Nicole Ford, NP-C | |
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
(706) 788-2127 | |
(706) 788-2815 |
Full Name | Nicole Ford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 11 Charlie Morris Rd, Colbert, 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 |
---|---|---|---|
1588642771 | NPI | - | NPPES |
717156962A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN139406 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mat-su Regional Medical Center | Palmer, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmer Family Medicine Inc | 1052316312 | 3 |
Entity Name | Palmer Family Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356368054 PECOS PAC ID: 1052316312 Enrollment ID: O20060921000018 |
Mailing Address | Practice Location Address |
---|---|
Nicole Ford, NP-C Po Box 459, Colbert, GA 30628-0459 Ph: (706) 788-3234 | Nicole Ford, NP-C 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-2127 |
Mrs. Sarah Sammons, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 067-882-1277 | |
Evan Grovenstein, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Justin Souter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-521-3113 | |
Karla Coco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Dallas Louis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-3234 Fax: 706-788-2936 | |
Linda Tejada Mahomar, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 |