Georgia Medical Group, Llc | |
2410 Ingleside Ave Macon GA 31204-2036 | |
(478) 345-8056 | |
Not Available |
Full Name | Georgia Medical Group, Llc |
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Speciality | Family Medicine |
Location | 2410 Ingleside Ave, Macon, Georgia |
Authorized Official Name and Position | Stephen Barry (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4783458056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Medical Group, Llc 2410 Ingleside Ave Macon GA 31204-2036 Ph: (478) 345-8056 | Georgia Medical Group, Llc 2410 Ingleside Ave Macon GA 31204-2036 Ph: (478) 345-8056 |
NPI Number | 1518476738 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 09/20/2017 |
Medicare PECOS PAC ID | 7214294016 |
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Medicare Enrollment ID | O20171204001717 |
Identifier | Type | State | Issuer |
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1518476738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gregory S Harold |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619923869 PECOS PAC ID: 6507751161 Enrollment ID: I20040512000263 |
Provider Name | Linda S Arnold Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194710293 PECOS PAC ID: 5294839668 Enrollment ID: I20070326000254 |
Provider Name | Yvonne P Mcallister |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952470239 PECOS PAC ID: 7618063496 Enrollment ID: I20071010000445 |
Provider Name | Paul A Mossman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851460125 PECOS PAC ID: 8527138239 Enrollment ID: I20080607000053 |
Provider Name | Nalini K Ramaiya |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205901899 PECOS PAC ID: 1153488192 Enrollment ID: I20090319000173 |
Provider Name | Natalie Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023315926 PECOS PAC ID: 7012232192 Enrollment ID: I20150212000523 |
Provider Name | Lawanda Renee Greene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598152811 PECOS PAC ID: 8820303639 Enrollment ID: I20150821014019 |
Provider Name | Darrell Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063548923 PECOS PAC ID: 0042512808 Enrollment ID: I20160111001936 |
Provider Name | Britt S Mcrae |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093925604 PECOS PAC ID: 7618272501 Enrollment ID: I20160302000600 |
Provider Name | Pamela Carty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629438007 PECOS PAC ID: 4789981812 Enrollment ID: I20160404002335 |
Provider Name | Kim Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811374424 PECOS PAC ID: 7416256417 Enrollment ID: I20160426000624 |
Provider Name | Tory Kirsten Etheridge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649771155 PECOS PAC ID: 3476805722 Enrollment ID: I20181015001480 |
Provider Name | Twanna Dumas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215432802 PECOS PAC ID: 1456604974 Enrollment ID: I20181031001845 |
Provider Name | Dale Vance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023643194 PECOS PAC ID: 1254757115 Enrollment ID: I20200821002975 |
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 |