Jeffrey G Proctor, MD | |
970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120-2159 | |
(770) 607-1893 | |
(770) 607-2930 |
Full Name | Jeffrey G Proctor |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 970 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902900459 | NPI | - | NPPES |
000770888A | Medicaid | GA | |
340016381 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 043267 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Urology, Pa | 8921094376 | 71 |
Urological Professional Services, Llc | 9638391717 | 55 |
Entity Name | Georgia Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Urological Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Entity Name | Georgia Urology Piedmont Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376163451 PECOS PAC ID: 2860822145 Enrollment ID: O20200429001254 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey G Proctor, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Jeffrey G Proctor, MD 970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120-2159 Ph: (770) 607-1893 |
Anuj Sunil Desai, M.D. Urology Medicare: Medicare Enrolled Practice Location: 970 Joe Frank Harris Pkwy Se Ste 260, Cartersville, GA 30120 Phone: 770-607-1893 | |
James Durward Black Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Courtyard Dr., Suite B, Cartersville, GA 30120 Phone: 770-386-1076 Fax: 770-606-0452 |