| Hidden Valley Medical Center Inc | |
|
101 Riverstone Vis Ste 300 Blue Ridge GA 30513-6683 | |
| (706) 946-4206 | |
| (706) 946-4289 |
| Full Name | Hidden Valley Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Riverstone Vis Ste 300, Blue Ridge, Georgia |
| Authorized Official Name and Position | Sophia Arwood (DIRECTOR PHYSICIAN OPERATIONS) |
| Authorized Official Contact | 6156286038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Valley Medical Center Inc 101 Riverstone Vis Ste 300 Blue Ridge GA 30513-6683 Ph: (706) 946-4206 | Hidden Valley Medical Center Inc 101 Riverstone Vis Ste 300 Blue Ridge GA 30513-6683 Ph: (706) 946-4206 |
| NPI Number | 1073516621 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 5799768248 |
|---|---|
| Medicare Enrollment ID | O20040608000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073516621 | NPI | - | NPPES |
| 890160U | Medicaid | NC | |
| 5908360 | Medicaid | NC | |
| CI 1930 | Other | GA | RAILROAD MEDICARE |
| 776553734B | Medicaid | GA | |
| 300031398R | Medicaid | GA |
| Provider Name | Gregory Robert Crawley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194716423 PECOS PAC ID: 9830080647 Enrollment ID: I20040618000389 |
| Provider Name | Steven N Efird |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255444550 PECOS PAC ID: 1850361726 Enrollment ID: I20040728000865 |
| Provider Name | Elias G Issa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053305888 PECOS PAC ID: 6002840584 Enrollment ID: I20050923000469 |
| Provider Name | Marilyn A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881655728 PECOS PAC ID: 6204841562 Enrollment ID: I20060208000521 |
| Provider Name | Shannon L Pitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982773891 PECOS PAC ID: 2668373168 Enrollment ID: I20080512000679 |
| Provider Name | Camille Y Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235301946 PECOS PAC ID: 8921178344 Enrollment ID: I20080528000261 |
| Provider Name | Roger Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407179609 PECOS PAC ID: 0244368330 Enrollment ID: I20100511000667 |
| Provider Name | John Jude Brunette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508828138 PECOS PAC ID: 3577663194 Enrollment ID: I20100916000782 |
| Provider Name | Deborah A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609882026 PECOS PAC ID: 3274534508 Enrollment ID: I20110621000256 |
| Provider Name | Hamidreza Doroodchi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376857151 PECOS PAC ID: 5294928966 Enrollment ID: I20110808000592 |
| Provider Name | Mark Dietrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427127190 PECOS PAC ID: 1658372982 Enrollment ID: I20111206000210 |
| Provider Name | Jonathan Anthony Bloch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982698908 PECOS PAC ID: 0446323117 Enrollment ID: I20120904000105 |
| Provider Name | Erich S Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629380753 PECOS PAC ID: 9830371848 Enrollment ID: I20140924002492 |
| Provider Name | Richard L Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477858116 PECOS PAC ID: 9537322375 Enrollment ID: I20150819008872 |
| Provider Name | Nathan William Kincaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588008429 PECOS PAC ID: 9234482241 Enrollment ID: I20181022000658 |
| Provider Name | Patrick O'ferrall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427514413 PECOS PAC ID: 1052652955 Enrollment ID: I20190402001875 |
| Provider Name | Joshua David Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508415217 PECOS PAC ID: 4486086519 Enrollment ID: I20191112000592 |
| Provider Name | Neal Tah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407052160 PECOS PAC ID: 1153455027 Enrollment ID: I20200410002238 |
| Provider Name | Candace Francine Chumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892257 PECOS PAC ID: 8325302052 Enrollment ID: I20210115001727 |
| Provider Name | Abraham Mathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215468483 PECOS PAC ID: 0042576514 Enrollment ID: I20210621002321 |
| Provider Name | Tami A Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841808169 PECOS PAC ID: 3072930361 Enrollment ID: I20220322000521 |
| Provider Name | Tyrone Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861874612 PECOS PAC ID: 4183974918 Enrollment ID: I20221222000787 |
| Provider Name | Megan Amanda Victoria Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344739 PECOS PAC ID: 6901276088 Enrollment ID: I20230106000008 |
| Provider Name | Sarah Elizabeth N Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538868492 PECOS PAC ID: 9234503020 Enrollment ID: I20230317000988 |
Blue Ridge Concierge Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis Ste 203, Blue Ridge, GA 30513 Phone: 706-946-4240 | |
Georgia Mountains Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Blue Ridge Overlook, Blue Ridge, GA 30513 Phone: 706-374-3100 Fax: 706-374-7628 | |
Blue Ridge Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513 Phone: 706-492-3200 | |
Riverstonemd Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 205, Blue Ridge, GA 30513 Phone: 706-258-4100 Fax: 706-632-3585 | |
Kenney S. Atkins M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4799 Blue Ridge Drive, Suite 100, Blue Ridge, GA 30513 Phone: 706-964-3345 Fax: 706-964-3347 | |
Marc S Berger Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Ste 217, Blue Ridge, GA 30513 Phone: 706-946-4240 Fax: 706-946-4241 |