Afc Physicians Of Georgia Primary Care, Pc | |
26 Battlefield Pkwy Ft. Oglethorpe GA 30742-4004 | |
(706) 956-2846 | |
(706) 956-2850 |
Full Name | Afc Physicians Of Georgia Primary Care, Pc |
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Speciality | Clinic/Center |
Location | 26 Battlefield Pkwy, Ft. Oglethorpe, Georgia |
Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
Authorized Official Contact | 2054038902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Afc Physicians Of Georgia Primary Care, Pc 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | Afc Physicians Of Georgia Primary Care, Pc 26 Battlefield Pkwy Ft. Oglethorpe GA 30742-4004 Ph: (706) 956-2846 |
NPI Number | 1780062380 |
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Provider Enumeration Date | 05/14/2015 |
Last Update Date | 02/20/2023 |
Medicare PECOS PAC ID | 3072818095 |
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Medicare Enrollment ID | O20160229001243 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780062380 | NPI | - | NPPES |
Provider Name | Alan Bannett Miller |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073770046 PECOS PAC ID: 0749178978 Enrollment ID: I20040309000298 |
Provider Name | Gary A Moore |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306888300 PECOS PAC ID: 6305812033 Enrollment ID: I20040903000650 |
Provider Name | Billy E Greening |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659321099 PECOS PAC ID: 2567414642 Enrollment ID: I20050404000608 |
Provider Name | Allison Ventura |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518011568 PECOS PAC ID: 7315985488 Enrollment ID: I20050419001364 |
Provider Name | Moinuddin Kazi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487746483 PECOS PAC ID: 3678589975 Enrollment ID: I20060223000496 |
Provider Name | Elizabeth R Gordon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548445356 PECOS PAC ID: 5991856783 Enrollment ID: I20090708000424 |
Provider Name | Michele Pennington |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093793622 PECOS PAC ID: 8426150210 Enrollment ID: I20091028000466 |
Provider Name | Phillip S Holmes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538103064 PECOS PAC ID: 2567400807 Enrollment ID: I20101124000476 |
Provider Name | Trina C Parker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316191950 PECOS PAC ID: 8123144219 Enrollment ID: I20101204000016 |
Provider Name | Shelby C Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073744280 PECOS PAC ID: 1052589231 Enrollment ID: I20110713000498 |
Provider Name | Charles D. Lutin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881640266 PECOS PAC ID: 8729977996 Enrollment ID: I20120308000684 |
Provider Name | Derek Heldzinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336442037 PECOS PAC ID: 6002078623 Enrollment ID: I20120427000071 |
Provider Name | Carol Anne Youngstrom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760809248 PECOS PAC ID: 6204058472 Enrollment ID: I20141104001793 |
Provider Name | Felicia Renales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942619309 PECOS PAC ID: 8628395092 Enrollment ID: I20150323002620 |
Provider Name | Adil M Ansari |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730366378 PECOS PAC ID: 0941492102 Enrollment ID: I20150505001777 |
Provider Name | Mark A Pita |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1871767145 PECOS PAC ID: 5294989984 Enrollment ID: I20150929002433 |
Provider Name | Jeffrey Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003859455 PECOS PAC ID: 5991756546 Enrollment ID: I20160201002329 |
Provider Name | Aaron Keith Starbuck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336288034 PECOS PAC ID: 6901124163 Enrollment ID: I20160303001449 |
Provider Name | Vincent Mirarchi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235358607 PECOS PAC ID: 0648165274 Enrollment ID: I20160308000349 |
Provider Name | Craig H Phillips |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043229412 PECOS PAC ID: 1355598657 Enrollment ID: I20160310001502 |
Provider Name | John R Destito |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1770540841 PECOS PAC ID: 3476455312 Enrollment ID: I20160523000917 |
Provider Name | Chiazom C Omeruah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265698922 PECOS PAC ID: 6507039336 Enrollment ID: I20160909001249 |
Provider Name | Lucy Bibisi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356715726 PECOS PAC ID: 4486951720 Enrollment ID: I20161028000420 |
Provider Name | Kelley L Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538105267 PECOS PAC ID: 3072683556 Enrollment ID: I20170719000703 |
Provider Name | Chetan Raman Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346650975 PECOS PAC ID: 3870805955 Enrollment ID: I20180608002025 |
Provider Name | Divya Bansal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619369774 PECOS PAC ID: 4880942002 Enrollment ID: I20180806000051 |
Provider Name | Elizabeth Noland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831692979 PECOS PAC ID: 8022369636 Enrollment ID: I20180920002202 |
Provider Name | Sharon L King |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508928821 PECOS PAC ID: 4385661685 Enrollment ID: I20181011001145 |
Provider Name | Wilnadia Rawls |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720527997 PECOS PAC ID: 7416234034 Enrollment ID: I20181025002218 |
Provider Name | Victoria Louise Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740755941 PECOS PAC ID: 8123367802 Enrollment ID: I20190222002812 |
Provider Name | Seth Hanson Garrett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396290946 PECOS PAC ID: 7214276500 Enrollment ID: I20190304002499 |
Provider Name | Sylvia Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700937067 PECOS PAC ID: 6800967159 Enrollment ID: I20191001001495 |
Provider Name | Zalika T Nisbeth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902256027 PECOS PAC ID: 9436438280 Enrollment ID: I20200702002009 |
Provider Name | Monique F Pugh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750999363 PECOS PAC ID: 2062830441 Enrollment ID: I20200916003177 |
Provider Name | Jennifer Herring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841853447 PECOS PAC ID: 8426382748 Enrollment ID: I20210512002437 |
Provider Name | Noah Hamed Abbas |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1982991246 PECOS PAC ID: 2567691561 Enrollment ID: I20220105002165 |
Provider Name | Mary Lou Surber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548830086 PECOS PAC ID: 0244622280 Enrollment ID: I20220125000001 |
Provider Name | Preeth Jayaram |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124559646 PECOS PAC ID: 2264787035 Enrollment ID: I20220617002389 |
Provider Name | Chasity Searcy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639805344 PECOS PAC ID: 4880079516 Enrollment ID: I20220916001416 |
Provider Name | Ashley Harris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841751096 PECOS PAC ID: 9133454879 Enrollment ID: I20230201001202 |
Provider Name | Victoria Chung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922628452 PECOS PAC ID: 1759778467 Enrollment ID: I20230830003447 |
Provider Name | Elizabeth Brooke |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386179513 PECOS PAC ID: 6709134471 Enrollment ID: I20240604000523 |
Afc Physicians Of Georgia Primary Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Parkway Dr, Ft. Oglethorpe, GA 30742 Phone: 706-956-2846 Fax: 706-956-2850 |