Dr Elvin Coy Irvin Jr, MD | |
915 Gordon Ave, Thomasville, GA 31792-6614 | |
(229) 228-2000 | |
Not Available |
Full Name | Dr Elvin Coy Irvin Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 915 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 |
---|---|---|---|
1902888357 | NPI | - | NPPES |
041748300 | Medicaid | FL | |
17583 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
592-05580 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
P00686500 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME42445 (Florida) | Secondary |
207Q00000X | Family Medicine | 33164 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 78392 (Georgia) | Primary |
Entity Name | Jay Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518071562 PECOS PAC ID: 3577466325 Enrollment ID: O20040129000235 |
Mailing Address | Practice Location Address |
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Dr Elvin Coy Irvin Jr, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2000 | Dr Elvin Coy Irvin Jr, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-2000 |
Mary Racheal Havens, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510 | |
Dr. Jason E Griffin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2621 E Pinetree Blvd, Thomasville, GA 31792 Phone: 229-584-4100 Fax: 229-584-4152 | |
Davelyne Leeann Mccoy, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 S Broad St, Thomasville, GA 31792 Phone: 229-228-4130 | |
Dr. Jairam Lonkani, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 S Pinetree Blvd, Patient Billing Dept, Thomasville, GA 31792 Phone: 229-227-2977 Fax: 229-227-2955 | |
Elving Colon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 S Broad St, Thomasville, GA 31792 Phone: 229-228-4130 Fax: 229-226-4690 | |
Mr. Charles Richard Sanders Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 S Broad St, Thomasville, GA 31792 Phone: 229-228-4130 Fax: 229-226-4690 | |
Rudolf Jakob Hehn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 |