MEDICARE: BETHEL GROUP OF GEORGIA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	139625LGB	GA

General Provider Information

NPI Number	:	1467572321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHEL GROUP OF GEORGIA INC

Provider Business Mailing Address
First Line	:	2870 PEACHTREE RD NW
Second Line	:	SUITE 919
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	404-735-9844
Fax Number	:	404-355-4669

Provider Business Practice Location Address
First Line	:	2870 PEACHTREE RD NW
Second Line	:	SUITE 919
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	404-735-9844
Fax Number	:	404-355-4669

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JORGE JUAN BACALLAO
Credential	:
Telephone Number	:	404-735-9844

Provider Enumeration Date	:	04/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1609730142 — TERESA BEAVERS
Practice Location Address:

2870 PEACHTREE RD NW # 915-1369
ATLANTA, GA
30305-2918

Practice Phone: 678-849-6927
Practice Fax:

1578749883 — DR. RENEE SIMONE YOLANDA ALLEN M.D.
Practice Location Address:

2870 PEACHTREE RD NW STE 915-1248
ATLANTA, GA
30305-2918

Practice Phone: 888-623-0152
Practice Fax: 404-500-0791

1699041673 — VIOLA THOMAS LCSW
Practice Location Address:

2870 PEACHTREE RD NW STE 915-8139
ATLANTA, GA
30305-2918

Practice Phone: 706-438-2276
Practice Fax:

1174917470 — DR. THOMAS MERRYFIELD JARRETT M.D., PHD
Practice Location Address:

2870 PEACHTREE RD NW STE 915-3296
ATLANTA, GA
30305-2918

Practice Phone: 919-926-8331
Practice Fax:

1255726865 — DR. NIRAJ PATEL D.O.
Practice Location Address:

2870 PEACHTREE RD NW # 915-1643
ATLANTA, GA
30305-2918

Practice Phone: 347-709-4042
Practice Fax:

1568917201 — BETTER CHOICE SUPPLY INC
Practice Location Address:

2870 PEACHTREE RD NW STE 834
ATLANTA, GA
30305-2918

Practice Phone: 404-740-7044
Practice Fax:

Directions to “BETHEL GROUP OF GEORGIA INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.