| Internal Medicine Of Southeast Georgia | |
|
351 Peachtree St Jesup GA 31545-0245 | |
| (912) 530-6582 | |
| (912) 530-6584 |
| Full Name | Internal Medicine Of Southeast Georgia |
|---|---|
| Speciality | Internal Medicine |
| Location | 351 Peachtree St, Jesup, Georgia |
| Authorized Official Name and Position | S Lance Hendrix (PRESIDENT) |
| Authorized Official Contact | 9125306582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Southeast Georgia 351 Peachtree St Jesup GA 31545-0245 Ph: (912) 530-6582 | Internal Medicine Of Southeast Georgia 351 Peachtree St Jesup GA 31545-0245 Ph: (912) 530-6582 |
| NPI Number | 1154543106 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 01/17/2018 |
| Medicare PECOS PAC ID | 2264532019 |
|---|---|
| Medicare Enrollment ID | O20070710000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154543106 | NPI | - | NPPES |
| DF9280 | Other | GA | RAILROAD MEDICARE GROUP |
| N371138 | Other | GA | WELLCARE |
| 189166661B | Medicaid | GA | |
| 2781716 | Other | GA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sydney Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679643712 PECOS PAC ID: 1850362377 Enrollment ID: I20050823000222 |
| Provider Name | Vanessa V Moseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114351822 PECOS PAC ID: 6507093820 Enrollment ID: I20131212000874 |
| Provider Name | Brenda Joyce Poythress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225686975 PECOS PAC ID: 2668805011 Enrollment ID: I20191126000575 |
Lentz Urgent Care & Family Med, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Headley Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S 1st St, Jesup, GA 31545 Phone: 912-427-7400 Fax: 912-385-2953 | |
Wayne Family Practice Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 | |
Golden Isles Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S 1st St, Jesup, GA 31545 Phone: 912-427-8031 Fax: 912-427-8032 | |
Peach Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Brunswick St, Jesup, GA 31546 Phone: 912-385-2755 Fax: 912-385-2785 | |
Winnie Claire Hicks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Memorial Dr, Jesup, GA 31545 Phone: 912-588-2511 Fax: 912-588-2518 |