| Collier B Gladin Jr Md | |
|
140 Northcrest Blvd. Macon GA 31210 | |
| (478) 757-8335 | |
| (478) 757-8353 |
| Full Name | Collier B Gladin Jr Md |
|---|---|
| Speciality | Family Medicine |
| Location | 140 Northcrest Blvd., Macon, Georgia |
| Authorized Official Name and Position | Collier B. Gladin (OWNER) |
| Authorized Official Contact | 4787578335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier B Gladin Jr Md 140 Northcrest Blvd. Macon GA 31210 Ph: (478) 757-8335 | Collier B Gladin Jr Md 140 Northcrest Blvd. Macon GA 31210 Ph: (478) 757-8335 |
| NPI Number | 1780992198 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3375692296 |
|---|---|
| Medicare Enrollment ID | O20140514000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992198 | NPI | - | NPPES |
| 000383446D | Medicaid | GA | |
| D29570 | Other | GA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030609 (Georgia) | Primary |
| 305R00000X | Preferred Provider Organization | 030609 (Georgia) | Secondary |
| Provider Name | Collier B Gladin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063527430 PECOS PAC ID: 1153400064 Enrollment ID: I20080505000109 |
| Provider Name | Valencia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
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Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |