Stacey Newsome, | |
2501 N Patterson St, Valdosta, GA 31602-1735 | |
(229) 333-1000 | |
Not Available |
Full Name | Stacey Newsome |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 2501 N Patterson St, Valdosta, 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 |
---|---|---|---|
1497390116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN184420 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Georgia Medical Center | Valdosta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgmc Physician Network Inc | 4082036843 | 112 |
Entity Name | Sgmc Physician Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
Mailing Address | Practice Location Address |
---|---|
Stacey Newsome, 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (850) 464-4021 | Stacey Newsome, 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (229) 333-1000 |
Kacie Parrish Johnson, N.P. Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3200 N Ashley St Ste C, Valdosta, GA 31602 Phone: 229-671-9100 Fax: 229-671-9101 | |
Sharyshma Deshun Anderson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 304 Janet St Ste H, Valdosta, GA 31602 Phone: 229-474-6674 | |
Jamie Flythe, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3322 Greystone Way, Valdosta, GA 31605 Phone: 229-242-0331 | |
Kimbley Williams, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2535 Matthew Dr, Valdosta, GA 31601 Phone: 786-375-1760 | |
Ramona Governor, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3944 Crusader Ct, Valdosta, GA 31605 Phone: 775-781-9948 | |
Sharon Marie Eanes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2307 N Patterson St, Valdosta, GA 31602 Phone: 229-292-8923 | |
Etrenda Connell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 206 S Patterson St, Third Floor, Valdosta, GA 31601 Phone: 229-245-6565 Fax: 229-245-6561 |