar a los proveedores que pertenecen a la redexcepto en casos de emergencia o urgencia, o dediálisis renal urgente fuera del área. Si obtieneatención de rutina de proveedores que no pertenecena la red, ni Medicare ni Aetna se responsabilizarán porlos costos.Si está inscrito en un plan de Organización deProveedores Preferidos (PPO) de Aetna Medicare,usted tiene la flexibilidad de seleccionar proveedoresque pertenecen a la red a costos de bolsillo más bajo o
proveedores que no pertenecen a la red por un costocompartido más alto. A excepción de casos deemergencia o atención médica de urgencia o diálisisrenal fuera de la red, puede ser más caro para losmiembros de una PPO obtener atención médica deproveedores que no pertenecen a la red. Usted puedeusar a cualquier PCP que pertenezca a la red PPO deAetna Medicare por un copago menor correspondienteal médico de familia del plan. Aunque no es obligatorioseleccionar un PCP, se le anima a hacerlo. Si recibeservicios cubiertos de un proveedor que no pertenece ala red, es importante confirmar que aceptará su planPPO y que es elegible para recibir pagos de Medicare.Los "proveedores que pertenecen a la red" incluidosen este directorio, han acordado proporcionarle sucobertura médica, de la vista, audición y dental. Ustedpuede ir a cualquiera de nuestros proveedoresincluidos en este directorio; sin embargo, podríarequerir referencias médicas para algunos servicios. Siha estado yendo a un proveedor que pertenece a lared, no es necesario continuar yendo al mismo. Enalgunos casos, puede obtener servicios cubiertos deproveedores que no pertenecen a la red.En los casos en los que los proveedores sin contrato lepresentan una factura directamente a usted, usted nodebe pagar la factura sino presentarla a AetnaMedicare para que sea procesada y para que sedetermine su responsabilidad financiera, si la hubiese. Ciertos servicios médicos, como por ejemplo lahospitalización o la cirugía ambulatoria, requieren laprecertificación de Aetna. Esto significa que el serviciodebe ser aprobado por Aetna antes de que el plan locubra. Consulte su Evidencia de Cobertura paraobtener una lista completa de servicios que requierenesta aprobación. Cuando usted obtenga servicios querequieran precertificación a través de un proveedorque pertenece a la red, el proveedor debe precertificarlos servicios antes del tratamiento. Si su plan incluyeun beneficio fuera de la red y usted decide recibir losservicios cubiertos de un proveedor que no pertenecea la red, será su responsabilidad contactar a Aetnapara precertificar esos servicios.Si necesita atención médica de emergencia, tendrácobertura las 24 horas del día, los 7 días de la semanaen cualquier lugar del mundo. Si está dentro o fuerade un área de servicio de Aetna Medicare, simplemente
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le pedimos que siga las siguientes pautas si piensa quenecesita atención médica de emergencia.■ Llame a la línea directa de emergencia (por
ejemplo, 911) o vaya al centro médico deemergencia más cercano. Si piensa que esperar unpoco no va perjudicar su salud, llame a su PCP.Notifique a su PCP lo antes posible después derecibir tratamiento.
■ Si se le admite en un centro como paciente interno,usted o un familiar o amigo en su nombre, debenotificar a su PCP o Aetna lo antes posible.
Si está viajando fuera del área de servicio del plan(HMO) (PPO) de Aetna Medicare, recibirá cobertura dela atención médica de emergencia y de urgencia. Laatención médica de urgencia puede recibirse de unmédico de práctica privada, una clínica de atención sincitas o un centro médico de emergencia. Si despuésde revisar la información presentada por el proveedorque le atendió, se determina que la naturaleza delproblema de atención médica de urgencia oemergencia no califica para recibir cobertura,probablemente sea necesario que nos proporcioneinformación adicional.Seguimiento médico después de emergenciasTodo seguimiento médico debe ser coordinado por suPCP. El seguimiento médico con proveedores que nopertenecen a la red sólo es cubierto si cuenta con unareferencia médica de su PCP y la autorización previade Aetna. Sin importar si recibió tratamiento dentro ofuera del área de servicio de Aetna Medicare, si suplan requiere referencias médicas, usted debe obteneruna referencia médica antes de que se pueda cubrirningún seguimiento médico. Si su plan no requierereferencias médicas debe contactar a Aetna al númerode teléfono que aparece en su tarjeta de identificaciónantes de recibir el servicio en centros que nopertenecen a la red. La extracción de puntos, de yeso,las radiografías y las visitas de seguimiento a la clínicay sala de emergencia son algunos ejemplos delseguimiento médico. Planes PPO: Toda la atención médica recibida dentroy fuera de la red será cubierta de acuerdo con lostérminos y condiciones de su plan.
Siempre puede obtener atención médica deemergencia dentro o fuera del área de servicio delproveedor médico disponible más cercano. Losmiembros del plan HMO deben usar los proveedoresdel plan para recibir atención médica de urgenciacuando estén dentro del área de servicio. Cuando estáfuera del área de servicio, puede obtener atenciónmédica de urgencia del proveedor que esté disponibleprimero. Además, cuando esté fuera del área deservicio, podrá obtener tratamiento de diálisis decualquier proveedor calificado de diálisis. Si losmiembros del plan HMO obtienen atención médica derutina de proveedores que no pertenecen a la red, niMedicare ni Aetna se responsabilizarán por los costos.
¿Cuál es el área de servicio para el plan(HMO) (PPO) de Aetna Medicare?Los condados en nuestra área de servicio aparecen enla siguiente lista.Condados del área de servicio individual y degrupo del empleador:Vea los mapas del área de servicio en la parte deadelante de este directorio para obtener los detallesde productos.Chatham, Cherokee, Clayton, Cobb, DeKalb, Douglas,Forsyth, Fulton, Gwinnett, Henry, Paulding, Rockdale
¿Cómo se encuentra a los proveedoresdel plan (HMO) (PPO) de Aetna Medicareen su área de servicio? Para encontrar a un proveedor cerca de su hogar, mireen la sección del proveedor del plan de su opción (porejemplo, "médicos de familia"). El condado y ciudadestán listados alfabéticamente en cada sección deproveedores del plan. Si tiene preguntas sobre su plan HMO o PPO de AetnaMedicare o necesita asistencia en seleccionar a un PCP,por favor llame a nuestro Departamento de Serviciosal Miembro al 1-800-282-5366, de 8 a.m. a 8 p.m.,los 7 días de la semana. TTY/TDD deben llamar al 1-888-760-4748. También puede visitar el sitio deInternet www.aetnamedicare.com.
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Hospitals and Skilled Nursing Facilities
www.aetnamedicare.com
For transplant and transplant-related services, please refer to the Institutes ofExcellence Transplant Facilities section of this directory. Facilities are onlyconsidered participating for transplants if listed in that section of the directory.
Total Number = 166
Hospitales y establecimientos deenfermería especializadaPara trasplantes y servicios relacionados a los trasplantes, por favor consulte lasección de Centros de Trasplante de los Institutos de Excelencia de estedirectorio. Los centros solo se consideran participantes en el caso de trasplantessi están listados en esa sección del directorio.
Número total = 166
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HOSPITALS
CHATHAMSavannah
Memorial Health UniversityMedical Center4700 Waters AvenueSavannah, GA 31404(912) 350-8000Institutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/OrthopedicInstitutes of Quality Bariatric SurgeryFacility
CHEROKEECanton
Northside Hospital-Cherokee, Inc.201 Hospital RoadCanton, GA 30114(770) 720-5100
Northside Hospital-Cherokee, Inc.Riverstone Corporate Center1500 Reinhardt College Pkwy.Canton, GA 30114(770) 479-3660
CHEROKEEWoodstock
Northside Hospital-Cherokee, Inc.Towne Lake Overlook100 Stone Forest DriveWoodstock, GA 30189(770) 591-9711
CLAYTONJonesboro
Southern Regional MedicalCenter7823 Spivey Station Blvd.Jonesboro, GA 30236(770) 991-8000
CLAYTONRiverdale
Southern Crescent Hospital forSpecialty Care11 Upper Riverdale Road Southwest6th FloorRiverdale, GA 30274(770) 897-7600
Southern Regional MedicalCenter11 Upper Riverdale Road SouthwestRiverdale, GA 30274(770) 991-8000
COBBAustell
WellStar Cobb CardiacRehabilitation3950 Austell RoadAustell, GA 30106(770) 732-4129
WellStar Cobb Hospital3950 Austell RoadAustell, GA 30106(770) 732-4000
COBBMarietta
WellStar Kennestone Hospital677 Church StreetMarietta, GA 30060(770) 793-5000Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
WellStar Windy Hill Hospital2540 Windy Hill RoadMarietta, GA 30067(770) 644-1000
COBBSmyrna
Emory-Adventist Hospital3949 South Cobb Drive SoutheastSmyrna, GA 30080(770) 434-0710
DEKALBAtlanta
Emory University Hospital1364 Clifton Road NortheastAtlanta, GA 30322(404) 712-2000Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
Wesley Woods Hospital1821 Clifton Road NortheastAtlanta, GA 30329(404) 778-7777
Wesley Woods Long Term CareWesley Woods Long Term Care1821 Clifton Road NortheastAtlanta, GA 30329(404) 728-7777
DEKALBDecatur
DeKalb Medical Center2701 North Decatur RoadDecatur, GA 30033(404) 501-1000Institutes of Quality Bariatric SurgeryFacility
DeKalb Medical Center atDecatur450 North Candler StreetDecatur, GA 30030(404) 501-6700
Hospitals and Skilled Nursing Facilities
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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DEKALBLithonia
DeKalb Medical Center atHillandale2801 DeKalb Medical Pkwy.Lithonia, GA 30058(404) 501-8000
DOUGLASDouglasville
WellStar Douglas Hospital�8954 Hospital DriveDouglasville, GA 30134(770) 949-1500
WellStar Douglas Hospital-Inpatient Rehabilitation�8954 Hospital DriveDouglasville, GA 30134(770) 920-6285
FORSYTHCumming
Northside Hospital Forsyth1200 Northside Forsyth DriveCumming, GA 30041(770) 844-3200Institutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
FULTONAtlanta
Atlanta Medical Center303 Pkwy. Drive NortheastAtlanta, GA 30312(404) 265-4000
Emory University HospitalMidtown550 Peachtree Street NortheastAtlanta, GA 30308(404) 686-4411Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality Bariatric SurgeryFacility
Grady Health System80 Jesse Hill Jr. Drive SoutheastAtlanta, GA 30303(404) 616-4307
Kindred Hospital Atlanta705 Juniper Street NortheastAtlanta, GA 30308(404) 873-2871
Northside Hospital Inc.1000 Johnson Ferry Road NortheastAtlanta, GA 30342(404) 851-8000Institutes of Quality - Total JointReplacement/OrthopedicInstitutes of Quality Bariatric SurgeryFacility
Saint Joseph’s Hospital ofAtlanta, Inc.5665 Peachtree Dunwoody Road,N.E.Atlanta, GA 30342(678) 843-7001Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiovascularSurgery
Select Specialty Hospital-Atlanta550 Peachtree Street Northeast7th FloorAtlanta, GA 30308(404) 686-2270
Shepherd Center2020 Peachtree Road NorthwestAtlanta, GA 30309(404) 352-2020
FULTONDuluth
Emory Johns Creek Hospital-HCA Affiliate6325 Hospital Pkwy.Duluth, GA 30097(678) 474-7000Institutes of Quality Bariatric SurgeryFacility
FULTONEast Point
Regency Hospital of SouthAtlanta, LLC1170 Cleveland Avenue4th FloorEast Point, GA 30344(404) 466-6250
South Fulton Medical Center1170 Cleveland AvenueEast Point, GA 30344(404) 466-1170
FULTONRoswell
North Fulton Regional Hospital3000 Hospital Blvd.Roswell, GA 30076(770) 751-2500
GWINNETTDuluth
Glancy Rehabilitation Center3215 McClure Bridge RoadDuluth, GA 30096(678) 584-6800
Gwinnett Medical Center-Duluth3620 Howell Ferry RoadDuluth, GA 30096(678) 312-6800
Hospitals and Skilled Nursing FacilitiesH
osp
itals / Ho
spitales
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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GWINNETTLawrenceville
Gwinnett Medical Center1000 Medical Center Blvd.Lawrenceville, GA 30046(678) 312-4321
HENRYStockbridge
Henry Medical Center1133 Eagles Landing Pkwy.Stockbridge, GA 30281(678) 604-1000
PAULDINGDallas
WellStar Paulding Hospital600 West Memorial DriveDallas, GA 30132(770) 443-7080
ROCKDALEConyers
Rockdale Medical Center, Inc.1412 Milstead Avenue NortheastConyers, GA 30012(770) 918-3000
SKILLED NURSING FACILITIES
CHATHAMSavannah
Heritage Healthcare ofSavannah, LLC12825 White Bluff RoadSavannah, GA 31419(912) 927-9416
CHEROKEECanton
Brian Center Health &Rehabilitation/Canton150 Hospital Circle NorthwestCanton, GA 30114(770) 479-5649
CLAYTONLake City
Athena Rehab of Clayton2055 Rex RoadLake City, GA 30260(404) 361-1028
CLAYTONRiverdale
SunBridgeRiverdale Place Care & Rehab Center315 Upper Riverdale RoadRiverdale, GA 30274(770) 991-1050
COBBAustell
Anderson Mill Health andRehabilitation Center2130 Anderson Mill RoadAustell, GA 30106(770) 941-8813
UniHealth Post-Acute Care -Austell, LLC1700 Mulkey RoadAustell, GA 30106(770) 941-5750
COBBMarietta
Golden LivingCenters613 Roselane StreetMarietta, GA 30060(770) 792-9800
ManorcareManorCare of Marietta Nursing4360 Johnson Ferry PlaceMarietta, GA 30068(770) 971-5870
Signature Healthcare of Marietta811 Kennesaw AvenueMarietta, GA 30060(770) 422-2451
Specialty Care Of Marietta26 Tower Road NortheastMarietta, GA 30060(770) 422-8913
DEKALBAtlanta
Budd Terrace1821 Clifton Road NortheastAtlanta, GA 30329(404) 778-7777
Budd TerraceWesley Woods Geriatric Hosp Group1821 Clifton Road NortheastAtlanta, GA 30329(404) 778-7777
Budd TerraceBudd Terrace1833 Clifton Road NortheastAtlanta, GA 30329(404) 728-6200
Mariner Health of NortheastAtlanta1500 South Johnson Ferry RoadAtlanta, GA 30319(404) 252-2002
Northeast Atlanta Health &Rehabilitation Center1500 South Johnson Ferry RoadAtlanta, GA 30319(404) 252-2002
UniHealth Post-Acute Care-Brookhaven, LLC3535 Ashton Woods DriveAtlanta, GA 30319(770) 451-0236
DEKALBDecatur
Golden LivingCenters2787 North Decatur RoadDecatur, GA 30033(404) 292-0626
Hospitals and Skilled Nursing Facilities
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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Golden LivingCenters4115 Glenwood RoadDecatur, GA 30032(404) 284-6414
ManorcareManorCare Rehabilitation Center2722 North Decatur RoadDecatur, GA 30033(404) 296-5440
UniHealth Post-Acute Care-Decatur, LLC3200 Patherville RoadDecatur, GA 30034(404) 212-3400
DEKALBTucker
Golden LivingCenters3888 LaVista RoadTucker, GA 30084(770) 938-5740
FULTONAtlanta
Golden LivingCenters5470 Meridian Mark RoadAtlanta, GA 30342(404) 256-5131
Heritage Healthcare of WestAltanta, LLC2645 Whiting Street NorthwestAtlanta, GA 30318(404) 799-9267
Signature Healthcare ofBuckhead54 Peachtree Park Drive NortheastAtlanta, GA 30309(404) 351-6041
SunBridgeFox Glove Care & Rehab Center2850 Springdale Road SouthwestAtlanta, GA 30315(404) 762-8672
FULTONFairburn
UniHealth Post-Acute Care -Fairburn7560 Butner RoadFairburn, GA 30213(770) 306-7878
FULTONUnion City
Christian City Retirement Center7300 Lester RoadUnion City, GA 30291(770) 964-3301
GWINNETTBuford
UniHealth Post-Acute Care -Lanier2451 Peachtree Industrial Blvd.Buford, GA 30518(770) 614-2800
GWINNETTLawrenceville
Golden LivingCenters213 Scenic Hwy.Lawrenceville, GA 30046(770) 963-5275
Gwinnett Extended Care650 Professional DriveLawrenceville, GA 30046(678) 312-3000
Life Care Center of Gwinnett3850 Safehaven DriveLawrenceville, GA 30044(770) 923-0005
Life Care Center of Lawrenceville210 Collins Industrial WayLawrenceville, GA 30043(678) 442-0777
Medical Art Health Facility-Lawrenceville213 Scenic Hwy.Lawrenceville, GA 30046(770) 963-5275
GWINNETTLilburn
Heritage Healthcare of Lilburn,LLC788 Indian Trail RoadLilburn, GA 30047(770) 923-2020
Unihealth Solutions3945 Lawrenceville Hwy.Lilburn, GA 30047(770) 925-1143
PAULDINGDallas
WellStar Paulding SkilledNursing Services600 West Memorial DriveDallas, GA 30132(770) 793-7320
BEHAVIORAL HEALTH HOSPITALS
COBBMarietta
Tender Health Care2217 Roswell RoadSuite A-100Marietta, GA 30062(770) 321-6600
FULTONCollege Park
Tender Health Care2314 Sullivan RoadSuite 150College Park, GA 30337(404) 469-0131
Hospitals and Skilled Nursing FacilitiesH
osp
itals / Ho
spitales
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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BEHAVIORAL HEALTH FACILITIES
CHATHAMSavannah
MENTAL HEALTHInpatientPsychiatric
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
MENTAL HEALTHIntensive OutpatientPsychiatric
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
SUBSTANCE ABUSEInpatient
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
SUBSTANCE ABUSEInpatientDetox
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
SUBSTANCE ABUSEIntensive Outpatient
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
SUBSTANCE ABUSEIntensive OutpatientDetox
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
SUBSTANCE ABUSEPartial Hospital Program
Coastal Harbor Treatment Center1150 Cornell AvenueSavannah, GA 31406(912) 354-3911
Coastal Harbor Treatment Center633 Stephenson AvenueSavannah, GA 31405(912) 354-3911
CLAYTONAtlanta
MENTAL HEALTHInpatientPsychiatric
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
MENTAL HEALTHIntensive OutpatientPsychiatric
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
Hospitals and Skilled Nursing Facilities
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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MENTAL HEALTHOutpatientPsychiatric
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
MENTAL HEALTHResidentialPsychiatric
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
SUBSTANCE ABUSEInpatientDetox
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
SUBSTANCE ABUSEIntensive Outpatient
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
SUBSTANCE ABUSEOutpatient
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
SUBSTANCE ABUSEPartial Hospital Program
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
SUBSTANCE ABUSEResidential
Southern Crescent BehavioralHealth System-Anchor HospitalCampus5454 Yorktowne DriveAtlanta, GA 30349(770) 991-6044
CLAYTONRiverdale
MENTAL HEALTHInpatientPsychiatric
Acadia Riverwoods, LLC223 Medical Center DriveRiverdale, GA 30274(770) 991-8500
MENTAL HEALTHIntensive OutpatientPsychiatric
Acadia Riverwoods, LLC223 Medical Center DriveRiverdale, GA 30274(770) 991-8500
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Acadia Riverwoods, LLC223 Medical Center DriveRiverdale, GA 30274(770) 991-8500
SUBSTANCE ABUSEInpatient
Acadia Riverwoods, LLC223 Medical Center DriveRiverdale, GA 30274(770) 991-8500
SUBSTANCE ABUSEInpatientDetox
Acadia Riverwoods, LLC223 Medical Center DriveRiverdale, GA 30274(770) 991-8500
COBBSmyrna
MENTAL HEALTHInpatientEating Disorder
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
Hospitals and Skilled Nursing FacilitiesH
osp
itals / Ho
spitales
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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MENTAL HEALTHInpatientPsychiatric
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
MENTAL HEALTHIntensive OutpatientEating Disorder
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
MENTAL HEALTHIntensive OutpatientPsychiatric
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
MENTAL HEALTHOutpatientPsychiatric
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
MENTAL HEALTHPartial Hospital ProgramEating Disorder
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEInpatient
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEInpatientDetox
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEIntensive Outpatient
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEIntensive OutpatientDetox
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEOutpatient
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEOutpatientDetox
Compass Pointe Counseling, Inc.3188 Atlanta RoadSmyrna, GA 30080(678) 521-3092
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
SUBSTANCE ABUSEPartial Hospital Program
Ridgeview Institute3995 South Cobb DriveSmyrna, GA 30080(770) 434-4567
Hospitals and Skilled Nursing Facilities
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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DEKALBAtlanta
MENTAL HEALTHInpatientEating Disorder
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
MENTAL HEALTHInpatientPsychiatric
Emory University Hospital1364 Clifton Road NortheastAtlanta, GA 30322(404) 712-2000Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
MENTAL HEALTHIntensive OutpatientPsychiatric
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
MENTAL HEALTHOutpatientPsychiatric
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
MENTAL HEALTHResidentialPsychiatric
Laurel Heights Hospital934 Briarcliff Road NortheastAtlanta, GA 30306(404) 888-7868
SUBSTANCE ABUSEInpatient
Emory University Hospital1364 Clifton Road NortheastAtlanta, GA 30322(404) 712-2000Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
SUBSTANCE ABUSEInpatientDetox
Emory University Hospital1364 Clifton Road NortheastAtlanta, GA 30322(404) 712-2000Institutes of Quality - CardiacInterventionInstitutes of Quality - CardiacRhythmInstitutes of Quality - CardiovascularSurgeryInstitutes of Quality -Spine/OrthopedicInstitutes of Quality - Total JointReplacement/Orthopedic
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
SUBSTANCE ABUSEIntensive Outpatient
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
SUBSTANCE ABUSEIntensive OutpatientDetox
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
SUBSTANCE ABUSEOutpatient
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
Hospitals and Skilled Nursing FacilitiesH
osp
itals / Ho
spitales
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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SUBSTANCE ABUSEOutpatientDetox
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
SUBSTANCE ABUSEPartial Hospital Program
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
SUBSTANCE ABUSEPartial Hospital ProgramDetox
Peachford Behavioral HealthSystems of Atlanta, LP2151 Peachford RoadAtlanta, GA 30338(770) 455-3200
DEKALBDecatur
SUBSTANCE ABUSEInpatientDetox
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEIntensive Outpatient
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEIntensive OutpatientDetox
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEOutpatient
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEOutpatientDetox
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEPartial Hospital Program
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEResidential
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
SUBSTANCE ABUSEResidentialDetox
Newport Integrated BehavioralHealthcare4540 Glenwood RoadDecatur, GA 30032(404) 289-8223
FULTONAtlanta
MENTAL HEALTHIntensive OutpatientPsychiatric
Serene Reflections for HolisticWellness, LLC1750 Peachtree Street NorthwestAtlanta, GA 30309(404) 892-2205
MENTAL HEALTHOutpatientPsychiatric
Serene Reflections for HolisticWellness, LLC1750 Peachtree Street NorthwestAtlanta, GA 30309(404) 892-2205
SUBSTANCE ABUSEIntensive Outpatient
Serene Reflections for HolisticWellness, LLC1750 Peachtree Street NorthwestAtlanta, GA 30309(404) 892-2205
SUBSTANCE ABUSEOutpatient
Serene Reflections for HolisticWellness, LLC1750 Peachtree Street NorthwestAtlanta, GA 30309(404) 892-2205
Hospitals and Skilled Nursing Facilities
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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GWINNETTLawrenceville
MENTAL HEALTHInpatientPsychiatric
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
MENTAL HEALTHIntensive OutpatientPsychiatric
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
MENTAL HEALTHOutpatientPsychiatric
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
MENTAL HEALTHPartial Hospital ProgramPsychiatric
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
MENTAL HEALTHResidentialPsychiatric
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
SUBSTANCE ABUSEInpatient
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
SUBSTANCE ABUSEInpatientDetox
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
SUBSTANCE ABUSEIntensive Outpatient
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
SUBSTANCE ABUSEPartial Hospital Program
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
SUBSTANCE ABUSEResidential
Summit Ridge Hospital250 Scenic Hwy.Lawrenceville, GA 30046(678) 442-5800
Hospitals and Skilled Nursing FacilitiesH
osp
itals / Ho
spitales
For transplant and transplant-related services, please refer to the Institutes of Excellence Transplant Facilities sectionof this directory. Facilities are only considered participating for transplants if listed in that section of the directory.
� Aetna Medicare Plan (PPO) only
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www.aetnamedicare.com
Primary Care PhysiciansTotal Number = 1011
Médicos de familiaNúmero total = 1011
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CHATHAM
Savannah
Family PracticeAlpert, Joseph, MD;PCP;862685;;
Aetna Primary Office ID862685Alpert, Joseph, MD4700 Waters Avenue2nd FloorSavannah, GA 31404(912) 350-7412Memorial Health UniversityMed CtrDhanji, Sarfaraz Shiraz, MD;PCP;569331;;Hindi!Urdu
Aetna Primary Office ID569331Dhanji, Sarfaraz Shiraz,MD1107 East 66th StreetSavannah, GA 31404(912) 350-8404Speaks Hindi, UrduHarvey, Gary Norman, MD;PCP;332746;;
Aetna Primary Office ID332746Harvey, Gary Norman,MDe�907 East 67th StreetSavannah, GA 31405(912) 352-0129Parker, Richard L., III, MD;PCP;523166;;
Aetna Primary Office ID523166Parker, Richard L., III, MD900 Mohawk StreetSuite ESavannah, GA 31419(912) 925-0067Turner, Karen E., DO;PCP;442727;Turner Physician Clinic, P.C.;
Aetna Primary Office ID442727Turner Physician Clinic,P.C.Turner, Karen E., DOe�11133 Abercorn StreetSuite 10Savannah, GA 31419(912) 925-3382Memorial Health UniversityMed Ctr
General PracticeNelson, David M., MD;PCP;781687;;
Aetna Primary Office ID781687Nelson, David M., MD8400 Abercorn StreetSavannah, GA 31406(912) 920-3900
Internal MedicineBaxter, James David, MD;PCP;349863;;
Aetna Primary Office ID349863Baxter, James David,MDe�1101 Lexington AvenueSavannah, GA 31404(912) 350-7171Patients age 12 and olderAtlanta Med CtrWellStar Cobb HospBurgess, Brett Charles, MD;PCP;281972;;
Aetna Primary Office ID281972Burgess, Brett Charles,MDe�4700 Waters AvenueSuite 400Savannah, GA 31404(912) 355-0070Memorial Health UniversityMed CtrDolor, Wilfredo Vergara, MD;PCP;403653;;Tagalog
Aetna Primary Office ID403653Dolor, Wilfredo Vergara,MDe�4425 Paulsen StreetBuilding A, 1st FloorSavannah, GA 31405(912) 350-6000Patients age 12 and olderSpeaks TagalogMemorial Health UniversityMed Ctr
Bradley, Paul S., MD;PCP;349863;HourLife, LLC;Corse, Steven K., MD;PCP;349863;HourLife, LLC;Gaskin, David J., MD;PCP;349863;HourLife, LLC;
Aetna Primary Office ID349863HourLife, LLCBradley, Paul S., MDe�Corse, Steven K., MDe�Gaskin, David J., MDe�340 Eisenhower DriveSuite 1200Savannah, GA 31406(912) 443-4200Memorial Health UniversityMed CtrMasroor, Mohammad A., MD;PCP;565941;;Urdu
Aetna Primary Office ID565941Masroor, Mohammad A.,MD6602 Waters AvenueBldg. ASavannah, GA 31406(912) 352-1553Speaks UrduMemorial Health UniversityMed CtrMoore, John H., MD;PCP;273484;;
Aetna Primary Office ID273484Moore, John H., MDe�4425 Paulsen StreetBuilding A, 1st FloorSavannah, GA 31405(912) 350-6000Schyberg, Jeffrey P., MD;PCP;838803;;
Aetna Primary Office ID838803Schyberg, Jeffrey P.,MDe�Building 18836 East 65th StreetSavannah, GA 31405(912) 352-4842Patients age 12 and olderMemorial Health UniversityMed Ctr
CHEROKEE
Ball Ground
Internal MedicineEnglish, Eden F., MD;PCP;509431;;French
Aetna Primary Office ID509431English, Eden F., MDe�470 Valley StreetSuite 200Ball Ground, GA 30107(678) 454-6800Speaks FrenchWellStar Cobb Hosp
Canton
Family PracticeField, David E., MD;PCP;6864;Canton Family Care Service;
Aetna Primary Office ID6864Canton Family CareServiceField, David E., MD200 Medical LaneCanton, GA 30114(770) 479-1494Accepting Current PatientsOnlyNorthside Hosp-Cherokee,Inc.WellStar Windy Hill HospDerrer, David T., MD;PCP;4755;;
Aetna Primary Office ID4755Derrer, David T., MDe�220 Oakside CourtCanton, GA 30114(678) 807-1050Northside Hosp ForsythNorthside Hosp-Cherokee,Inc.
CHATHAM Primary Care Physicians
14 e� Electronic Prescribing Providers identified with M symbol may also participate in Medicaid.
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Haley, Donna C., MD;PCP;31620;;Spanish
Aetna Primary Office ID31620Haley, Donna C., MDe�100 Medical LaneSuite 1 & 2Canton, GA 30114(770) 479-8040Speaks SpanishNorthside Hosp-Cherokee,Inc.Holmes, Phillip Shawn, DO;PCP;33259;;
Aetna Primary Office ID33259Holmes, Phillip Shawn,DO3755 Sixes RoadSuite 202Canton, GA 30114(770) 720-1880Northside Hosp-Cherokee,Inc.Jackson, John Richard, MD;PCP;558000;;
Aetna Primary Office ID558000Jackson, John Richard,MDe�M7768 Cumming Hwy.Suite 300Canton, GA 30114(770) 720-2113Northside Hosp-Cherokee,Inc.Neely, Kathryn P., MD;PCP;33241;;
Aetna Primary Office ID33241Neely, Kathryn P., MDe�310 Paper Trail WaySuite 306Canton, GA 30115(770) 704-2763Northside Hosp-Cherokee,Inc.
Jackson, John Richard, MD;PCP;558000;North Crest Family Medicine;
Aetna Primary Office ID558000North Crest FamilyMedicineJackson, John Richard,MDe�M7768 Cumming Hwy.Suite 300Canton, GA 30114(770) 720-2113Northside Hosp-Cherokee,Inc.Rezk, Magdy W., MD;PCP;4755;;Arabic
Aetna Primary Office ID4755Rezk, Magdy W., MDe�220 Oakside LaneCanton, GA 30114(678) 807-1050Speaks ArabicNorthside Hosp-Cherokee,Inc.
General PracticeHefner, Jason R., MD;PCP;834787;;
Aetna Primary Office ID834787Hefner, Jason R., MDe�104 Prominence PointPkwy.Suite 104Canton, GA 30114(770) 704-6988
Internal MedicineGani, Ayisha S., MD;PCP;33179;;Tamil
Aetna Primary Office ID33179Gani, Ayisha S., MDe�M15 Reinhardt College Pkwy.BUILDING 100 Suite 102Canton, GA 30114(770) 704-9499Patients age 12 and olderSpeaks TamilNorthside Hosp Inc.Northside Hosp-Cherokee,Inc.
Law, Lana, MD;PCP;803684;;
Aetna Primary Office ID803684Law, Lana, MDMedical Associates ofNorth Georgia320 Hospital RoadCanton, GA 30114(770) 479-5535Northside Hosp-Cherokee,Inc.Kessler, Alexander, MD;PCP;334959;Medical Care of Georgia, P.C.;Russian
Aetna Primary Office ID334959Medical Care of Georgia,P.C.Kessler, Alexander,MDe�M50 Medical LaneCanton, GA 30114(770) 345-2300Speaks RussianNorthside Hosp-Cherokee,Inc.Mills, Robert Allen, MD;PCP;502451;;
Aetna Primary Office ID502451Mills, Robert Allen, MD120 Hickory RoadCanton, GA 30115(770) 720-2221Accepting Current PatientsOnlyNorthside Hosp-Cherokee,Inc.WellStar Kennestone HospGani, Ayisha S., MD;PCP;33179;Northside Medical Specialists;Tamil
Aetna Primary Office ID33179Northside MedicalSpecialistsGani, Ayisha S., MDe�M15 Reinhardt College Pkwy.BUILDING 100 Suite 102Canton, GA 30114(770) 704-9499Speaks TamilNorthside Hosp Inc.Northside Hosp-Cherokee,Inc.
Tanasa, Paula A., MD;PCP;305209;;Romanian
Aetna Primary Office ID305209Tanasa, Paula A., MDe�320 Hospital RoadCanton, GA 30114(770) 479-5535Speaks RomanianNorthside Hosp-Cherokee,Inc.Wasti, Nadia A., MD;PCP;33179;;Urdu
Aetna Primary Office ID33179Wasti, Nadia A., MDe�145 Riverstone TerraceSuite 100Canton, GA 30114(770) 704-9499Speaks Urdu
Holly Springs
Internal MedicineAsghar, Nasir A., MD;PCP;452603;;Hindi
Aetna Primary Office ID452603Asghar, Nasir A., MD684 Sixes RoadSuite 250Holly Springs, GA 30115(678) 494-9669Speaks HindiNorthside Hosp-Cherokee,Inc.
Woodstock
Family PracticeAnthony-Wade, Janis N., DO;PCP;842730;;
Aetna Primary Office ID842730Anthony-Wade, Janis N.,DO200 Parkbrooke DriveSuite 100Woodstock, GA 30189(770) 591-8360
Primary Care Physicians CHEROKEEPC
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;PCP;33317;Cherokee Family Medical Center, Inc.;Williamson, Jackie L., MD;PCP;33317;Cherokee Family Medical Center, Inc.;
Aetna Primary Office ID33317Cherokee Family MedicalCenter, Inc.Williamson, Jackie L.,MDe�9766 Hwy. 92Suite 200Woodstock, GA 30188(770) 926-8717WellStar Kennestone HospGeorge, Elizabeth C., MD;PCP;414965;;
Aetna Primary Office ID414965George, Elizabeth C.,MDM207 River Park North DriveWoodstock, GA 30188(678) 388-2184Northside Hosp-Cherokee,Inc.Katopes, Michael G., MD;PCP;47608;;Spanish
Aetna Primary Office ID47608Katopes, Michael G., MD203 Woodpark PlaceBuilding CWoodstock, GA 30188(770) 926-4150Speaks SpanishNorthside Hosp-Cherokee,Inc.WellStar Windy Hill HospManrique, Richard L., MD;PCP;861811;;Spanish
Aetna Primary Office ID861811Manrique, Richard L.,MDe�M7820 Hickory Flat Hwy.Woodstock, GA 30188(770) 704-4911Speaks SpanishMitchell, Kyle D., DO;PCP;375772;;
Aetna Primary Office ID375772Mitchell, Kyle D., DOM100 Stone Forest DriveSuite 130Woodstock, GA 30189(770) 517-2145Northside Hosp-Cherokee,Inc.
Mitchell, Kyle D., DO;PCP;666104;;
Aetna Primary Office ID666104Mitchell, Kyle D., DOM100 Stone Forest DriveSuite 240Woodstock, GA 30189(404) 664-2997Northside Hosp-Cherokee,Inc.Parman, Christopher L., MD;PCP;481253;;
Aetna Primary Office ID481253Parman, Christopher L.,MDM100 Stone Forest DriveSuite 130Woodstock, GA 30189(770) 517-2145Northside Hosp-Cherokee,Inc.Rausch, Judith T., MD;PCP;338415;Rausch Family Practice, LLC;Hungarian
Aetna Primary Office ID338415Rausch Family Practice,LLCRausch, Judith T., MDe�1000 Wingate Pkwy.Suite 210Woodstock, GA 30189(678) 384-7305Speaks HungarianWellStar Windy Hill HospTabataba, Jafar, MD;PCP;31721;;Arabic!Farsi!French!Turkish
Aetna Primary Office ID31721Tabataba, Jafar, MD7961 Hwy. 92Woodstock, GA 30189(770) 627-2434Speaks Arabic, Farsi,French, TurkishDeKalb Med CtrVickery, Sheryl Bailey, MD;PCP;861811;;
Aetna Primary Office ID861811Vickery, Sheryl Bailey,MDM7820 Hickory Flat Hwy.Woodstock, GA 30188(770) 704-4911
Ward, Jacob T., MD;PCP;31698;;
Aetna Primary Office ID31698Ward, Jacob T., MDe�1200 B Buckhead CrossingWoodstock, GA 30189(770) 592-4350WellStar Kennestone Hosp;PCP;47660;WellStar Towne Lake Medical Center;Hudec, Robert P., MD;PCP;47660;WellStar Towne Lake Medical Center;Newlon, James Lewis, DO;PCP;47660;WellStar Towne Lake Medical Center;
Aetna Primary Office ID47660WellStar Towne LakeMedical CenterHudec, Robert P., MDe�Newlon, James Lewis,DOe�145 North Medical Pkwy.Woodstock, GA 30189(770) 592-3000WellStar Kennestone HospWolfson, Ilya, MD;PCP;395420;;Russian
Aetna Primary Office ID395420Wolfson, Ilya, MD3353 Trickum RoadSuite 201Woodstock, GA 30188(770) 591-4777Speaks RussianNorthside Hosp-Cherokee,Inc.WellStar Kennestone HospKatopes, Michael G., MD;PCP;47608;Woodpark Medical Center;Spanish
Aetna Primary Office ID47608Woodpark MedicalCenterKatopes, Michael G., MD203 Woodpark PlaceBuilding CWoodstock, GA 30188(770) 926-4150Speaks SpanishNorthside Hosp-Cherokee,Inc.WellStar Windy Hill Hosp
General PracticeHefner, Jason R., MD;PCP;861811;;
Aetna Primary Office ID861811Hefner, Jason R., MDe�7820 Hickory Flat Hwy.Woodstock, GA 30188(770) 704-4911Manrique, Richard L., MD;PCP;861811;;Spanish
Aetna Primary Office ID861811Manrique, Richard L.,MDe�M7820 Hickory Flat Hwy.Woodstock, GA 30188(770) 704-4911Speaks Spanish
Internal Medicine;PCP;33316;Cherokee Internal Medicine, P.C.;Akamatsu, Maho, MD;PCP;33316;Cherokee Internal Medicine, P.C.;GermanManiatis, Courtney B.S., DO;PCP;33316;Cherokee Internal Medicine, P.C.;
Aetna Primary Office ID33316Cherokee InternalMedicine, P.C.Akamatsu, Maho, MDe�Maniatis, Courtney B.S.,DOe�1192 Buckhead CrossingSuite CWoodstock, GA 30189(678) 238-0301Speaks GermanNorthside Hosp-Cherokee,Inc.WellStar Kennestone HospChervu, Indira, MD;PCP;6803;;
Aetna Primary Office ID6803Chervu, Indira, MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Patients age 12 and olderAccepting Current PatientsOnlyWellStar Kennestone HospWellStar Windy Hill Hosp
CHEROKEE Primary Care Physicians
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Conlin, Michael F., MD;PCP;4702;;
Aetna Primary Office ID4702Conlin, Michael F., MDe�2001 Professional WaySuite 220Woodstock, GA 30188(770) 926-7411Patients age 12 and olderEmory University HospMidtownHimot, Edward D., MD;PCP;6803;;
Aetna Primary Office ID6803Himot, Edward D.,MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Patients age 12 and olderAccepting Current PatientsOnlyWellStar Kennestone HospWellStar Windy Hill HospJansen, Robert D., MD;PCP;6803;;
Aetna Primary Office ID6803Jansen, Robert D., MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Patients age 12 and olderAccepting Current PatientsOnlyWellStar Kennestone HospConlin, Michael F., MD;PCP;4702;Kaufman Clinic;Kaufmann, Robert S., MD;PCP;4702;Kaufman Clinic;
Aetna Primary Office ID4702Kaufman ClinicConlin, Michael F., MDKaufmann, Robert S.,MD2001 Professional WaySuite 220Woodstock, GA 30188(770) 926-7411Patients age 12 and olderEmory University HospMidtown
Kaufmann, Robert S., MD;PCP;4702;;
Aetna Primary Office ID4702Kaufmann, Robert S.,MDe�2001 Professional WaySuite 220Woodstock, GA 30188(770) 926-7411Patients age 18 and olderEmory University HospMidtownNath, Vijay J., MD;PCP;6803;;
Aetna Primary Office ID6803Nath, Vijay J., MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Accepting Current PatientsOnlyWellStar Kennestone HospNesmith, Elizabeth R., MD;PCP;4702;;
Aetna Primary Office ID4702Nesmith, Elizabeth R.,MD2001 Professional WaySuite 220Woodstock, GA 30188(770) 926-7411Ogundipe, Akin O., MD;PCP;6803;;
Aetna Primary Office ID6803Ogundipe, Akin O.,MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Accepting Current PatientsOnlyWellStar Kennestone Hosp
Patel, Amish, MD;PCP;6803;;Gujarati
Aetna Primary Office ID6803Patel, Amish, MDe�120 Stone Bridge Pkwy.Suite 330Woodstock, GA 30189(770) 427-7389Accepting Current PatientsOnlySpeaks GujaratiWellStar Windy Hill HospSkardasis, Michael G., MD;PCP;33579;;Greek, Modern
Aetna Primary Office ID33579Skardasis, Michael G.,MDe�1192 Buckhead CrossingSuite EWoodstock, GA 30189(678) 494-4450Patients age 12 and olderAccepting Current PatientsOnlySpeaks Greek, ModernEmory University HospMidtownWellStar Kennestone Hosp;PCP;47660;WellStar Towne Lake Medical Center;Mogelnicki, Stanley R., Jr, MD;PCP;47660;WellStar Towne Lake Medical Center;Niazi, Asher F., MD;PCP;47660;WellStar Towne Lake Medical Center;Hindi!UrduSaifee, Sophia, MD;PCP;47660;WellStar Towne Lake Medical Center;Hindi!Urdu
Aetna Primary Office ID47660WellStar Towne LakeMedical CenterMogelnicki, Stanley R.,Jr, MDe�Niazi, Asher F., MDe�Saifee, Sophia, MD145 North Medical Pkwy.Woodstock, GA 30189(770) 592-3000Patients age 12 and olderSpeaks Hindi, UrduSouth Fulton Med CtrWellStar Kennestone Hosp
Wieskopf, Bram D., MD;PCP;33579;;French
Aetna Primary Office ID33579Wieskopf, Bram D.,MDe�1192 Buckhead CrossingSuite EWoodstock, GA 30189(678) 494-4450Patients age 12 and olderAccepting Current PatientsOnlySpeaks FrenchWellStar Kennestone Hosp
CLAYTON
College Park
Family PracticeJames, Vickie A., MD;PCP;655300;;
Aetna Primary Office ID655300James, Vickie A., MDe�1897 Godby RoadCollege Park, GA 30349(678) 519-2872South Fulton Med Ctr
Forest Park
Family PracticeAndrews, Faith A., MD;PCP;614145;;Spanish
Aetna Primary Office ID614145Andrews, Faith A., MDM525 Forest Pkwy.Suite 100Forest Park, GA 30297(678) 705-0100Speaks SpanishSouth Fulton Med CtrSouthern Regional Med Ctr
Primary Care Physicians CLAYTONPC
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Basden, Cheryl A., DO;PCP;580122;;Spanish
Aetna Primary Office ID580122Basden, Cheryl A., DOM4940 Governors DriveSuite 203Forest Park, GA 30297(404) 362-0282Patients age 2 and olderSpeaks SpanishHenry Med CtrSouthern Regional Med CtrCox, Jon Paul, DO;PCP;4742;;
Aetna Primary Office ID4742Cox, Jon Paul, DO4945 Governors DriveForest Park, GA 30297(404) 363-4360DeKalb Med CtrJones, Kenneth E., MD;PCP;4742;;
Aetna Primary Office ID4742Jones, Kenneth E., MD4945 Governors DriveForest Park, GA 30297(404) 363-4360Patients age 2 and olderAtlanta Med CtrSouth Fulton Med CtrSouthern Regional Med CtrCox, Jon Paul, DO;PCP;4742;Southside Medical Care;Jones, Kenneth E., MD;PCP;4742;Southside Medical Care;
Aetna Primary Office ID4742Southside Medical CareCox, Jon Paul, DOJones, Kenneth E., MD4945 Governors DriveForest Park, GA 30297(404) 363-4360Patients age 2 and olderAtlanta Med CtrDeKalb Med CtrSouth Fulton Med CtrSouthern Regional Med Ctr
Internal MedicineChampion, Curtis L., MD;PCP;6992;;Spanish
Aetna Primary Office ID6992Champion, Curtis L.,MDe�4930 Governors DriveSuite 401Forest Park, GA 30297(404) 361-0090Patients age 18 and olderSpeaks SpanishAtlanta Med CtrDeKalb Med CtrSouth Fulton Med CtrMirza, Tariz H., MD;PCP;33169;;Urdu
Aetna Primary Office ID33169Mirza, Tariz H., MDM5038 Old Dixie Hwy.Forest Park, GA 30297(404) 366-0303Patients age 12 and olderSpeaks UrduAtlanta Med CtrSouth Fulton Med Ctr
Jonesboro
Internal MedicineDiCristina, Michael Angel, MD;PCP;33330;;Spanish
Aetna Primary Office ID33330DiCristina, MichaelAngel, MDM6568-A Tara Blvd.Jonesboro, GA 30236(770) 968-7933Patients age 12 and olderSpeaks SpanishHenry Med CtrSaint Joseph’s Hosp ofAtlanta, Inc.Southern Regional Med Ctr
Ogundipe, John O., MD;PCP;33226;;Yoruba
Aetna Primary Office ID33226Ogundipe, John O.,MDe�M7823 Spivey Stn Blvd.Suite 210Jonesboro, GA 30236(678) 610-2916Speaks YorubaAtlanta Med CtrSouthern Regional Med Ctr
Lovejoy
Family PracticeClark, Jelunder W., MD;PCP;407896;;
Aetna Primary Office ID407896Clark, Jelunder W.,MDe�M2201 Talmadge RoadLovejoy, GA 30250(678) 479-1234
Morrow
Family PracticeCarter, Maya J., MD;PCP;33373;;
Aetna Primary Office ID33373Carter, Maya J., MD1000 Corporate CenterDriveSuite 200Morrow, GA 30260(770) 968-6464Atlanta Med CtrCox, Jon Paul, DO;PCP;4742;;
Aetna Primary Office ID4742Cox, Jon Paul, DO1577 Mount Zion RoadMorrow, GA 30260(770) 960-8900DeKalb Med Ctr
Jones, Kenneth E., MD;PCP;4742;;
Aetna Primary Office ID4742Jones, Kenneth E., MD1577 Mt. Zion RoadMorrow, GA 30260(770) 960-8900Patients age 2 and olderAtlanta Med CtrSouth Fulton Med CtrSouthern Regional Med CtrCox, Jon Paul, DO;PCP;4742;Southside Medical Care;
Aetna Primary Office ID4742Southside Medical CareCox, Jon Paul, DO1577 Mount Zion RoadMorrow, GA 30260(770) 960-8900Patients age 2 and olderDeKalb Med Ctr
Internal MedicineThedford, Victoria H., MD;PCP;627279;;Korean
Aetna Primary Office ID627279Thedford, Victoria H.,MDM6685 Merchants WaySuite BMorrow, GA 30260(770) 968-1997Patients age 12 and olderSpeaks KoreanDeKalb Med CtrHenry Med CtrSouthern Regional Med Ctr
Riverdale
Family PracticeStuart, Andre S., MD;PCP;820085;Gwinnett Multi-Specialty Group, LLC;
Aetna Primary Office ID820085Gwinnett Multi-SpecialtyGroup, LLCStuart, Andre S., MD34 Upper Riverdale RoadSuite 100ARiverdale, GA 30274(770) 907-7222
CLAYTON Primary Care Physicians
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Nibo, Daniel E., DO;PCP;463155;;
Aetna Primary Office ID463155Nibo, Daniel E., DOM6223 Riverdale RoadRiverdale, GA 30274(770) 997-0047Southern Regional Med CtrObiekwe, O. Michael, MD;PCP;267302;;Igbo
Aetna Primary Office ID267302Obiekwe, O. Michael,MDe�217 Medical WayRiverdale, GA 30274(770) 991-9227Speaks IgboAtlanta Med CtrEmory University HospMidtownSouth Fulton Med CtrSouthern Regional Med CtrOliviere, James, Jr, MD;PCP;33385;;
Aetna Primary Office ID33385Oliviere, James, Jr, MDM1324 Hwy. 138Riverdale, GA 30296(770) 907-4949Quintanilla, Pablo, MD;PCP;337485;;Spanish
Aetna Primary Office ID337485Quintanilla, Pablo, MD6507 Professional Place #ARiverdale, GA 30274(770) 991-0100Speaks SpanishSouth Fulton Med CtrStuart, Andre S., MD;PCP;820085;;
Aetna Primary Office ID820085Stuart, Andre S., MD34 Upper Riverdale RoadSuite 100ARiverdale, GA 30274(770) 907-7222
General PracticeQuintanilla, Pablo, MD;PCP;337485;;Spanish
Aetna Primary Office ID337485Quintanilla, Pablo, MD6507 Professional Place #ARiverdale, GA 30274(770) 991-0100Speaks SpanishSouth Fulton Med Ctr
Internal MedicineBelizaire, Waindel, DO;PCP;670949;;French
Aetna Primary Office ID670949Belizaire, Waindel,DOe�M195 Upper Riverdale RoadSuite ARiverdale, GA 30274(770) 994-0171Speaks FrenchAtlanta Med CtrGrady Health SystemHenry Med CtrRockdale Med Ctr, Inc.South Fulton Med CtrSouthern Crescent Hospfor Specialty CareSouthern Regional Med CtrCheti, Satyanarayan R., MD;PCP;33405;;Hindi
Aetna Primary Office ID33405Cheti, Satyanarayan R.,MD34 Upper Riverdale RoadSuite 100-BRiverdale, GA 30274(770) 991-3456Patients age 13 and olderSpeaks HindiHenry Med CtrSouth Fulton Med CtrSouthern Regional Med Ctr
Lee, Peter K., MD;PCP;820085;Gwinnett Multi-Specialty Group, LLC;
Aetna Primary Office ID820085Gwinnett Multi-SpecialtyGroup, LLCLee, Peter K., MD34 Upper Riverdale RoadSuite 100ARiverdale, GA 30274(770) 907-7222Henry Med CtrSouth Fulton Med CtrSouthern Regional Med CtrMeka, Varma S., MD;PCP;33056;;Hindi
Aetna Primary Office ID33056Meka, Varma S., MDM107 Upper Riverdale RoadSuite ARiverdale, GA 30274(770) 997-2160Patients age 12 and olderSpeaks HindiHenry Med CtrSouth Fulton Med CtrSouthern Regional Med CtrOgundipe, John O., MD;PCP;33226;;Yoruba
Aetna Primary Office ID33226Ogundipe, John O.,MDe�M29 Southwest UpperRiverdale RoadSuite 130Riverdale, GA 30274(770) 991-3313Speaks YorubaAtlanta Med CtrSouthern Regional Med CtrSatcher, Douglas, MD;PCP;31685;;
Aetna Primary Office ID31685Satcher, Douglas, MD261 Medical WaySuite ARiverdale, GA 30274(770) 907-0070NCQA Diabetes RecognizedProvider. See back cover.Patients age 12 and olderHenry Med CtrSouthern Regional Med Ctr
Wright, Richard I., MD;PCP;589002;;Spanish
Aetna Primary Office ID589002Wright, Richard I., MDM261 Medical WayRiverdale, GA 30274(770) 996-9400Speaks SpanishHenry Med CtrSouthern Regional Med CtrWellStar Kennestone HospWright, Richard I., MD;PCP;785634;;Spanish
Aetna Primary Office ID785634Wright, Richard I., MDM6572 River Park DriveSuite 102Riverdale, GA 30274(770) 996-9400Speaks SpanishHenry Med CtrSouthern Regional Med CtrWellStar Kennestone Hosp
COBB
Acworth
Family PracticePatel, Harnishkumar R., MD;PCP;702540;Acworth Family Practice, LLC;Hindi
Aetna Primary Office ID702540Acworth Family Practice,LLCPatel, Harnishkumar R.,MDe�4439 Carnes StreetAcworth, GA 30101(770) 529-7478Speaks HindiWellStar Kennestone HospGoldman, Tracy E., DO;PCP;369055;;
Aetna Primary Office ID369055Goldman, Tracy E., DO4791 South Main StreetAcworth, GA 30101(770) 422-1400WellStar Kennestone Hosp
Primary Care Physicians COBBPC
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Meredith, Catherine M., MD;PCP;510545;Physicians Immediate Med of Acworth;Mersberger, Jerome F., DO;PCP;510545;Physicians Immediate Med of Acworth;Nagel, Kerry L., DO;PCP;510545;Physicians Immediate Med of Acworth;
Aetna Primary Office ID510545Physicians ImmediateMed of AcworthMeredith, Catherine M.,MDMersberger, Jerome F.,DONagel, Kerry L., DO3540 Cobb Pkwy.NorthwestAcworth, GA 30101(770) 974-3911WellStar Cobb HospTrowell, Cheryl Ashley, MD;PCP;449698;;
Aetna Primary Office ID449698Trowell, Cheryl Ashley,MD4900 Ivey RoadSuite 1826Acworth, GA 30101(770) 975-9077Trowell, Shannon Heath, MD;PCP;449698;;
Aetna Primary Office ID449698Trowell, Shannon Heath,MD4900 Ivey RoadSuite 1826Acworth, GA 30102(770) 975-9077;PCP;372753;WellStar Acworth Family Practice;Loe, Robin K., MD;PCP;372753;WellStar Acworth Family Practice;Murimi, John N., MD;PCP;372753;WellStar Acworth Family Practice;SwahiliSantorufo, Mildred J., DO;PCP;372753;WellStar Acworth Family Practice;Stone, Jeffrey C., MD;PCP;372753;WellStar Acworth Family Practice;
Aetna Primary Office ID372753WellStar Acworth FamilyPracticeLoe, Robin K., MDe�Murimi, John N., MDe�Santorufo, Mildred J.,DOe�Stone, Jeffrey C., MDe�4900 Ivey RoadSuite 1301Acworth, GA 30101(770) 974-4655Patients age 5 and olderSpeaks SwahiliWellStar Cobb HospWellStar Kennestone Hosp
Danforth, Julia N., MD;PCP;483797;WellStar Cornerstone Family Medicine;Elsbree, James M., MD;PCP;483797;WellStar Cornerstone Family Medicine;
Aetna Primary Office ID483797WellStar CornerstoneFamily MedicineDanforth, Julia N., MDe�Elsbree, James M.,MDe�1685 Mars Hill RoadNorthwestBuilding 200 Suite 201Acworth, GA 30101(678) 354-0455Grady Health SystemWellStar Cobb HospWellStar Kennestone Hosp
Internal MedicineKhanna, Bhawna, MD;PCP;648812;;
Aetna Primary Office ID648812Khanna, Bhawna, MDWestBrook InternalMedicine, LLC3950 Cobb Pkwy.Suite 601Acworth, GA 30101(770) 874-7623Patients age 12 and olderWellStar Cobb HospPafumy, Joseph, MD;PCP;510545;Physicians Immediate Med of Acworth;
Aetna Primary Office ID510545Physicians ImmediateMed of AcworthPafumy, Joseph, MDM3540 Cobb Pkwy.NorthwestAcworth, GA 30101(770) 974-3911Grady Health SystemKhanna, Bhawna, MD;PCP;648812;Westbrook Internal Medicine,LLC.;
Aetna Primary Office ID648812Westbrook InternalMedicine,LLC.Khanna, Bhawna, MDWestBrook InternalMedicine, LLC3950 Cobb Pkwy.Suite 601Acworth, GA 30101(770) 874-7623WellStar Cobb Hosp
Austell
Family PracticeAwoyale, Afolake O., MD;PCP;31748;;Yoruba
Aetna Primary Office ID31748Awoyale, Afolake O.,MD1810 Mulkey RoadAustell, GA 30106(770) 944-0811Speaks YorubaWellStar Cobb HospBeasley, Caren D., MD;PCP;899007;;
Aetna Primary Office ID899007Beasley, Caren D., MD3820 Medical Park DriveAustell, GA 30106(770) 948-6041WellStar Cobb HospJoshi, Savita Yogendra, MD;PCP;4799;;Hindi
Aetna Primary Office ID4799Joshi, Savita Yogendra,MD1678 Mulkey RoadSuite GAustell, GA 30106(770) 948-8680Accepting Current PatientsOnlySpeaks Hindi;PCP;713962;WellStar Cobb Family Medicine;Gearhard, Mary K., MD;PCP;713962;WellStar Cobb Family Medicine;Gearhard, Thomas E., MD;PCP;713962;WellStar Cobb Family Medicine;Nguyen, Tung Van, DO;PCP;713962;WellStar Cobb Family Medicine;Vietnamese
Aetna Primary Office ID713962WellStar Cobb FamilyMedicineGearhard, Mary K.,MDe�Gearhard, Thomas E.,MDe�Nguyen, Tung Van,DOe�1790 Mulkey RoadSuite 8AAustell, GA 30106(770) 944-1830Speaks VietnameseDeKalb Med CtrWellStar Cobb Hosp
Internal MedicineMarkle, David C., MD;PCP;775532;C.David Markle, MD PC;
Aetna Primary Office ID775532C.David Markle, MD PCMarkle, David C., MDe�1605 Mulkey RoadAustell, GA 30106(770) 948-4455WellStar Cobb HospDave, Amita N., MD;PCP;4799;;Gujarati!Hindi
Aetna Primary Office ID4799Dave, Amita N., MDe�3825 Medical Park DriveSuite 100Austell, GA 30106(770) 948-8680Patients age 12 and olderAccepting Current PatientsOnlySpeaks Gujarati, HindiWellStar Cobb HospKrachman, Brian S., DO;PCP;4565;Georgia Internal Medicine Associates;French
Aetna Primary Office ID4565Georgia InternalMedicine AssociatesKrachman, Brian S.,DOM3875 Austell RoadSuite 101Austell, GA 30106(770) 941-8100Speaks FrenchWellStar Cobb HospKrachman, Brian S., DO;PCP;4565;;French
Aetna Primary Office ID4565Krachman, Brian S.,DOM3875 Austell RoadSuite 101Austell, GA 30106(770) 941-8100Patients age 12 and olderSpeaks FrenchWellStar Cobb Hosp
COBB Primary Care Physicians
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Lloyd, Lancelot A., MD;PCP;524538;;
Aetna Primary Office ID524538Lloyd, Lancelot A., MD1680 Mulkey RoadSuite EAustell, GA 30106(678) 713-0492WellStar Cobb HospWellStar Kennestone HospWellStar Paulding HospWellStar Windy Hill HospSexson, James A., MD;PCP;31748;;
Aetna Primary Office ID31748Sexson, James A., MDM1810 Mulkey RoadSuite 200Austell, GA 30106(770) 944-0811Patients age 15 and olderWellStar Cobb Hosp;PCP;411749;WellStar Cobb Medical Group, LLC;Cohen, Steven L., MD;PCP;411749;WellStar Cobb Medical Group, LLC;FrenchDayalan, Sangeetha, MD;PCP;411749;WellStar Cobb Medical Group, LLC;Handy, Tanesha M., MD;PCP;411749;WellStar Cobb Medical Group, LLC;SpanishVollrath, Edward Lee, MD;PCP;411749;WellStar Cobb Medical Group, LLC;
Aetna Primary Office ID411749WellStar Cobb MedicalGroup, LLCCohen, Steven L., MDDayalan, Sangeetha, MDHandy, Tanesha M., MDVollrath, Edward Lee,MD1790 Mulkey RoadSuite 5AAustell, GA 30106(770) 732-1055Patients age 12 and olderSpeaks French, SpanishWellStar Cobb Hosp;PCP;387595;WellStar South Cobb Primary Care;
Aetna Primary Office ID387595WellStar South CobbPrimary Care1680 Hospital South DriveAustell, GA 30106(678) 945-2100Patients age 12 and older
Kennesaw
Family PracticeBarfield, Mary Katherine, MD;PCP;33501;;
Aetna Primary Office ID33501Barfield, MaryKatherine, MDe�5150 Stilesboro RoadKennesaw, GA 30152(678) 354-0230Emory-Adventist HospBradford, Larissa V., MD;PCP;344049;;
Aetna Primary Office ID344049Bradford, Larissa V., MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Ramprasad, Sharmila, MD;PCP;674075;Creekside Medical Clinic LLC;Hindi!Marathi
Aetna Primary Office ID674075Creekside Medical ClinicLLCRamprasad, Sharmila,MDe�M3104 Creekside VillageDriveSuite 201Kennesaw, GA 30144(770) 931-1333Speaks Hindi, MarathiGlancy RehabilitationCenterDoniparthi, Nalinikrishna K., MD;PCP;344049;;
Aetna Primary Office ID344049Doniparthi, NalinikrishnaK., MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Govil, Sandeep Kumar, MD;PCP;344049;;Hindi
Aetna Primary Office ID344049Govil, Sandeep Kumar,MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks HindiEmory-Adventist Hosp
Gross, Darryl Scott, MD;PCP;344049;;Spanish
Aetna Primary Office ID344049Gross, Darryl Scott, MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks SpanishLee, David K., MD;PCP;292852;;
Aetna Primary Office ID292852Lee, David K., MD2953 Cobb Pkwy. NorthSuite 17Kennesaw, GA 30152(678) 819-6880Northside Hosp Inc.Littlefield, Elizabeth Marie, MD;PCP;344049;;
Aetna Primary Office ID344049Littlefield, ElizabethMarie, MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000London, Erin D., MD;PCP;344049;;Spanish
Aetna Primary Office ID344049London, Erin D., MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks Spanish
Doniparthi, Nalinikrishna K., MD;PCP;344049;Physician Immediate Med, P.C.;Govil, Sandeep Kumar, MD;PCP;344049;Physician Immediate Med, P.C.;HindiGross, Darryl Scott, MD;PCP;344049;Physician Immediate Med, P.C.;SpanishLittlefield, Elizabeth Marie, MD;PCP;344049;Physician Immediate Med, P.C.;London, Erin D., MD;PCP;344049;Physician Immediate Med, P.C.;SpanishPlotz, Phillip B., MD;PCP;344049;Physician Immediate Med, P.C.;Sells, Linnette J., DO;PCP;344049;Physician Immediate Med, P.C.;Short, James Bernard, Jr, MD;PCP;344049;Physician Immediate Med, P.C.;
Aetna Primary Office ID344049Physician ImmediateMed, P.C.Doniparthi, NalinikrishnaK., MDGovil, Sandeep Kumar,MDGross, Darryl Scott, MDLittlefield, ElizabethMarie, MDLondon, Erin D., MDPlotz, Phillip B., MDSells, Linnette J., DOShort, James Bernard, Jr,MDe�2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks Hindi, SpanishEmory-Adventist HospPlotz, Phillip B., MD;PCP;344049;;
Aetna Primary Office ID344049Plotz, Phillip B., MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Sells, Linnette J., DO;PCP;344049;;
Aetna Primary Office ID344049Sells, Linnette J., DO2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Short, James Bernard, Jr, MD;PCP;344049;;
Aetna Primary Office ID344049Short, James Bernard, Jr,MDe�2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Shuert, George R., DO;PCP;292852;;Spanish
Aetna Primary Office ID292852Shuert, George R., DO2953 Cobb Pkwy.NorthwestSuite 17Kennesaw, GA 30152(678) 819-6880Speaks Spanish
Primary Care Physicians COBBPC
Ps / Méd
icos d
e familia
21Providers identified with M symbol may also participate in Medicaid. e� Electronic Prescribing
� Aetna Medicare Plan (PPO) only
medtext.GA.qxp 9/26/2011 10:05 AM Page 21
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;PCP;325050;WellStar Kennesaw Medical Center;Greco, Anthony, MD;PCP;325050;WellStar Kennesaw Medical Center;Parker, Kenneth S., DO;PCP;325050;WellStar Kennesaw Medical Center;
Aetna Primary Office ID325050WellStar KennesawMedical CenterGreco, Anthony, MDe�Parker, Kenneth S.,DOe�3805 Cherokee StreetKennesaw, GA 30144(770) 426-5666WellStar Kennestone Hosp
Internal MedicineTablan, Ofelia Castro, MD;PCP;344049;Physician Immediate Med, P.C.;Tagalog
Aetna Primary Office ID344049Physician ImmediateMed, P.C.Tablan, Ofelia Castro,MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks TagalogTablan, Ofelia Castro, MD;PCP;344049;;Tagalog
Aetna Primary Office ID344049Tablan, Ofelia Castro,MD2481 George Busbee Pkwy.Kennesaw, GA 30144(770) 423-0000Speaks Tagalog;PCP;325050;WellStar Kennesaw Medical Center;Breton, Tami L., MD;PCP;325050;WellStar Kennesaw Medical Center;
Aetna Primary Office ID325050WellStar KennesawMedical CenterBreton, Tami L., MDe�3805 Cherokee StreetKennesaw, GA 30144(770) 426-5666Patients age 12 and olderWellStar Kennestone Hosp
Mableton
Family PracticeLee, David K., MD;PCP;292852;;
Aetna Primary Office ID292852Lee, David K., MD1025 Veterens MemorialHwy.Suite 720Mableton, GA 30126(678) 819-7860Northside Hosp Inc.Levarity Conley, Kristy Zaneta, MD;PCP;292852;;
Aetna Primary Office ID292852Levarity Conley, KristyZaneta, MD1025 Veterans MemorialHwy. SoutheastSuite 720Mableton, GA 30126(678) 819-7860Patel, Sejal, MD;PCP;292852;;
Aetna Primary Office ID292852Patel, Sejal, MDe�1025 Veterens MemorialHwy.Suite 720Mableton, GA 30126(678) 819-7860Patel, Sejal, MD;PCP;45412;;
Aetna Primary Office ID45412Patel, Sejal, MDe�1025 Veterans MemorialHwy.Suite 720Mableton, GA 30126(678) 819-7860Shuert, George R., DO;PCP;292852;;Spanish
Aetna Primary Office ID292852Shuert, George R., DO1025 Veterans MemorialHwy. SoutheastSuite 720Mableton, GA 30126(678) 819-7860Speaks Spanish
Marietta
Family PracticeAddison, Latonia, MD;PCP;15207;;
Aetna Primary Office ID15207Addison, Latonia, MD26 Tower Road NortheastMariet