| Heart Of Georgia Primary Care, Llc | |
|
911 Plaza Ave Ste C Eastman GA 31023-6786 | |
| (478) 374-5774 | |
| Not Available |
| Full Name | Heart Of Georgia Primary Care, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 911 Plaza Ave Ste C, Eastman, Georgia |
| Authorized Official Name and Position | Amy H Cravey (OWNER) |
| Authorized Official Contact | 4783745774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Georgia Primary Care, Llc 911 Plaza Ave Ste C Eastman GA 31023-6786 Ph: (478) 374-5774 | Heart Of Georgia Primary Care, Llc 911 Plaza Ave Ste C Eastman GA 31023-6786 Ph: (478) 374-5774 |
| NPI Number | 1780244301 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 3678809167 |
|---|---|
| Medicare Enrollment ID | O20190722001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780244301 | NPI | - | NPPES |
| 296546508F | Medicaid | GA | |
| CS2005900319 | Other | GA | CARESOURCE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Michael Todd Peacock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487636742 PECOS PAC ID: 4981773108 Enrollment ID: I20080514000403 |
| Provider Name | Amy H Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225362932 PECOS PAC ID: 3870765779 Enrollment ID: I20111019000668 |
| Provider Name | Brianna Jessup Crummey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316509771 PECOS PAC ID: 7618300195 Enrollment ID: I20191216000386 |
| Provider Name | Lucian Clement Moseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902504996 PECOS PAC ID: 9335597855 Enrollment ID: I20231122000766 |
Mid Georgia Total Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Griffin Ave, Ste 1b, Eastman, GA 31023 Phone: 478-374-8998 Fax: 478-374-8525 | |
Middle Georgia Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Plaza Ave, Eastman, GA 31023 Phone: 478-374-9309 Fax: 478-374-3310 | |
Careconnect Convenient Care And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Eastman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Griffin Ave, Suites A, Eastman, GA 31023 Phone: 478-374-0020 Fax: 478-374-2937 | |
Eastman Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 Plaza Ave, Eastman, GA 31023 Phone: 478-448-4435 Fax: 478-374-0337 | |
Heather T Herrington Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 | |
Eastman Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 |