First Choice Primary Care, Inc. - Medicare Primary Care in Macon, GA

First Choice Primary Care, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Macon, Georgia. The current practice location for First Choice Primary Care, Inc. is 770 Walnut St, Macon, Georgia. For appointments, you can reach them via phone at (478) 787-4266. The mailing address for First Choice Primary Care, Inc. is Po Box 4363, Macon, Georgia and phone number is (478) 787-4266.

First Choice Primary Care, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336332857. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (478) 787-4266.

Contact Information

First Choice Primary Care, Inc.
770 Walnut St
Macon
GA 31201-7307
(478) 787-4266
(478) 787-4199

Map and Direction


Primary Care Clinic Profile

Full NameFirst Choice Primary Care, Inc.
SpecialityClinic/Center
Location770 Walnut St, Macon, Georgia
Authorized Official Name and PositionKatherine Kennedy Mcleod (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact4787874266
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
First Choice Primary Care, Inc.
Po Box 4363
Macon
GA 31208-4363

Ph: (478) 787-4266
First Choice Primary Care, Inc.
770 Walnut St
Macon
GA 31201-7307

Ph: (478) 787-4266

NPI Details:

NPI Number1336332857
Provider Enumeration Date08/20/2007
Last Update Date11/07/2012

Medicare PECOS Information:

Medicare PECOS PAC ID6103907316
Medicare Enrollment IDO20101006000825

Medical Identifiers

Medical identifiers for First Choice Primary Care, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336332857NPI-NPPES
713878795AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. First Choice Primary Care, Inc. acts as a billing entity for following providers:
Provider NameTimothy L Graves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245225572
PECOS PAC ID: 0345226288
Enrollment ID: I20040629001444
Provider NameIsrael D Bryson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558312231
PECOS PAC ID: 6709841224
Enrollment ID: I20041124000137
Provider NameSarah M Matovu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508832825
PECOS PAC ID: 0648207530
Enrollment ID: I20050722000091
Provider NameRalph Jr Austin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093758294
PECOS PAC ID: 5799797353
Enrollment ID: I20060622000264
Provider NameWilliam Phillips Brooks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952361123
PECOS PAC ID: 4981794633
Enrollment ID: I20071218000368
Provider NameKrystal E Baggett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932391349
PECOS PAC ID: 3971651647
Enrollment ID: I20090507000182
Provider NameShannon E Merritt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821221045
PECOS PAC ID: 1850439381
Enrollment ID: I20091103000642
Provider NameRhonda Lynn Rountree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205906955
PECOS PAC ID: 4486837069
Enrollment ID: I20110318000475
Provider NameMariana T Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023368040
PECOS PAC ID: 1355568668
Enrollment ID: I20140811001350
Provider NameTiffany Carswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831532704
PECOS PAC ID: 6507177284
Enrollment ID: I20150622002321
Provider NameRobb L Fulton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043282858
PECOS PAC ID: 8426944315
Enrollment ID: I20150721001929
Provider NameRachel Andrews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801278700
PECOS PAC ID: 5597072561
Enrollment ID: I20150923002910
Provider NameKenneth G Cowens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386859783
PECOS PAC ID: 9335184233
Enrollment ID: I20151021003231
Provider NameVictoria Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427042290
PECOS PAC ID: 1052558335
Enrollment ID: I20170531000988
Provider NameDamion L. Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801251996
PECOS PAC ID: 6800152836
Enrollment ID: I20171108001248
Provider NameValencia Burleson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568973790
PECOS PAC ID: 4789943127
Enrollment ID: I20180110003363
Provider NameTamika Johnnicans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982181640
PECOS PAC ID: 9436402179
Enrollment ID: I20181026002079
Provider NameStephanie L Tompkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639336191
PECOS PAC ID: 8729325030
Enrollment ID: I20190124001967
Provider NameChidinma Ogoh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942705512
PECOS PAC ID: 4082951298
Enrollment ID: I20190125002439
Provider NameKaren G Reynolds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598832792
PECOS PAC ID: 9133160278
Enrollment ID: I20220509000134

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.