| Camilla Family Medicine | |
|
24 N Ellis St Camilla GA 31730-1502 | |
| (229) 336-7343 | |
| (229) 336-7400 |
| Full Name | Camilla Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 N Ellis St, Camilla, Georgia |
| Authorized Official Name and Position | Raymond J Otis (OWNER) |
| Authorized Official Contact | 2293367343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camilla Family Medicine Po Box 348 Camilla GA 31730-0348 Ph: (229) 336-7343 | Camilla Family Medicine 24 N Ellis St Camilla GA 31730-1502 Ph: (229) 336-7343 |
| NPI Number | 1649449323 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 8426953662 |
|---|---|
| Medicare Enrollment ID | O20031202000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649449323 | NPI | - | NPPES |
| 0720266D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 42685 (Georgia) | Primary |
| Provider Name | Raymond J Otis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844422 PECOS PAC ID: 6608771852 Enrollment ID: I20031205000149 |
Phoebe Primary Care Of Camilla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-8260 | |
Camilla Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-1499 Fax: 229-336-1534 | |
The Camilla Pediatric Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-336-1661 | |
Health Professionals Of Mitchell County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 E Broad St, Camilla, GA 31730 Phone: 229-336-5259 Fax: 229-336-9433 | |
Albany Area Primary Heath Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newton Rd, Camilla, GA 31730 Phone: 229-889-7393 Fax: 229-889-8494 | |
Mitchell County Pediatrics And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 E Oakland Ave Ste A, Camilla, GA 31730 Phone: 229-449-6671 |