| Traditions Health | |
|
500 Osigian Blvd Ste 300 Warner Robins GA 31088-8008 | |
| (478) 971-1099 | |
| (478) 971-1098 |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Osigian Blvd Ste 300, Warner Robins, 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 500 Osigian Blvd Ste 300 Warner Robins GA 31088-8008 Ph: (478) 971-1099 |
| NPI Number | 1295473627 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/21/2024 |
| Medicare PECOS PAC ID | 5698905545 |
|---|---|
| Medicare Enrollment ID | O20220708000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295473627 | 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 | Ayman Rihawi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326097387 PECOS PAC ID: 8426004375 Enrollment ID: I20050324000082 |
| Provider Name | Iyad Al Husein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984808 PECOS PAC ID: 9537170774 Enrollment ID: I20060601000008 |
| Provider Name | Catherine H. Braley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962057109 PECOS PAC ID: 8921432642 Enrollment ID: I20200104000006 |
| Provider Name | Christina Renee Kopsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629618806 PECOS PAC ID: 0345679494 Enrollment ID: I20200410002253 |
| Provider Name | Sabrina D Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258776 PECOS PAC ID: 8022435742 Enrollment ID: I20200826002500 |
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Richard Lyndon Smith Jr Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1260 Russell Pkwy, Warner Robins, GA 31088 Phone: 478-929-4100 Fax: 478-329-8814 | |
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