| Mary Lou Surber, FNP-C | |
|
6509 Gateway Rd, Columbus, GA 31909-5681 | |
| (706) 243-0174 | |
| Not Available |
| Full Name | Mary Lou Surber |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 6509 Gateway Rd, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548830086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN190884 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kmc Family Care P.c. | 5991162497 | 4 |
| Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
| Entity Name | Kmc Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568161131 PECOS PAC ID: 7618333501 Enrollment ID: O20230518003049 |
| Entity Name | Kmc Family Care P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306545975 PECOS PAC ID: 5991162497 Enrollment ID: O20230526000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Surber, FNP-C 648 Allen Lake Rd, Waverly Hall, GA 31831-2944 Ph: (703) 431-3743 | Mary Lou Surber, FNP-C 6509 Gateway Rd, Columbus, GA 31909-5681 Ph: (706) 243-0174 |
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 |