Mr Jeremy W Poole, DO | |
951 S Broad St, Thomasville, GA 31792-6161 | |
(229) 228-4130 | |
(229) 226-4690 |
Full Name | Mr Jeremy W Poole |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 951 S Broad St, Thomasville, 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 |
---|---|---|---|
1548343593 | NPI | - | NPPES |
024957 | Other | GA | BCBS PROVIDER NUMBER |
11DO266342 | Other | GA | CLIA LAB PROVIDER NUMBER |
728528012C | Medicaid | GA | |
GRP1474 | Other | GA | MEDICARE GROUP NUMBER |
0001417567 10 | Other | GA | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 033433 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Archbold Home Health Services | Thomasville, GA | Home health agency |
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
Entity Name | Georgia Pines Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631 |
Entity Name | South Georgia Emergency Medicine Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy W Poole, DO 951 S Broad St, Thomasville, GA 31792-6161 Ph: (229) 228-4130 | Mr Jeremy W Poole, DO 951 S Broad St, Thomasville, GA 31792-6161 Ph: (229) 228-4130 |
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 |