| Hospital Medicine Consulting, Llc | |
|
1537 Walton Way Augusta GA 30904-3764 | |
| (706) 731-1200 | |
| (706) 504-4639 |
| Full Name | Hospital Medicine Consulting, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1537 Walton Way, Augusta, Georgia |
| Authorized Official Name and Position | Jon Christopher Gibbs (OWNER) |
| Authorized Official Contact | 7068310204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Medicine Consulting, Llc 3614 J Dewey Gray Cir Ste B Augusta GA 30909-6512 Ph: (706) 267-4010 | Hospital Medicine Consulting, Llc 1537 Walton Way Augusta GA 30904-3764 Ph: (706) 731-1200 |
| NPI Number | 1699386128 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 01/06/2021 |
| Medicare PECOS PAC ID | 1658784822 |
|---|---|
| Medicare Enrollment ID | O20210107000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699386128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon Christopher Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700896156 PECOS PAC ID: 2466497532 Enrollment ID: I20050621000202 |
| Provider Name | Pedro Hevia Paez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942790878 PECOS PAC ID: 4587917737 Enrollment ID: I20181105002989 |
| Provider Name | Beverly Natashia Ficklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982069258 PECOS PAC ID: 1658709654 Enrollment ID: I20200324003482 |
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