| Good Samaritan Health & Wellness Center | |
|
175 Samaritan Dr Jasper GA 30143-1964 | |
| (706) 253-4673 | |
| (706) 253-4675 |
| Full Name | Good Samaritan Health & Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 Samaritan Dr, Jasper, Georgia |
| Authorized Official Name and Position | Tammi W Sorrells (CEO) |
| Authorized Official Contact | 7708150986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Health & Wellness Center 175 Samaritan Dr Jasper GA 30143-1964 Ph: (706) 253-4673 | Good Samaritan Health & Wellness Center 175 Samaritan Dr Jasper GA 30143-1964 Ph: (706) 253-4673 |
| NPI Number | 1407174675 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 7719136209 |
|---|---|
| Medicare Enrollment ID | O20120926000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407174675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ingle B Owens-schnars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700969409 PECOS PAC ID: 9830146851 Enrollment ID: I20050401000526 |
| Provider Name | Walter K Austin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548265838 PECOS PAC ID: 5799849451 Enrollment ID: I20090126000392 |
| Provider Name | Richard A Ryder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588616510 PECOS PAC ID: 8022169671 Enrollment ID: I20121112000397 |
| Provider Name | Carol Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023567195 PECOS PAC ID: 2466786462 Enrollment ID: I20190625002869 |
| Provider Name | Kristin Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881983641 PECOS PAC ID: 7012191992 Enrollment ID: I20200806001592 |
| Provider Name | Elaina Miranda Averett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811558901 PECOS PAC ID: 7911322003 Enrollment ID: I20200806001786 |
| Provider Name | Haley Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366940876 PECOS PAC ID: 8527483577 Enrollment ID: I20200807000579 |
| Provider Name | Patti Lynn Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932680451 PECOS PAC ID: 4385069202 Enrollment ID: I20200810000247 |
| Provider Name | Julie Deloach Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407475734 PECOS PAC ID: 6901222868 Enrollment ID: I20200821002921 |
| Provider Name | Ismarie Mabry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285819235 PECOS PAC ID: 7719320076 Enrollment ID: I20240205000429 |
The Aicher Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 W Church St Ste 101, Jasper, GA 30143 Phone: 404-796-7011 Fax: 404-796-7099 | |
M & M Interventional Spine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Sammy Mcghee Blvd Ste 101, Jasper, GA 30143 Phone: 706-253-3367 Fax: 706-253-3361 | |
Internal Medicine Associates Of Jasper, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Suite 201, Jasper, GA 30143 Phone: 706-692-9768 Fax: 706-692-4040 | |
Jasper Family Health And Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Sammy Mcghee Boulevard, Suite 204, Jasper, GA 30143 Phone: 706-253-4224 | |
Ball Ground Family Practice,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 Phone: 706-253-6200 Fax: 706-253-6276 | |
Archway Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Martin Rd, Suite A, Jasper, GA 30143 Phone: 706-253-3366 Fax: 706-253-2243 | |
Pickens Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 Noah Dr Ste 108-109, Jasper, GA 30143 Phone: 706-692-0119 |