316 Family Medicine | |
222 Gordon St Bremen GA 30110-1519 | |
(770) 537-1234 | |
(770) 537-1237 |
Full Name | 316 Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 222 Gordon St, Bremen, Georgia |
Authorized Official Name and Position | Noelle Smith (PRACTICE MANAGER) |
Authorized Official Contact | 7705371234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
316 Family Medicine Po Box 728 Bremen GA 30110-0728 Ph: (770) 537-1234 | 316 Family Medicine 222 Gordon St Bremen GA 30110-1519 Ph: (770) 537-1234 |
NPI Number | 1861915647 |
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Provider Enumeration Date | 07/24/2017 |
Last Update Date | 12/21/2023 |
Medicare PECOS PAC ID | 6709159437 |
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Medicare Enrollment ID | O20170831002113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861915647 | NPI | - | NPPES |
1003540147 | Other | NPI | |
1023769965 | Other | NPI | |
1407291925 | Other | NPI | |
1407443252 | Other | NPI | |
1457021628 | Other | NPI | |
1932556453 | Other | NPI | |
1225441967 | Other | NPI | |
1265208318 | Other | NPI | |
1407005085 | Other | NPI | |
1811282346 | Other | NPI | |
1841754611 | Other | NPI | |
1871781476 | Other | NPI | |
1932730306 | Other | NPI | |
059986 | Other | GA | STATE LICENSE NUMBER |
1295123792 | Other | NPI | |
1962851352 | Other | NPI | |
1598047730 | Other | NPI | |
1184171886 | Other | NPI | |
1669710786 | Other | NPI | |
1952854572 | Other | NPI | |
1154862910 | Other | NPI | |
1265154884 | Other | NPI | |
1669982088 | Other | NPI | |
1952951535 | Other | NPI | |
1821630971 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 059986 (Georgia) | Primary |
Provider Name | Allison L Key |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871781476 PECOS PAC ID: 0042390890 Enrollment ID: I20080107000017 |
Provider Name | Erin E Ellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669710786 PECOS PAC ID: 9335385921 Enrollment ID: I20130426000652 |
Provider Name | Chasity C Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407291925 PECOS PAC ID: 6901045269 Enrollment ID: I20130617000486 |
Provider Name | Johannes D Engelbrecht |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811282346 PECOS PAC ID: 6800028515 Enrollment ID: I20140807002273 |
Provider Name | Calee Stephens Britt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295123792 PECOS PAC ID: 7517284243 Enrollment ID: I20150318000305 |
Provider Name | Amy R Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063800548 PECOS PAC ID: 6305163056 Enrollment ID: I20150318000848 |
Provider Name | Hannah N Pollard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952854572 PECOS PAC ID: 3173801909 Enrollment ID: I20161031000985 |
Provider Name | Dorothy Nicole Lake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528438538 PECOS PAC ID: 1052690385 Enrollment ID: I20161109001734 |
Provider Name | Emmie Norrell Longshore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184171886 PECOS PAC ID: 1658650924 Enrollment ID: I20161110000235 |
Provider Name | Keri Lynn Altman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962851352 PECOS PAC ID: 3072894138 Enrollment ID: I20170103001336 |
Provider Name | Lindsay Capps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154862910 PECOS PAC ID: 6204108905 Enrollment ID: I20170815003676 |
Provider Name | Brittany Sleek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669982088 PECOS PAC ID: 8729346762 Enrollment ID: I20171220000801 |
Provider Name | Jennifer L Densmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841754611 PECOS PAC ID: 1153661160 Enrollment ID: I20190328001350 |
Provider Name | Alyssa Frey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801356027 PECOS PAC ID: 7911232236 Enrollment ID: I20210521000651 |
Provider Name | Jasie A Swicord |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457021628 PECOS PAC ID: 8426442773 Enrollment ID: I20220302001008 |
Provider Name | Ashley M Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023769965 PECOS PAC ID: 9830584671 Enrollment ID: I20220315000795 |
Provider Name | Stephanie M Junior |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821630971 PECOS PAC ID: 5193112290 Enrollment ID: I20220419002665 |
Provider Name | Emilia G Janney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003540147 PECOS PAC ID: 1951784198 Enrollment ID: I20220819002457 |
Provider Name | Whitney Brooke Brannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265154884 PECOS PAC ID: 1658740592 Enrollment ID: I20221215000814 |
Provider Name | Heidi Wilhelm Trehern |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326823899 PECOS PAC ID: 0446606115 Enrollment ID: I20231101001406 |
Provider Name | Ashton Mcmanus Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265208318 PECOS PAC ID: 1153768478 Enrollment ID: I20240322000981 |
Bremen Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Carrollton St, Bremen, GA 30110 Phone: 770-537-1960 Fax: 770-537-1901 | |
Haralson Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Allen Memorial Dr, Bremen, GA 30110 Phone: 770-537-4818 Fax: 770-537-6684 | |
Primary Care Of Bremen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110 Phone: 770-537-6500 Fax: 770-824-2600 |