Miss Tansha Enoch, RN | |
100 S Madison St, Thomasville, GA 31792-5473 | |
(229) 236-0831 | |
(229) 236-0871 |
Full Name | Miss Tansha Enoch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 100 S Madison St, Thomasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396230413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN207426 (Georgia) | Primary |
Entity Name | Sgmp Southland, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
Entity Name | Inner Community Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891398541 PECOS PAC ID: 8729441852 Enrollment ID: O20230823000046 |
Mailing Address | Practice Location Address |
---|---|
Miss Tansha Enoch, RN 12301 Kensington Trl, Lithonia, GA 30038-3282 Ph: (404) 831-6845 | Miss Tansha Enoch, RN 100 S Madison St, Thomasville, GA 31792-5473 Ph: (229) 236-0831 |
Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871 | |
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335 | |
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548 | |
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830 | |
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 | |
Cecilie Cowie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 | |
Mrs. Lisa S Carr, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 918 S Broad St, Thomasville, Thomasville, GA 31792 Phone: 229-226-8800 Fax: 229-226-8232 |