| Houston Primary Care, Inc. | |
|
1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 | |
| (478) 328-0806 | |
| (478) 328-1393 |
| Full Name | Houston Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1719 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Dinakara B Shetty (OWNER) |
| Authorized Official Contact | 4783280806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Primary Care, Inc. 1719 Russell Pkwy Ste 700 Warner Robins GA 31088-5765 Ph: (478) 328-8984 | Houston Primary Care, Inc. 1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 Ph: (478) 328-0806 |
| NPI Number | 1568473767 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 05/12/2015 |
| Medicare PECOS PAC ID | 4880913201 |
|---|---|
| Medicare Enrollment ID | O20150507000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568473767 | NPI | - | NPPES |
| 000720948L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042431 (Georgia) | Primary |
| Provider Name | Dinakara B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914975 PECOS PAC ID: 1557264553 Enrollment ID: I20040128000639 |
| Provider Name | Srijana Ranjit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124344403 PECOS PAC ID: 8426282815 Enrollment ID: I20131018001078 |
| Provider Name | John C Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083763577 PECOS PAC ID: 8426070483 Enrollment ID: I20150625000273 |
| Provider Name | Conswalis Northcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952751497 PECOS PAC ID: 2264727130 Enrollment ID: I20160817002171 |
| Provider Name | Delana A Bongiovanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073987715 PECOS PAC ID: 3870874456 Enrollment ID: I20161220001702 |
| Provider Name | Linda S Vanosdol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922355 PECOS PAC ID: 1557633625 Enrollment ID: I20170824000818 |
| Provider Name | John Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720146509 PECOS PAC ID: 3779497540 Enrollment ID: I20181105000001 |
| Provider Name | Adetokunbo Awojulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194081851 PECOS PAC ID: 2466755475 Enrollment ID: I20200303000939 |
| Provider Name | Jenna Rubin Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164066106 PECOS PAC ID: 6204265556 Enrollment ID: I20200407003482 |
| Provider Name | Preethi Mereddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023503331 PECOS PAC ID: 6002168341 Enrollment ID: I20210902002483 |
Houston Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2054 Watson Blvd, Warner Robins, GA 31093 Phone: 478-918-0770 Fax: 478-918-0771 | |
Comprehensive Care Medical Offices, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Osigian Blvd, Warner Robins, GA 31088 Phone: 478-971-2130 Fax: 478-971-2132 | |
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 | |
W. Steven Wilson, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 129 Carl Vinson Pkwy, Warner Robins, GA 31088 Phone: 478-322-3800 Fax: 478-322-0031 | |
Aegis Nephrology & Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Hospital Dr, Warner Robins, GA 31088 Phone: 478-225-9983 Fax: 478-225-9891 | |
Houston Lung Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Tommy Stalnaker Dr, Warner Robins, GA 31088 Phone: 478-333-2522 Fax: 478-333-3160 | |
Md Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Hospital Dr Ste A, Warner Robins, GA 31088 Phone: 478-743-8997 Fax: 478-742-3559 |