James L Pridgen Iii, MSN, FNP-C | |
5450 Whittlesey Blvd Ste E, Columbus, GA 31909-2150 | |
(762) 524-7379 | |
Not Available |
Full Name | James L Pridgen Iii |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 5450 Whittlesey Blvd Ste E, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770074676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN176595 (Georgia) | Primary |
Entity Name | Renal Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205944311 PECOS PAC ID: 7911891403 Enrollment ID: O20040216000095 |
Entity Name | Renal Associates Of Lagrange Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679813406 PECOS PAC ID: 3678712312 Enrollment ID: O20130610000568 |
Mailing Address | Practice Location Address |
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James L Pridgen Iii, MSN, FNP-C 1035 Vineville St, Columbus, GA 31904-6532 Ph: (706) 580-1434 | James L Pridgen Iii, MSN, FNP-C 5450 Whittlesey Blvd Ste E, Columbus, GA 31909-2150 Ph: (762) 524-7379 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 | |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 | |
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775 | |
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476 | |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 | |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 | |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |