Mrs Martha Krickel Gibbs, NP | |
Southwire Family Medical Ctr, 1128 Southpark Street, Carrollton, GA 30119-0001 | |
(770) 836-0870 | |
(770) 836-1837 |
Full Name | Mrs Martha Krickel Gibbs |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 45 Years |
Location | Southwire Family Medical Ctr, Carrollton, 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 |
---|---|---|---|
1548274582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 050776 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Corporate Healthcare Of Georgia, P.c. | 3274599345 | 3 |
Entity Name | Meridian Corporate Healthcare Of Georgia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407910169 PECOS PAC ID: 3274599345 Enrollment ID: O20041209000829 |
Mailing Address | Practice Location Address |
---|---|
Mrs Martha Krickel Gibbs, NP 19412 Highway 46, P.o Box 178, Ranburne, AL 36273-3505 Ph: (770) 836-0870 | Mrs Martha Krickel Gibbs, NP Southwire Family Medical Ctr, 1128 Southpark Street, Carrollton, GA 30119-0001 Ph: (770) 836-0870 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042 | |
Stephanie Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117 Phone: 770-214-2121 |