Tina L Hathaway, | |
114 Hill Pond Ln, Statesboro, GA 30458-0872 | |
(912) 681-6944 | |
(912) 681-8744 |
Full Name | Tina L Hathaway |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 114 Hill Pond Ln, Statesboro, 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 |
---|---|---|---|
1023529914 | NPI | - | NPPES |
RN165131 | Other | GA | NURSING LICENSE |
RN165131 | Other | GA | NURSE PRACTITIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN165131 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Georgia Regional Medical Center | Statesboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Georgia Hma Physician Management Llc | 7214068592 | 32 |
Entity Name | East Georgia Hma Physician Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487983151 PECOS PAC ID: 7214068592 Enrollment ID: O20100630000504 |
Mailing Address | Practice Location Address |
---|---|
Tina L Hathaway, 114 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 681-6944 | Tina L Hathaway, 114 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 681-6944 |
Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611 | |
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273 | |
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444 | |
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111 | |
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737 | |
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 |