Kayla Phillips, | |
607c N Irwin Ave, Ocilla, GA 31774-5009 | |
(229) 468-5020 | |
Not Available |
Full Name | Kayla Phillips |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 607c N Irwin Ave, Ocilla, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255784955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN229131 (Georgia) | Primary |
163WE0003X | Registered Nurse - Emergency | RN223191 (Georgia) | Secondary |
Entity Name | South Central Primary Care Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891978854 PECOS PAC ID: 1951395920 Enrollment ID: O20040413000249 |
Mailing Address | Practice Location Address |
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Kayla Phillips, Po Box 749, Ocilla, GA 31774-0749 Ph: (229) 468-9166 | Kayla Phillips, 607c N Irwin Ave, Ocilla, GA 31774-5009 Ph: (229) 468-5020 |
Candace Michelle Billotte, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Cornflower Rd, Ocilla, GA 31774 Phone: 912-381-0078 | |
Bridget Walters, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 361 Cargile Rd, Ocilla, GA 31774 Phone: 229-468-3975 Fax: 229-468-0090 | |
Mrs. Maci Merritt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 S Cherry St, Ocilla, GA 31774 Phone: 229-468-5015 | |
Sebrina King Taylor, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-0646 Fax: 229-299-9697 | |
Mrs. Catherine Giddens Bowen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 813 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-7323 Fax: 229-468-7320 |