Pamela Roland, FNP | |
541 Historic Hwy 441-n, Demorest, GA 30535-4528 | |
(770) 533-6521 | |
(770) 535-7445 |
Full Name | Pamela Roland |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 541 Historic Hwy 441-n, Demorest, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104170174 | NPI | - | NPPES |
06155045 | Other | GA | AMERIGROUP |
1724685 | Other | GA | WELLCARE |
003205226B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 104350 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN118507 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Entity Name | Appalachian Hospice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790494334 PECOS PAC ID: 2567846199 Enrollment ID: O20230104002876 |
Mailing Address | Practice Location Address |
---|---|
Pamela Roland, FNP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Pamela Roland, FNP 541 Historic Hwy 441-n, Demorest, GA 30535-4528 Ph: (770) 533-6521 |
Shelby Lee Pritchett, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Austin Dr, Demorest, GA 30535 Phone: 706-949-0174 | |
Taylor James Harkness, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Old Historic U.s. 441, Demorest, GA 30535 Phone: 706-839-1001 Fax: 706-839-1220 | |
Sarah Jeanette Parker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348 | |
Tammy Danielle Farmer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Austin Dr, Demorest, GA 30535 Phone: 706-754-3287 Fax: 705-754-3518 | |
Anny Sosebee, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348 | |
Christa Dawn Smith, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 396 Historic Highway 441 N, Demorest, GA 30535 Phone: 706-754-4348 Fax: 706-754-0731 |