| Serene Health Ipa Medical Corporation | |
|
523 Blackburn Dr Ste 523 Augusta GA 30907-8202 | |
| (844) 737-3638 | |
| (619) 403-9496 |
| Full Name | Serene Health Ipa Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 523 Blackburn Dr Ste 523, Augusta, Georgia |
| Authorized Official Name and Position | Oscar Medina (CEO) |
| Authorized Official Contact | 6192596999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Health Ipa Medical Corporation 9265 Sky Park Ct Ste 100 San Diego CA 92123-4375 Ph: (844) 737-3638 | Serene Health Ipa Medical Corporation 523 Blackburn Dr Ste 523 Augusta GA 30907-8202 Ph: (844) 737-3638 |
| NPI Number | 1114622693 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 0244652139 |
|---|---|
| Medicare Enrollment ID | O20240424000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114622693 | NPI | - | NPPES |
| Provider Name | Jihene Ayadi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326786724 PECOS PAC ID: 6406291806 Enrollment ID: I20240226000814 |
| Provider Name | Kali Woodland-lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124678412 PECOS PAC ID: 0042659013 Enrollment ID: I20240424000101 |
| Provider Name | Allison Rains Layman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750734455 PECOS PAC ID: 6406296359 Enrollment ID: I20240425003414 |
| Provider Name | Morgan Lueck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083097455 PECOS PAC ID: 8325488505 Enrollment ID: I20240506000266 |
| Provider Name | Sharon Renshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932765351 PECOS PAC ID: 5799224150 Enrollment ID: I20240829000611 |
| Provider Name | Christopher Michael Hollar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982091856 PECOS PAC ID: 1254863095 Enrollment ID: I20241025000191 |
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