Center For Primary Care Pc | |
363 N Belair Rd Evans GA 30809-3096 | |
(706) 650-7563 | |
(706) 650-9540 |
Full Name | Center For Primary Care Pc |
---|---|
Speciality | Family Medicine |
Location | 363 N Belair Rd, Evans, Georgia |
Authorized Official Name and Position | Robert M Clark (CEO) |
Authorized Official Contact | 7066507563 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Primary Care Pc Po Box 2510 Evans GA 30809-2510 Ph: (706) 650-7799 | Center For Primary Care Pc 363 N Belair Rd Evans GA 30809-3096 Ph: (706) 650-7563 |
NPI Number | 1316973472 |
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Provider Enumeration Date | 06/23/2006 |
Last Update Date | 10/23/2024 |
Medicare PECOS PAC ID | 4385633247 |
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Medicare Enrollment ID | O20040507000258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316973472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Provider Name | Robert A Price |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003911587 PECOS PAC ID: 4183518434 Enrollment ID: I20040210000260 |
Provider Name | Leslie J Pollard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467494153 PECOS PAC ID: 9739073214 Enrollment ID: I20040216000020 |
Provider Name | Robert A Suykerbuyk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043254915 PECOS PAC ID: 3971578535 Enrollment ID: I20040916000592 |
Provider Name | Joseph A Hooper |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437190444 PECOS PAC ID: 0345204103 Enrollment ID: I20041112000379 |
Provider Name | Jodi L Krueger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235165689 PECOS PAC ID: 2466496427 Enrollment ID: I20050615000701 |
Provider Name | David Matthew Jester |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710921689 PECOS PAC ID: 1052356524 Enrollment ID: I20050720000257 |
Provider Name | Jerry A Lambert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053351999 PECOS PAC ID: 6608885280 Enrollment ID: I20060410000273 |
Provider Name | Meenu Singhal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851456776 PECOS PAC ID: 3375627144 Enrollment ID: I20080304000039 |
Provider Name | Randall Colvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124078118 PECOS PAC ID: 7618873860 Enrollment ID: I20080512000460 |
Provider Name | Timothy W Mckenzie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841237773 PECOS PAC ID: 8527104611 Enrollment ID: I20091002000324 |
Provider Name | Rebecca Talley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275573776 PECOS PAC ID: 1850377060 Enrollment ID: I20100215000157 |
Provider Name | Robert C Franklin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679516967 PECOS PAC ID: 0941383699 Enrollment ID: I20100225000272 |
Provider Name | Richard W Livingston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952341745 PECOS PAC ID: 4486630696 Enrollment ID: I20100301000037 |
Provider Name | Phillip S Kennedy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609817618 PECOS PAC ID: 2062498082 Enrollment ID: I20100311000042 |
Provider Name | Denise Smith Kennedy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104867191 PECOS PAC ID: 9335125350 Enrollment ID: I20100311000047 |
Provider Name | Tracy Barefield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033159520 PECOS PAC ID: 2567448772 Enrollment ID: I20100324000072 |
Provider Name | Riaz Rassekh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285674770 PECOS PAC ID: 9830175041 Enrollment ID: I20100406000183 |
Provider Name | Priya S Deshpande |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720014871 PECOS PAC ID: 7416933437 Enrollment ID: I20100415000404 |
Provider Name | Jacqueline W Fincher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710985403 PECOS PAC ID: 5799818266 Enrollment ID: I20100804000557 |
Provider Name | James L Lemley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952308926 PECOS PAC ID: 3476642836 Enrollment ID: I20100910000934 |
Provider Name | Robert K Lemley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497753966 PECOS PAC ID: 7416072269 Enrollment ID: I20100916000552 |
Provider Name | Jimmy Hewitt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558334144 PECOS PAC ID: 5496943128 Enrollment ID: I20101222000704 |
Provider Name | Michael S Friedman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962562355 PECOS PAC ID: 1951581370 Enrollment ID: I20110202000234 |
Provider Name | Robert Milton Clark |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386675890 PECOS PAC ID: 8123004330 Enrollment ID: I20110223000657 |
Provider Name | David Zimmerman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366649931 PECOS PAC ID: 2264601426 Enrollment ID: I20110805000101 |
Provider Name | Robyn Frederick Fallaw |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477676468 PECOS PAC ID: 3072669696 Enrollment ID: I20111207000241 |
Provider Name | Shireen Q Moore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003042805 PECOS PAC ID: 9638320682 Enrollment ID: I20121121000401 |
Provider Name | Poonaminder Kaur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194829135 PECOS PAC ID: 7214009679 Enrollment ID: I20141125001838 |
Provider Name | Hajra M Hasan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700172848 PECOS PAC ID: 1153560388 Enrollment ID: I20160203002822 |
Provider Name | Leopoldo Muniz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003810037 PECOS PAC ID: 6305987207 Enrollment ID: I20160628001451 |
Provider Name | Charles E Millwood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265423545 PECOS PAC ID: 6709842826 Enrollment ID: I20170831001240 |
Provider Name | Katherine Embry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265796197 PECOS PAC ID: 8224278031 Enrollment ID: I20170906002186 |
Provider Name | Robyn Wirsing Black |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861695629 PECOS PAC ID: 6305132549 Enrollment ID: I20180823002842 |
Provider Name | Valerie West |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285275958 PECOS PAC ID: 9032542006 Enrollment ID: I20191204003160 |
Provider Name | Brandon Christian Hagopian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588192801 PECOS PAC ID: 0648608000 Enrollment ID: I20200317002586 |
Provider Name | Kristina Lynn Kruse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891288007 PECOS PAC ID: 5799108205 Enrollment ID: I20200901002995 |
Provider Name | Suzanne Nuriye Abbasi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285125310 PECOS PAC ID: 2062762164 Enrollment ID: I20210618001815 |
Provider Name | Nataly Agabin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083150072 PECOS PAC ID: 0648553974 Enrollment ID: I20210702002538 |
Provider Name | Sarah Eloise New |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598355174 PECOS PAC ID: 9436551587 Enrollment ID: I20210712002370 |
Provider Name | April White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720655483 PECOS PAC ID: 6800299033 Enrollment ID: I20210727000473 |
Provider Name | Tiffany Bryan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740787332 PECOS PAC ID: 9032468400 Enrollment ID: I20211213002819 |
Provider Name | Nosheen Mian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376631689 PECOS PAC ID: 1951407816 Enrollment ID: I20220127001627 |
Provider Name | Hannah Gullickson Folsom |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548885940 PECOS PAC ID: 7214351030 Enrollment ID: I20230720000715 |
Provider Name | Amy Leurinda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407423924 PECOS PAC ID: 0547663718 Enrollment ID: I20240530002707 |
Transitional Care Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4480 Deer Run, Evans, GA 30809 Phone: 706-833-8810 Fax: 800-504-1362 | |
Global Mentality Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4246 Washington Rd Ste 8, Evans, GA 30809 Phone: 762-218-5328 Fax: 631-350-0321 | |
Haven Medical Home Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4480 Deer Run, Evans, GA 30809 Phone: 706-833-8810 Fax: 800-504-1362 | |
American Labor Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4244 Washington Rd, Evans, GA 30809 Phone: 706-940-3382 | |
Med Now Urgent Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 N Belair Rd Suite 101, Evans, GA 30809 Phone: 706-922-3669 Fax: 706-364-7971 | |
Welcome Health Evans Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Town Park Blvd Ste 1a, Evans, GA 30809 Phone: 706-736-5848 Fax: 706-504-9322 | |
Global Mentality Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4246 Washington Rd Ste 8, Evans, GA 30809 Phone: 762-218-5328 Fax: 631-350-0321 |