5440 HILLANDALE DRIVE KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GU 30058 US PECOS Enrolled
Karlene Marie Hart
Family Medicine Physician
- LITHONIA, GU
- Phone: (770)-322-3216
- Last Updated 4/13/2022
Overview
Karlene Marie Hart is a Family Medicine Physician in the LITHONIA area and has over 19 years of experience. Karlene Marie Hart primary office location is at 5440 HILLANDALE DRIVE and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of Massachusetts Medical School and graduated 2005 The NPI number is 1891844635 and the information was updated approximately 2 years ago.
Karlene Marie Hart is part of two medical groups, including THE SOUTHEAST PERMANENTE MEDICAL GROUP.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 060561 | GA |
| Board Certifications |
|---|
| Family Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 792864163A | GA |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | GA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20080801000121 |
| PECOS Individual PAC ID: | 8921172446 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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