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250 Martin Luther King Jr Blvd Macon GA 31201-3490 | |
| (478) 301-4111 | |
| (478) 301-2272 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Martin Luther King Jr Blvd, Macon, Georgia |
| Authorized Official Name and Position | Charles Duffey (COO) |
| Authorized Official Contact | 4783012362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
250 Martin Luther King Jr Blvd Macon GA 31201-3490 Ph: (478) 301-2362 | 250 Martin Luther King Jr Blvd Macon GA 31201-3490 Ph: (478) 301-4111 |
| NPI Number | 1174693162 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 7618968066 |
|---|---|
| Medicare Enrollment ID | O20040524000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174693162 | NPI | - | NPPES |
| 300018450U | Medicaid | GA | |
| CC1498 | Other | RAILROAD MEDICARE |
| Provider Name | Michael P Raines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144215872 PECOS PAC ID: 5991799223 Enrollment ID: I20040412000187 |
| Provider Name | Douglas A Brewer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194727651 PECOS PAC ID: 6204825094 Enrollment ID: I20040616000716 |
| Provider Name | Candi Nobles-james |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245316801 PECOS PAC ID: 5698747590 Enrollment ID: I20040811000365 |
| Provider Name | David B Kay |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720057102 PECOS PAC ID: 1254392418 Enrollment ID: I20041020001330 |
| Provider Name | David C Parish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790861631 PECOS PAC ID: 3779514831 Enrollment ID: I20050829000357 |
| Provider Name | Cynthia L Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235181884 PECOS PAC ID: 4981615127 Enrollment ID: I20060601000012 |
| Provider Name | Christopher B Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336523 PECOS PAC ID: 2668479049 Enrollment ID: I20061027000003 |
| Provider Name | John G Hawkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619911336 PECOS PAC ID: 1557372364 Enrollment ID: I20061109000067 |
| Provider Name | George A Tindol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379259 PECOS PAC ID: 9830197235 Enrollment ID: I20061120000117 |
| Provider Name | John R Meadows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659459816 PECOS PAC ID: 5991807034 Enrollment ID: I20070221000096 |
| Provider Name | Roland Wade Nash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033197785 PECOS PAC ID: 6901881093 Enrollment ID: I20070305000440 |
| Provider Name | Cherlyn M Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871634113 PECOS PAC ID: 3577668730 Enrollment ID: I20070417000185 |
| Provider Name | Roger A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679655922 PECOS PAC ID: 5890890032 Enrollment ID: I20070418000018 |
| Provider Name | Harold P Katner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821173808 PECOS PAC ID: 9739284795 Enrollment ID: I20070419000323 |
| Provider Name | Jeffrey L Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538239389 PECOS PAC ID: 5092811299 Enrollment ID: I20070504000238 |
| Provider Name | Thomas D Hope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508803115 PECOS PAC ID: 9133149552 Enrollment ID: I20070828000277 |
| Provider Name | Douglas P Farman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144310954 PECOS PAC ID: 3971699091 Enrollment ID: I20071019000276 |
| Provider Name | Edwin Grimsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952486920 PECOS PAC ID: 7517042062 Enrollment ID: I20080310000001 |
| Provider Name | Alice R House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043319650 PECOS PAC ID: 8426133976 Enrollment ID: I20080310000002 |
| Provider Name | David E Mathis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609952217 PECOS PAC ID: 0446335327 Enrollment ID: I20080318000106 |
| Provider Name | Patricia B Fennessy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144407917 PECOS PAC ID: 6800947706 Enrollment ID: I20090707000283 |
| Provider Name | Angela Janine Hale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881648780 PECOS PAC ID: 1759549686 Enrollment ID: I20120223000838 |
| Provider Name | Herbert L Silver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720061062 PECOS PAC ID: 4183698657 Enrollment ID: I20120306000967 |
| Provider Name | Timothy John Mcmahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982911590 PECOS PAC ID: 0941461586 Enrollment ID: I20120409000342 |
| Provider Name | Adrianna L Nebedum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972800977 PECOS PAC ID: 4385882356 Enrollment ID: I20130603000509 |
| Provider Name | Rafael A Ponce Terashima |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962720326 PECOS PAC ID: 5799926044 Enrollment ID: I20130729000673 |
| Provider Name | Ericka V Li Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295048213 PECOS PAC ID: 8123260106 Enrollment ID: I20130805000684 |
| Provider Name | Srijana Ranjit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124344403 PECOS PAC ID: 8426282815 Enrollment ID: I20131018001078 |
| Provider Name | Lynn Denny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447474184 PECOS PAC ID: 0244521474 Enrollment ID: I20160620001181 |
| Provider Name | Jennifer Claire Hoffman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710153135 PECOS PAC ID: 7911127691 Enrollment ID: I20161214002498 |
| Provider Name | Stephanie A Beavers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831457274 PECOS PAC ID: 1951618842 Enrollment ID: I20170825000073 |
| Provider Name | Raymond Louis Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629507165 PECOS PAC ID: 1456624279 Enrollment ID: I20170830000933 |
| Provider Name | Luke Thomas Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790196566 PECOS PAC ID: 0143522128 Enrollment ID: I20170905001777 |
| Provider Name | John Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346654407 PECOS PAC ID: 0840412797 Enrollment ID: I20171009000888 |
| Provider Name | Joe Sam Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679835649 PECOS PAC ID: 7618117904 Enrollment ID: I20181009002234 |
| Provider Name | Kristin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720573637 PECOS PAC ID: 7810235991 Enrollment ID: I20190214003079 |
| Provider Name | Nicholas Orton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093360091 PECOS PAC ID: 6103254420 Enrollment ID: I20200320001414 |
| Provider Name | Heather Marie Scrimpshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306484043 PECOS PAC ID: 9335579960 Enrollment ID: I20200423000552 |
| Provider Name | Diana Homeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487686796 PECOS PAC ID: 4587551221 Enrollment ID: I20210119000688 |
| Provider Name | Brian D Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770057788 PECOS PAC ID: 9739419516 Enrollment ID: I20210922003151 |
| Provider Name | Stephanie Singleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164499703 PECOS PAC ID: 3870598261 Enrollment ID: I20220421000009 |
| Provider Name | Olubusola Idowu-ogundipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649931452 PECOS PAC ID: 1850773672 Enrollment ID: I20220726003346 |
| Provider Name | Charlotte Carmel Sylvester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619544509 PECOS PAC ID: 7214319094 Enrollment ID: I20220727001644 |
| Provider Name | Daniel Clayton Turk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851671390 PECOS PAC ID: 6608101498 Enrollment ID: I20220731000182 |
| Provider Name | Jacob R Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093202475 PECOS PAC ID: 4486994761 Enrollment ID: I20220802002687 |
| Provider Name | Dustin C Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417420852 PECOS PAC ID: 5890021497 Enrollment ID: I20220913002883 |
| Provider Name | Kacie Lynn Milholen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023552544 PECOS PAC ID: 1850767427 Enrollment ID: I20221022000210 |
| Provider Name | Anh Hoang Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134581762 PECOS PAC ID: 3375838402 Enrollment ID: I20230105000353 |
| Provider Name | Elizabeth Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740645225 PECOS PAC ID: 5597137158 Enrollment ID: I20230207002828 |
| Provider Name | Allison Marie Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932606043 PECOS PAC ID: 3577813666 Enrollment ID: I20230314000508 |
| Provider Name | Amelia Youn Joo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356702849 PECOS PAC ID: 5193188126 Enrollment ID: I20230824000159 |
| Provider Name | Bentley Lauren Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223851 PECOS PAC ID: 6204251143 Enrollment ID: I20231013000828 |
| Provider Name | Gracin Collins Teets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669256103 PECOS PAC ID: 6507211133 Enrollment ID: I20231017001036 |
| Provider Name | Emma Taylor Patterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104598986 PECOS PAC ID: 2163874645 Enrollment ID: I20240119003386 |
| Provider Name | Melissa Dawn Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891251534 PECOS PAC ID: 1951744614 Enrollment ID: I20240209000515 |
| Provider Name | Jamis Barton Scot Gouge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750777355 PECOS PAC ID: 8426378837 Enrollment ID: I20240226002370 |
| Provider Name | Lindi Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518722099 PECOS PAC ID: 4789029042 Enrollment ID: I20240227002384 |
Family Behavioral Care Of Central Ga, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3985 Arkwright Rd, Suite 102, Macon, GA 31210 Phone: 478-474-4265 Fax: 478-474-7863 | |
Nancy Paulk Mobley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Arlington Pl, Macon, GA 31201 Phone: 478-743-1472 Fax: 478-743-1472 | |
Sleep Practitioners, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 275 Sheraton Blvd Ste 100, Macon, GA 31210 Phone: 478-745-5779 Fax: 478-742-7796 | |
Inner-connect Counseling, Consulting & Education Svc., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Ingleside Ave, Bldg. B, Ste. 102c, Macon, GA 31204 Phone: 478-361-0033 | |
Life Solutions Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 146 Pierce Ave, Macon, GA 31204 Phone: 478-796-2947 Fax: 478-210-2170 | |
The Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 Arlington Pl, Macon, GA 31201 Phone: 478-475-1299 |