Mrs Lisia A Sullins, NP | |
7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 | |
(912) 638-4855 | |
(912) 638-8302 |
Full Name | Mrs Lisia A Sullins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 7000 Wellness Way, St Simons Island, 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 |
---|---|---|---|
1609937499 | NPI | - | NPPES |
000190209B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN112143 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cooperative Healthcare Services, Inc. | 9830093640 | 175 |
Entity Name | Cooperative Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisia A Sullins, NP 7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 Ph: (912) 638-4855 | Mrs Lisia A Sullins, NP 7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 Ph: (912) 638-4855 |
Mrs. Yeuk Mei Gentle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mallery St Apt 18, St Simons Island, GA 31522 Phone: 770-235-7014 | |
Carole Lyons, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 172 Follins Ln, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Shirley R Grant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-638-1999 | |
Hannah Davis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7000 Wellness Way, Suite 7120, St Simons Island, GA 31522 Phone: 912-634-4966 Fax: 912-634-6542 | |
Christopher Green, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 Yacht Club Ln, St Simons Island, GA 31522 Phone: 630-854-4724 | |
Jourdain Davis Watson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 Union St, St Simons Island, GA 31522 Phone: 912-242-2302 |