| Jefferson Hospital | |
|
1067 Peachtree St Louisville GA 30434-1558 | |
| (478) 625-7000 | |
| (478) 625-8907 |
| Full Name | Jefferson Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1067 Peachtree St, Louisville, Georgia |
| Authorized Official Name and Position | Jessica Guy (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 4786257000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Hospital 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 | Jefferson Hospital 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 |
| NPI Number | 1710992433 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 7214823046 |
|---|---|
| Medicare Enrollment ID | O20040226001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710992433 | NPI | - | NPPES |
| 000001031A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
| Provider Name | Paula H Ramos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992819452 PECOS PAC ID: 5395765663 Enrollment ID: I20051201000236 |
| Provider Name | Gregory Cowling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346355112 PECOS PAC ID: 2668492943 Enrollment ID: I20051201000254 |
| Provider Name | James W Pilcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942230107 PECOS PAC ID: 5991859613 Enrollment ID: I20090814000452 |
| Provider Name | Nancy Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811191638 PECOS PAC ID: 6305016890 Enrollment ID: I20110818000554 |
| Provider Name | Michael J Janik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447578497 PECOS PAC ID: 7719294388 Enrollment ID: I20150914003041 |
| Provider Name | Samuel G Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245590793 PECOS PAC ID: 4688893985 Enrollment ID: I20171023002401 |
| Provider Name | Lori Anne Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518470491 PECOS PAC ID: 6901161785 Enrollment ID: I20180525001928 |
| Provider Name | Andreana Mcneely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394025 PECOS PAC ID: 3779958269 Enrollment ID: I20230414001756 |
| Provider Name | Lyndsey Lea Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093063273 PECOS PAC ID: 5395190391 Enrollment ID: I20231011002100 |
| Provider Name | Phillip Zachary Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669252656 PECOS PAC ID: 9032569918 Enrollment ID: I20231219003072 |
| Provider Name | Mikia Kinshasa Finley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831857804 PECOS PAC ID: 2062859390 Enrollment ID: I20240322001065 |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Clarks Mill Rd, Louisville, GA 30434 Phone: 478-625-7214 | |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Clarks Mill Rd, Louisville, GA 30434 Phone: 478-625-7214 Fax: 478-625-7240 | |
Positive Choice...a Step In The Right Direction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Forrest Dr, Louisville, GA 30434 Phone: 706-951-0234 Fax: 478-625-8974 | |
Jefferson Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1067 Peachtree St, Louisville, GA 30434 Phone: 478-625-7000 | |
Ogeechee Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Clarks Mill Rd, Louisville, GA 30434 Phone: 478-625-7214 Fax: 478-625-7240 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Clarks Mill Rd, Louisville, GA 30434 Phone: 478-625-7214 Fax: 478-625-7240 |