| Family Medicine Of Baxley Inc. | |
|
408 S Main St Baxley GA 31513-0184 | |
| (912) 705-1227 | |
| (912) 705-0673 |
| Full Name | Family Medicine Of Baxley Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 408 S Main St, Baxley, Georgia |
| Authorized Official Name and Position | Evelyn J Johnson (OWNER) |
| Authorized Official Contact | 9127051227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Baxley Inc. 251 Ricardo St Baxley GA 31513-7057 Ph: (912) 705-1227 | Family Medicine Of Baxley Inc. 408 S Main St Baxley GA 31513-0184 Ph: (912) 705-1227 |
| NPI Number | 1295240059 |
|---|---|
| Provider Enumeration Date | 12/02/2017 |
| Last Update Date | 12/02/2017 |
| Medicare PECOS PAC ID | 3971840356 |
|---|---|
| Medicare Enrollment ID | O20190123001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295240059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056182 (Georgia) | Primary |
| Provider Name | Evelyn J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780645788 PECOS PAC ID: 2062432149 Enrollment ID: I20051205000347 |
Appling Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Tollison St Ste B, Baxley, GA 31513 Phone: 912-367-0102 Fax: 912-367-9966 | |
Telehealth Resources, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 North Main Street, Suite B, Baxley, GA 31513 Phone: 912-208-3824 Fax: 912-705-9111 | |
Baxley Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Main St, Baxley, GA 31513 Phone: 912-367-9112 Fax: 912-367-6233 | |
South Georgia Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 654 S Main St, Baxley, GA 31513 Phone: 912-367-4122 Fax: 912-367-4136 | |
Appling Total Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 City Circle Rd Bldg B, Baxley, GA 31513 Phone: 912-705-1939 | |
Bruce M. Gioia, Md, Pa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 S Main St, Baxley, GA 31513 Phone: 912-705-0781 Fax: 912-705-0154 |