| Fasttrack Immediate Care Of Albany | |
|
2822 Nottingham Way Albany GA 31707-7629 | |
| (229) 496-1193 | |
| Not Available |
| Full Name | Fasttrack Immediate Care Of Albany |
|---|---|
| Speciality | General Practice |
| Location | 2822 Nottingham Way, Albany, Georgia |
| Authorized Official Name and Position | Jared Deraney (OWNER) |
| Authorized Official Contact | 8887280882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fasttrack Immediate Care Of Albany Po Box 4380 Alpharetta GA 30023-4380 Ph: (888) 728-0882 | Fasttrack Immediate Care Of Albany 2822 Nottingham Way Albany GA 31707-7629 Ph: (229) 496-1193 |
| NPI Number | 1235532284 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Medicare PECOS PAC ID | 1254659675 |
|---|---|
| Medicare Enrollment ID | O20150415002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235532284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | GA48063 (Georgia) | Primary |
| Provider Name | Robert K Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871690271 PECOS PAC ID: 0547242745 Enrollment ID: I20040602000788 |
| Provider Name | Michael D Satchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205822806 PECOS PAC ID: 4284673823 Enrollment ID: I20050503000344 |
| Provider Name | Carla D Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578626412 PECOS PAC ID: 8921175514 Enrollment ID: I20080924000023 |
| Provider Name | Rhonda S Paulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922238518 PECOS PAC ID: 4082750898 Enrollment ID: I20091008000460 |
| Provider Name | Laura H Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699068114 PECOS PAC ID: 1153592209 Enrollment ID: I20110921000113 |
| Provider Name | Thomas A Hilsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922093665 PECOS PAC ID: 6608040647 Enrollment ID: I20111201000093 |
| Provider Name | Oliver M Hasek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205814589 PECOS PAC ID: 9638146632 Enrollment ID: I20150709001517 |
| Provider Name | Whittnye Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578059150 PECOS PAC ID: 1254681232 Enrollment ID: I20180912003488 |
| Provider Name | Nycole Ashley Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497232383 PECOS PAC ID: 0749520021 Enrollment ID: I20190323000062 |
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