Brian K Beverly, MD | |
900 Gordon Ave, Thomasville, GA 31792-6613 | |
(229) 226-1200 | |
(229) 226-4522 |
Full Name | Brian K Beverly |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 900 Gordon Ave, Thomasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376519769 | NPI | - | NPPES |
110058407 | Other | GA | RAILROAD MEDICARE |
000495008A | Other | GA | PEACH STATE |
000495008A | Medicaid | GA | |
336160 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 035375 (Georgia) | Primary |
Entity Name | Grady General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
Mailing Address | Practice Location Address |
---|---|
Brian K Beverly, MD Po Box 1059, Thomasville, GA 31799-1059 Ph: (229) 226-1200 | Brian K Beverly, MD 900 Gordon Ave, Thomasville, GA 31792-6613 Ph: (229) 226-1200 |
Dr. Prashant Baliga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
Jasmine Mutti, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 Mimosa Dr Ste 1l, Thomasville, GA 31792 Phone: 229-228-2410 | |
William W Ellis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. James Monroe Hunt, D.O. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 235 W Jackson St, Thomasville, GA 31792 Phone: 229-236-5455 | |
Dr. Raul Gabriel Santos, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 |