| Dewitt And Chisolm, Llc | |
|
1500 Oglethorpe Ave Suite 3300 Athens GA 30606-2179 | |
| (706) 208-1408 | |
| (706) 208-1407 |
| Full Name | Dewitt And Chisolm, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Oglethorpe Ave, Athens, Georgia |
| Authorized Official Name and Position | Henry L Dewitt (MEMBER) |
| Authorized Official Contact | 7062081408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt And Chisolm, Llc 1500 Oglethorpe Ave Suite 3300 Athens GA 30606-2179 Ph: (706) 208-1408 | Dewitt And Chisolm, Llc 1500 Oglethorpe Ave Suite 3300 Athens GA 30606-2179 Ph: (706) 208-1408 |
| NPI Number | 1306910047 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517967318 |
|---|---|
| Medicare Enrollment ID | O20061229000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306910047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 027533 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 055115 (Georgia) | Secondary |
| Provider Name | Marcus P Cromer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417939182 PECOS PAC ID: 7719958818 Enrollment ID: I20040803000757 |
| Provider Name | Lee G Chisolm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225130099 PECOS PAC ID: 4880669233 Enrollment ID: I20040830000232 |
| Provider Name | Henry L Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619937109 PECOS PAC ID: 2264456722 Enrollment ID: I20060124000008 |
| Provider Name | Carrie J Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043520067 PECOS PAC ID: 4385812932 Enrollment ID: I20110726000300 |
James L. Brown, Jr., M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Prince Ave, Building A, Athens, GA 30606 Phone: 706-548-3478 Fax: 706-543-7861 | |
Hillsman Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Gaines School Rd, Athens, GA 30605 Phone: 762-499-6960 | |
Evirtualcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Forest Rd, Athens, GA 30605 Phone: 706-502-0503 | |
Northeast Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Research Dr, Athens, GA 30605 Phone: 706-583-2856 Fax: 706-369-5732 | |
Athens Regional Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Oglethorpe Avenue, Suite 600a, Athens, GA 30606 Phone: 706-369-5440 Fax: 706-369-5490 | |
G. Steven Chesser Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Bldg 500a Suite 502, Athens, GA 30606 Phone: 706-433-0741 Fax: 706-433-0746 | |
Athens Model Neighborhood Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 College Ave, Athens, GA 30601 Phone: 706-546-5526 Fax: 706-546-5687 |