Jefferson Primary Care | |
1689 Old Pendergrass Road Suite 340 Jefferson GA 30549-2716 | |
(706) 708-2344 | |
(706) 708-2342 |
Full Name | Jefferson Primary Care |
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Speciality | Family Medicine |
Location | 1689 Old Pendergrass Road Suite 340, Jefferson, Georgia |
Authorized Official Name and Position | Jennifer A Harris (DIRECTOR) |
Authorized Official Contact | 7062081990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jefferson Primary Care 1181 Langford Dr Building 100 Ste 103 Watkinsville GA 30677-7242 Ph: (706) 208-1900 | Jefferson Primary Care 1689 Old Pendergrass Road Suite 340 Jefferson GA 30549-2716 Ph: (706) 708-2344 |
NPI Number | 1588383392 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 7618209131 |
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Medicare Enrollment ID | O20220908001670 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588383392 | NPI | - | NPPES |
725588860A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Carla M Price |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700984432 PECOS PAC ID: 7618022484 Enrollment ID: I20101028000463 |
Provider Name | Elizabeth R Mcleish |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417188012 PECOS PAC ID: 6406003375 Enrollment ID: I20120828000670 |
Bartley R. Richards, Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1654 Washington St, Jefferson, GA 30549 Phone: 706-367-5006 Fax: 706-367-7711 | |
Jefferson Pediatrics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Highway 129 N, Jefferson, GA 30549 Phone: 706-367-1010 | |
Health Connection Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Athens St, Jefferson, GA 30549 Phone: 706-367-7302 Fax: 706-367-7304 | |
Saddle Up Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Country Rd, Jefferson, GA 30549 Phone: 470-222-6428 | |
Jackson County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Stan Evans Dr, Jefferson, GA 30549 Phone: 706-367-5204 Fax: 706-367-9023 | |
Medlink Georgia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2748 Winder Hwy, Jefferson, GA 30549 Phone: 706-367-4455 |