First Choice Primary Care, Inc. | |
770 Walnut St Macon GA 31201-7307 | |
(478) 787-4266 | |
(478) 787-4199 |
Full Name | First Choice Primary Care, Inc. |
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Speciality | Clinic/Center |
Location | 770 Walnut St, Macon, Georgia |
Authorized Official Name and Position | Katherine Kennedy Mcleod (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4787874266 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 Number | 1336332857 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 11/07/2012 |
Medicare PECOS PAC ID | 6103907316 |
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Medicare Enrollment ID | O20101006000825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336332857 | NPI | - | NPPES |
713878795A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Timothy L Graves |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245225572 PECOS PAC ID: 0345226288 Enrollment ID: I20040629001444 |
Provider Name | Israel D Bryson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558312231 PECOS PAC ID: 6709841224 Enrollment ID: I20041124000137 |
Provider Name | Sarah M Matovu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508832825 PECOS PAC ID: 0648207530 Enrollment ID: I20050722000091 |
Provider Name | Ralph Jr Austin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093758294 PECOS PAC ID: 5799797353 Enrollment ID: I20060622000264 |
Provider Name | William Phillips Brooks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952361123 PECOS PAC ID: 4981794633 Enrollment ID: I20071218000368 |
Provider Name | Krystal E Baggett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932391349 PECOS PAC ID: 3971651647 Enrollment ID: I20090507000182 |
Provider Name | Shannon E Merritt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821221045 PECOS PAC ID: 1850439381 Enrollment ID: I20091103000642 |
Provider Name | Rhonda Lynn Rountree |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205906955 PECOS PAC ID: 4486837069 Enrollment ID: I20110318000475 |
Provider Name | Mariana T Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023368040 PECOS PAC ID: 1355568668 Enrollment ID: I20140811001350 |
Provider Name | Tiffany Carswell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831532704 PECOS PAC ID: 6507177284 Enrollment ID: I20150622002321 |
Provider Name | Robb L Fulton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043282858 PECOS PAC ID: 8426944315 Enrollment ID: I20150721001929 |
Provider Name | Rachel Andrews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801278700 PECOS PAC ID: 5597072561 Enrollment ID: I20150923002910 |
Provider Name | Kenneth G Cowens |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386859783 PECOS PAC ID: 9335184233 Enrollment ID: I20151021003231 |
Provider Name | Victoria Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427042290 PECOS PAC ID: 1052558335 Enrollment ID: I20170531000988 |
Provider Name | Damion L. Brooks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801251996 PECOS PAC ID: 6800152836 Enrollment ID: I20171108001248 |
Provider Name | Valencia Burleson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
Provider Name | Tamika Johnnicans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982181640 PECOS PAC ID: 9436402179 Enrollment ID: I20181026002079 |
Provider Name | Stephanie L Tompkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639336191 PECOS PAC ID: 8729325030 Enrollment ID: I20190124001967 |
Provider Name | Chidinma Ogoh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942705512 PECOS PAC ID: 4082951298 Enrollment ID: I20190125002439 |
Provider Name | Karen G Reynolds |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598832792 PECOS PAC ID: 9133160278 Enrollment ID: I20220509000134 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |