James Gibson, FNP | |
892 Prince Ave, Suite C, Athens, GA 30606-2724 | |
(706) 227-2027 | |
(706) 227-2433 |
Full Name | James Gibson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 892 Prince Ave, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144200411 | NPI | - | NPPES |
000925922E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN123486 (Georgia) | Primary |
Entity Name | Athens-clarke Emergency Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194762237 PECOS PAC ID: 9234029125 Enrollment ID: O20040316000637 |
Entity Name | Prince Avenue Primary Care, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386676211 PECOS PAC ID: 4688668346 Enrollment ID: O20040414000612 |
Entity Name | Athens Clarke Medical Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295370542 PECOS PAC ID: 0547698680 Enrollment ID: O20200324000216 |
Mailing Address | Practice Location Address |
---|---|
James Gibson, FNP 892 Prince Ave, Athens, GA 30606-2724 Ph: (706) 227-2027 | James Gibson, FNP 892 Prince Ave, Suite C, Athens, GA 30606-2724 Ph: (706) 227-2027 |
Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053 | |
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489 | |
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673 | |
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637 | |
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 | |
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976 |