Kevin R Ward, CRNP | |
Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | |
(706) 882-8831 | |
(706) 812-4091 |
Full Name | Kevin R Ward |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | Clark-holder Clinic, P.a., Lagrange, 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 |
---|---|---|---|
1629014907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 147488 (Georgia) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 147488 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Kevin R Ward, CRNP Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Ph: (706) 882-8831 | Kevin R Ward, CRNP Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Ph: (706) 882-8831 |
Jennifer Nichole Speelman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 | |
Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 | |
Notoya Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241 Phone: 706-443-5273 Fax: 762-323-1014 | |
Anna Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 North Davis Street, Lagrange, GA 30240 Phone: 706-812-4068 | |
Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193 | |
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750 |