Justin Mcivor Law, | |
1400 Coleman Ave, Macon, GA 31207-0001 | |
(478) 301-2700 | |
Not Available |
Full Name | Justin Mcivor Law |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1400 Coleman Ave, Macon, 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 |
---|---|---|---|
1962750323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 076754 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grady General Hospital | Cairo, GA | Hospital |
Memorial Hospital And Manor | Bainbridge, GA | Hospital |
Mitchell County Hospital | Camilla, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Consolidated Emergency Services Llc | 2860792066 | 36 |
Southland Emergency Medical Services Llc | 3779701743 | 19 |
Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 41 |
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
Entity Name | Southland Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
Entity Name | Southland Cochran Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
Entity Name | Southland Taylor Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Entity Name | Southland Consolidated Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
Entity Name | Southland Optim Screven Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
Entity Name | Southland Chatuge Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
Entity Name | Southland Union Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
Entity Name | Southland Dodge Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
Entity Name | Southland Dodge Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346894334 PECOS PAC ID: 7113259664 Enrollment ID: O20191101001455 |
Mailing Address | Practice Location Address |
---|---|
Justin Mcivor Law, 1400 Coleman Ave, Macon, GA 31207-0001 Ph: (478) 301-2700 | Justin Mcivor Law, 1400 Coleman Ave, Macon, GA 31207-0001 Ph: (478) 301-2700 |
Dr. Shuichi Nakai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Eisenhower Pkwy, Macon, GA 31206 Phone: 478-633-5550 Fax: 478-633-7287 | |
Sam G Amporful, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Riverside Drive Lane, Macon, GA 31201 Phone: 478-259-3439 Fax: 478-254-2733 | |
Mrs. Stephanie Faye Bennett, Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Gateway Drive, Macon, GA 31210 Phone: 478-210-1670 | |
Dr. Robert C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr Ste B300, Macon, GA 31210 Phone: 478-405-5252 Fax: 478-477-8411 | |
Alice Rose House, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 College St, Suite A, Macon, GA 31207 Phone: 478-301-4111 Fax: 478-301-5812 | |
Dione Duc, Family Medicine Medicare: Medicare Enrolled Practice Location: 777 Hemlock St # 104, Macon, GA 31201 Phone: 478-633-7550 Fax: 478-633-3235 | |
Collier Branan Gladin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 N Crest Blvd, Macon, GA 31210 Phone: 478-757-8335 Fax: 478-757-8353 |