Peter Ankrom, DO | |
420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | |
(706) 509-3278 | |
(706) 509-4608 |
Full Name | Peter Ankrom |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 420 E 2nd Ave, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013930478 | NPI | - | NPPES |
000702798J | Medicaid | GA | |
P00428756 | Other | RAILROAD MEDICARE | |
00702798B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 041256 (Georgia) | Secondary |
207R00000X | Internal Medicine | 041256 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 2255 (Tennessee) | Primary |
Entity Name | Augusta Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518169168 PECOS PAC ID: 6608977251 Enrollment ID: O20070726000065 |
Mailing Address | Practice Location Address |
---|---|
Peter Ankrom, DO 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-5000 | Peter Ankrom, DO 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 Ph: (706) 509-3278 |
Paul Keith Shumpert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 | |
Cassandra Evans, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 | |
John Kevin Hardwell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6122 Fax: 706-509-4608 | |
Horace Lee Cline, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 2nd Ave, Suite 103, Rome, GA 30161 Phone: 706-509-3278 Fax: 706-509-4608 | |
William Scott Alexander Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Boulevard, Floyd Center For Wound Care And Hyperbarics, Rome, GA 30165 Phone: 706-509-5170 | |
David Wyatt Saunders, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 |