Ms Sandra Baird Wilson, FNP-C | |
2005 Prince Avenue, Athens, GA 30606 | |
(706) 208-9700 | |
(706) 208-0878 |
Full Name | Ms Sandra Baird Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2005 Prince Avenue, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356468441 | NPI | - | NPPES |
11722746 | Medicaid | NM | |
CNP01551 | Other | NM | NEW MEXICO NP CERTIFICATION NUMBER |
180464 | Other | CO | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP01551 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN096987 (Georgia) | Primary |
Entity Name | Truhealth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20191230000594 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Baird Wilson, FNP-C 2005 Prince Avenue, Athens, GA 30606 Ph: (706) 208-9700 | Ms Sandra Baird Wilson, FNP-C 2005 Prince Avenue, Athens, GA 30606 Ph: (706) 208-9700 |
Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053 | |
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489 | |
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673 | |
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637 | |
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 | |
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976 |