| Ellaville Primary Medicine Center | |
|
72 S. Broad St. Ellaville GA 31806 | |
| (229) 937-5321 | |
| (229) 937-2232 |
| Full Name | Ellaville Primary Medicine Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 72 S. Broad St., Ellaville, Georgia |
| Authorized Official Name and Position | Maryanne Shepherd (DIRECTOR) |
| Authorized Official Contact | 2299375321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellaville Primary Medicine Center Po Box 65 Ellaville GA 31806-0065 Ph: (229) 937-5321 | Ellaville Primary Medicine Center 72 S. Broad St. Ellaville GA 31806 Ph: (229) 937-5321 |
| NPI Number | 1487719076 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487719076 | NPI | - | NPPES |
| 00000019F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Phoebe Sumter Ellaville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 339 S Broad St, Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Ellaville Primary Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 S Broad St, Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Careconnect Convenient Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 East Oglethorpe Street, Ellaville, GA 31806 Phone: 229-937-9003 Fax: 229-937-9007 | |
Southwest Ga Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 S Broad St, Ellaville, GA 31806 Phone: 229-410-9965 Fax: 229-937-9007 |