Archie Person Iii, ACNPC-AG | |
7933 Ivy Park Dr, Fortson, GA 31808-6870 | |
(706) 587-0716 | |
(706) 587-0716 |
Full Name | Archie Person Iii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 7933 Ivy Park Dr, Fortson, 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 |
---|---|---|---|
1487296034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | RN221260 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 405 |
Entity Name | Shepherd Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043311715 PECOS PAC ID: 1052301777 Enrollment ID: O20040514000768 |
Entity Name | Piedmont Cardiology Of Atlanta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
Entity Name | Pruitthealth Physicians Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
Entity Name | Sound Physicians Intensivists Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159590 PECOS PAC ID: 5193138634 Enrollment ID: O20201230001915 |
Mailing Address | Practice Location Address |
---|---|
Archie Person Iii, ACNPC-AG 145 Lockmeade Way, Fayetteville, GA 30215-8185 Ph: (706) 587-0716 | Archie Person Iii, ACNPC-AG 7933 Ivy Park Dr, Fortson, GA 31808-6870 Ph: (706) 587-0716 |
Anndrea Marie Lampkin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4519 Ivy Patch Dr, Fortson, GA 31808 Phone: 706-681-2924 | |
Ivan Regalado Rodriguez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4614 Wisteria Ln, Fortson, GA 31808 Phone: 770-882-1728 | |
Kimberly H Peacock, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 397 Bluebird Trl, Fortson, GA 31808 Phone: 202-744-3445 |