Curtis V. Cooper Primary Health Care, Inc | |
106 East Broad Street Savannah GA 31401-2917 | |
(912) 527-1000 | |
(912) 527-1153 |
Full Name | Curtis V. Cooper Primary Health Care, Inc |
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Speciality | Clinic/Center |
Location | 106 East Broad Street, Savannah, Georgia |
Authorized Official Name and Position | Earlene Joiner Daniels (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 9125271088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Curtis V. Cooper Primary Health Care, Inc 106 E Broad St Savannah GA 31401-2917 Ph: (912) 527-1000 | Curtis V. Cooper Primary Health Care, Inc 106 East Broad Street Savannah GA 31401-2917 Ph: (912) 527-1000 |
NPI Number | 1750314183 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 4789667015 |
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Medicare Enrollment ID | O20040609000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750314183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Douglas J Marira |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912224247 PECOS PAC ID: 9739176496 Enrollment ID: I20040427000084 |
Provider Name | Fariborz A Zaer |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427111020 PECOS PAC ID: 0446215016 Enrollment ID: I20041123000208 |
Provider Name | Kennedy O Kere |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750347696 PECOS PAC ID: 9537118385 Enrollment ID: I20050119000258 |
Provider Name | Merry Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982718318 PECOS PAC ID: 4082611801 Enrollment ID: I20061108000373 |
Provider Name | William F Bina |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568561181 PECOS PAC ID: 6305921297 Enrollment ID: I20080318000151 |
Provider Name | Reginald Robinson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154499978 PECOS PAC ID: 0345306155 Enrollment ID: I20090303000532 |
Provider Name | Jules Toraya |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114970043 PECOS PAC ID: 1557374857 Enrollment ID: I20101119000234 |
Provider Name | Nkenge Ayeola Jackson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750311387 PECOS PAC ID: 1254304850 Enrollment ID: I20110126000090 |
Provider Name | Osabuohien Usifo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750385662 PECOS PAC ID: 4981884640 Enrollment ID: I20110211000927 |
Provider Name | Josefina Tan |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689737397 PECOS PAC ID: 0840478384 Enrollment ID: I20110701000277 |
Provider Name | Eric K Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942363130 PECOS PAC ID: 0840468393 Enrollment ID: I20110727000581 |
Provider Name | Greer Gadsden Larned |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992746804 PECOS PAC ID: 1850567215 Enrollment ID: I20120106000016 |
Provider Name | Yael Rachel Elfassy |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1598081002 PECOS PAC ID: 2769626522 Enrollment ID: I20130917000327 |
Provider Name | Christine Ferrelle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114080405 PECOS PAC ID: 3678794591 Enrollment ID: I20141017001730 |
Provider Name | Valerie Mcgowan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811050552 PECOS PAC ID: 0244543072 Enrollment ID: I20150722004202 |
Provider Name | Alvin Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346228038 PECOS PAC ID: 6406010495 Enrollment ID: I20160429001804 |
Provider Name | Mary Hotz Nesbit |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871820704 PECOS PAC ID: 5193959641 Enrollment ID: I20161116002980 |
Provider Name | Leslie D Hudson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013257369 PECOS PAC ID: 9638448996 Enrollment ID: I20170630001096 |
Provider Name | Janet Ward |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093149171 PECOS PAC ID: 4385918275 Enrollment ID: I20170915001028 |
Provider Name | Kaye Bardeloza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750796702 PECOS PAC ID: 2769770635 Enrollment ID: I20171109000782 |
Provider Name | Jason Boyd Hollis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942697495 PECOS PAC ID: 1951650126 Enrollment ID: I20180821002745 |
Provider Name | Sharolette Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881189389 PECOS PAC ID: 5890044671 Enrollment ID: I20180828002565 |
Provider Name | Robert K Russell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245211432 PECOS PAC ID: 0648414748 Enrollment ID: I20191210000813 |
Provider Name | Amber Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679123640 PECOS PAC ID: 4981032513 Enrollment ID: I20200314000124 |
Provider Name | Greg Morentin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336613108 PECOS PAC ID: 4284051129 Enrollment ID: I20200824002904 |
Provider Name | John Francis Leung |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1265434146 PECOS PAC ID: 9638596331 Enrollment ID: I20200826001801 |
Provider Name | Laura Mckay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154565976 PECOS PAC ID: 6608294061 Enrollment ID: I20200916002370 |
Provider Name | Ellores E Brailey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225134588 PECOS PAC ID: 8325103005 Enrollment ID: I20200930000957 |
Provider Name | Wuraola Afolabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851750129 PECOS PAC ID: 0446679054 Enrollment ID: I20201001000865 |
Provider Name | Tia C Bingham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043645229 PECOS PAC ID: 0547549974 Enrollment ID: I20201001000995 |
Provider Name | Antwenette Charae Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982055653 PECOS PAC ID: 6002235538 Enrollment ID: I20201001001909 |
Provider Name | Wendelyn Monique Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366963837 PECOS PAC ID: 8729407200 Enrollment ID: I20201001003504 |
Provider Name | Amit Bhavsar |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1427131986 PECOS PAC ID: 7315379443 Enrollment ID: I20201027002120 |
Provider Name | Chandra Mahapaurya |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1518925270 PECOS PAC ID: 8628301405 Enrollment ID: I20201203001946 |
Provider Name | Todd Robert Bjur |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1164454575 PECOS PAC ID: 7416369566 Enrollment ID: I20201214001145 |
Provider Name | Carolyn Eiland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134389109 PECOS PAC ID: 7315166162 Enrollment ID: I20201214001277 |
Provider Name | Julie W Gauss |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1235559204 PECOS PAC ID: 3173812682 Enrollment ID: I20201218002063 |
Provider Name | Nancy Flategraff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346776002 PECOS PAC ID: 8921410622 Enrollment ID: I20201223000029 |
Provider Name | Aida Gaitan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407203870 PECOS PAC ID: 2668885831 Enrollment ID: I20210107000530 |
Provider Name | Desiree Dalcherone |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053863449 PECOS PAC ID: 9537572730 Enrollment ID: I20210107001453 |
Provider Name | Aishawarya Sarkar |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922241512 PECOS PAC ID: 1759525686 Enrollment ID: I20210211002966 |
Provider Name | Adrian Denise Elam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649714981 PECOS PAC ID: 3577979285 Enrollment ID: I20210304000034 |
Provider Name | Lorna C. Jackson |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1225101868 PECOS PAC ID: 0446668651 Enrollment ID: I20210427002277 |
Provider Name | Christine Daecher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417907007 PECOS PAC ID: 2163434689 Enrollment ID: I20210528000381 |
Provider Name | Kanesha Monique Gillyard |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487140950 PECOS PAC ID: 4880094184 Enrollment ID: I20210608001684 |
Provider Name | Eyitope Afolabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629667001 PECOS PAC ID: 0547658395 Enrollment ID: I20211027001064 |
Provider Name | Madeleine Louise Rowles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023750098 PECOS PAC ID: 4789051178 Enrollment ID: I20221027000686 |
Provider Name | Tracey Amanda Clark-johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770218356 PECOS PAC ID: 4981061165 Enrollment ID: I20230602000352 |
Provider Name | Jeri Leanne Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073235065 PECOS PAC ID: 6709243942 Enrollment ID: I20230605000666 |
Provider Name | Natalie Almonte |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851957781 PECOS PAC ID: 8325442213 Enrollment ID: I20230607000524 |
Provider Name | Mary Ezeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245946268 PECOS PAC ID: 3173980109 Enrollment ID: I20230607001933 |
Provider Name | India Marcell Adkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376881854 PECOS PAC ID: 9830553601 Enrollment ID: I20230912002983 |
Provider Name | Arturo Deering Salow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740645829 PECOS PAC ID: 1052769767 Enrollment ID: I20231117003039 |
Provider Name | Lakeya Quarterman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316726052 PECOS PAC ID: 0749639219 Enrollment ID: I20231208001809 |
Provider Name | Tyjashanikqa Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356035992 PECOS PAC ID: 5799122693 Enrollment ID: I20240327003368 |
Provider Name | Victoria Saturnino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285255141 PECOS PAC ID: 5799108908 Enrollment ID: I20240328002053 |
Memorial Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Mppg, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4731 Waters Ave, Savannah, GA 31404 Phone: 912-350-4905 Fax: 912-350-4955 | |
Union Mission, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-495-8887 Fax: 912-495-8889 | |
Curtis V. Cooper Primary Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4451 Paulsen St, Savannah, GA 31405 Phone: 912-527-1005 Fax: 912-527-1126 | |
Dynamic Loop Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bull St # 200, Savannah, GA 31401 Phone: 470-332-5035 Fax: 888-977-3104 | |
Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405 Phone: 912-335-8934 Fax: 912-228-3046 | |
Memorial Health Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Memorial Health Hospitalists, Savannah, GA 31404 Phone: 912-350-2155 Fax: 912-350-2156 |