MEDICARE: EVEREST HEALTHCARE PARTNERS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	2084P0800X	Psychiatry Physician
4	2085R0202X	Diagnostic Radiology Physician
5	208VP0000X	Pain Medicine Physician
6	261QP2300X	Primary Care Clinic/Center
7	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
8	207RG0100X	Gastroenterology Physician
9	207ZC0006X	Clinical Pathology Physician
10	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1801779244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVEREST HEALTHCARE PARTNERS LLC

Provider Business Mailing Address
First Line	:	4855 RIVER GREEN PKWY STE 140
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-8333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4855 RIVER GREEN PKWY STE 140
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-8333
Country	:	US
Telephone Number	:	678-417-0077
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	SELINA ZHU
Credential	:
Telephone Number	:	678-871-2188

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	07/30/2025

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