| Traditions Health | |
|
426 Cleveland St Ste 3 Blairsville GA 30512-4543 | |
| (706) 835-3960 | |
| (706) 745-0684 |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 426 Cleveland St Ste 3, Blairsville, Georgia |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-6547 | Traditions Health 426 Cleveland St Ste 3 Blairsville GA 30512-4543 Ph: (706) 835-3960 |
| NPI Number | 1659019081 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 0244559474 |
|---|---|
| Medicare Enrollment ID | O20220712000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659019081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anthony G Captain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463 |
| Provider Name | Melanie Stovall Fortenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487853990 PECOS PAC ID: 7810078128 Enrollment ID: I20080112000022 |
| Provider Name | Brooklyn M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439648 PECOS PAC ID: 5395133870 Enrollment ID: I20211103000219 |
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