Family Primecare, Llc | |
1489 Kennedy Rd Tifton GA 31794-4159 | |
(229) 391-9931 | |
(229) 391-9961 |
Full Name | Family Primecare, Llc |
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Speciality | Family Medicine |
Location | 1489 Kennedy Rd, Tifton, Georgia |
Authorized Official Name and Position | Richard Pierzchajlo (OWNER) |
Authorized Official Contact | 2293919931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Primecare, Llc 1489 Kennedy Rd Tifton GA 31794-4159 Ph: (229) 391-9931 | Family Primecare, Llc 1489 Kennedy Rd Tifton GA 31794-4159 Ph: (229) 391-9931 |
NPI Number | 1811168883 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 03/18/2008 |
Medicare PECOS PAC ID | 2466648803 |
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Medicare Enrollment ID | O20101124000044 |
Identifier | Type | State | Issuer |
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1811168883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 022620 (Georgia) | Primary |
Provider Name | Julie R Hooks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891850731 PECOS PAC ID: 8820132301 Enrollment ID: I20100222000578 |
Provider Name | Richard Peter Joseph Pierzchajlo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639175680 PECOS PAC ID: 1759450455 Enrollment ID: I20101124000098 |
Provider Name | Mary I Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124479753 PECOS PAC ID: 3779876362 Enrollment ID: I20160719002390 |
Provider Name | Kayla Childers Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992445480 PECOS PAC ID: 3072991777 Enrollment ID: I20220609000219 |
Tifton Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 18th St East, Tifton, GA 31794 Phone: 229-382-6414 | |
Gowdy Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Tift Ave N, Suite 202, Tifton, GA 31794 Phone: 770-355-2064 Fax: 229-238-3940 | |
Allhealth Choice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 2nd St E Ste B, Tifton, GA 31794 Phone: 404-996-0086 | |