| C/o Hospital Authority Of Washington County | |
|
610 Sparta Rd Sandersville GA 31082 | |
| (478) 240-2000 | |
| Not Available |
| Full Name | C/o Hospital Authority Of Washington County |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 Sparta Rd, Sandersville, Georgia |
| Authorized Official Name and Position | Carl Bredthauer (CFO) |
| Authorized Official Contact | 4782402102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C/o Hospital Authority Of Washington County 610 Sparta Rd Sandersville GA 31082-1860 Ph: () - | C/o Hospital Authority Of Washington County 610 Sparta Rd Sandersville GA 31082 Ph: (478) 240-2000 |
| NPI Number | 1174024665 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 0244560407 |
|---|---|
| Medicare Enrollment ID | O20191001002775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174024665 | NPI | - | NPPES |
| Provider Name | Eddie Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235107772 PECOS PAC ID: 1052213311 Enrollment ID: I20040126000779 |
| Provider Name | Thomas Christopher Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013303262 PECOS PAC ID: 0143537076 Enrollment ID: I20181119002004 |
| Provider Name | Nicholas Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477026599 PECOS PAC ID: 9234463472 Enrollment ID: I20190621002688 |
| Provider Name | Nicole Thomas Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693603 PECOS PAC ID: 6305261900 Enrollment ID: I20200729003544 |
| Provider Name | Kunal A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508354226 PECOS PAC ID: 8729339601 Enrollment ID: I20210624001220 |
| Provider Name | Kamal Kumar Goyal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043698111 PECOS PAC ID: 5890065981 Enrollment ID: I20210714001343 |
| Provider Name | Sebastian Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023506854 PECOS PAC ID: 6901146554 Enrollment ID: I20210714003587 |
| Provider Name | Jordann Kokoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700300357 PECOS PAC ID: 2769801596 Enrollment ID: I20210816001515 |
| Provider Name | Joseph Sonntag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063038388 PECOS PAC ID: 8325439938 Enrollment ID: I20211215000964 |
| Provider Name | Jina Kiele Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609525492 PECOS PAC ID: 9335536267 Enrollment ID: I20220425001023 |
| Provider Name | Lawanda Shaunta Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851010466 PECOS PAC ID: 8820464159 Enrollment ID: I20221012000032 |
Washington County Physician Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Sparta Rd Ste C, Sandersville, GA 31082 Phone: 478-552-3989 Fax: 478-552-1928 | |
Washington County Internal Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Sparta Rd, Suite F, Sandersville, GA 31082 Phone: 478-552-0001 Fax: 478-552-0048 | |
Med Stop Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 W 2nd Ave, Sandersville, GA 31082 Phone: 478-412-2105 Fax: 706-432-1620 | |
Orhv Sandersville Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Medical Arts Dr, Sandersville, GA 31082 Phone: 478-552-2020 | |
Mark R Harvey Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 Phone: 478-552-0967 Fax: 478-552-8541 | |
Hospital Authority Of Washington County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Sparta Rd Ste D, Sandersville, GA 31082 Phone: 478-552-3441 Fax: 478-552-3847 |