Look up the most recent NPI and PECOS records

Cheri Owens Vachtsevanos

Internal Medicine

Allopathic & Osteopathic Physicians

667 Lanier Park Dr, Gainesville, GA 30501-2059

PECOS Enrollment

This provider is enrolled in PECOS as CHERI VACHTSEVANOS.

Based on the most recent information from CMS, provider Cheri Owens Vachtsevanos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1609844067
Provider Type
Individual
Full Name
Vachtsevanos, Cheri Owens
Title
Dr.

Credential
MD
Gender
Female
Enumeration Date
3/10/2006
Last Updated
7/8/2007

Contact Information

Practice Location

667 Lanier Park Dr, Gainesville, GA 30501-2059

(770) 532-7501

(770) 532-8322

Mailing Location

667 Lanier Park Dr, Gainesville, GA 30501-2059

(770) 532-7501

(770) 532-8322

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 047817 Georgia

Provider Identifiers

ID	Description	Issuer
ID P00136139	Description Other	Issuer RAILROAD MEDICARE Georgia
ID 00903515A	Description Medicaid	Issuer Unlisted Georgia
ID 208354	Description Other	Issuer BLUE CROSS BLUE SHIELD Georgia

Cheri Owens Vachtsevanos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Davis, Margaret Alisa

Blatt, Richard E

Sulove, Saksham

Satterfield, Grova Lynn

Yakana Beligue, Christelle Anais

Anderson, Blake John

Reddy, Nitya M

Akhtar, Muhammad Adeel

Chennareddy, Santhi P

Zubia Menaaz Ahmed, Fnu