Johnson County Center For Community Health | |
2251 W Elm St Wrightsville GA 31096-2017 | |
(478) 864-3448 | |
(478) 864-1288 |
Full Name | Johnson County Center For Community Health |
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Speciality | Clinic/Center |
Location | 2251 W Elm St, Wrightsville, Georgia |
Authorized Official Name and Position | Lynn W Price (INSURANCE SUPERVISOR) |
Authorized Official Contact | 4788643448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnson County Center For Community Health 2251 W Elm St Wrightsville GA 31096-2017 Ph: (478) 864-3448 | Johnson County Center For Community Health 2251 W Elm St Wrightsville GA 31096-2017 Ph: (478) 864-3448 |
NPI Number | 1932150422 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5890783179 |
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Medicare Enrollment ID | O20040505000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932150422 | NPI | - | NPPES |
00521023A | Medicaid | GA | |
300029381A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
Provider Name | Anthony L Howard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225102908 PECOS PAC ID: 4082605084 Enrollment ID: I20040519000887 |
Provider Name | Brian D Siddall |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205029352 PECOS PAC ID: 8325026644 Enrollment ID: I20040712001333 |
Provider Name | Julian C Hutchins |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942233820 PECOS PAC ID: 0840249389 Enrollment ID: I20050121000454 |
Provider Name | Shalu R Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659356038 PECOS PAC ID: 1951338128 Enrollment ID: I20050719001024 |
Provider Name | Oscar H Salvat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134199045 PECOS PAC ID: 9739102260 Enrollment ID: I20060110000941 |
Provider Name | Shauna N Mattingly |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619987641 PECOS PAC ID: 6608876180 Enrollment ID: I20070106000124 |
Provider Name | Jane P Paulk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306920954 PECOS PAC ID: 6800898776 Enrollment ID: I20070206000063 |
Provider Name | Bridgett C Bailey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306908546 PECOS PAC ID: 9133121767 Enrollment ID: I20070209000388 |
Provider Name | Jorge B Pisarello |
---|---|
Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
Provider Identifiers | NPI Number: 1992795876 PECOS PAC ID: 8628017340 Enrollment ID: I20070409000466 |
Provider Name | Kevin T Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841204377 PECOS PAC ID: 1850315953 Enrollment ID: I20070628000121 |
Provider Name | Marlene Zetzer Shivers |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801915871 PECOS PAC ID: 9931267861 Enrollment ID: I20081022000305 |
Provider Name | Crystal D Owens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508810227 PECOS PAC ID: 1759432925 Enrollment ID: I20090629000371 |
Provider Name | Cherilyn Smith Zellner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881645570 PECOS PAC ID: 8628122025 Enrollment ID: I20090819000880 |
Provider Name | Charles E Jackson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1366658734 PECOS PAC ID: 2961526454 Enrollment ID: I20100907000333 |
Provider Name | Keshana Snead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033447610 PECOS PAC ID: 9638294713 Enrollment ID: I20100913000769 |
Provider Name | Shannon E Whitten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508045840 PECOS PAC ID: 2264515493 Enrollment ID: I20110121000528 |
Provider Name | Nora Marie Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174728349 PECOS PAC ID: 4082894894 Enrollment ID: I20110211000249 |
Provider Name | Keisha Renee Callins |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164694089 PECOS PAC ID: 6204005671 Enrollment ID: I20110802000267 |
Provider Name | Richard E Melcher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144213075 PECOS PAC ID: 7214108927 Enrollment ID: I20110928000646 |
Provider Name | Karen Renee Daniel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104131671 PECOS PAC ID: 7315943305 Enrollment ID: I20111214000425 |
Provider Name | Erin Ashley Wilkes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306150412 PECOS PAC ID: 9234310970 Enrollment ID: I20120320000479 |
Provider Name | Paula Fields |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497072086 PECOS PAC ID: 1658534805 Enrollment ID: I20120525000159 |
Provider Name | Erin Foster Sumner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699025395 PECOS PAC ID: 4688824725 Enrollment ID: I20121025000353 |
Provider Name | Tanya Y Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053467308 PECOS PAC ID: 7315952272 Enrollment ID: I20121105000356 |
Provider Name | Kemberly Jean Harrison-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548693377 PECOS PAC ID: 4981847431 Enrollment ID: I20130830000529 |
Provider Name | Sharon Massengale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659787034 PECOS PAC ID: 1153649165 Enrollment ID: I20150422001744 |
Provider Name | Allison Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194125336 PECOS PAC ID: 2466772058 Enrollment ID: I20150521001954 |
Provider Name | Alesha Edwards |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023353497 PECOS PAC ID: 3971814765 Enrollment ID: I20150619001990 |
Provider Name | Misty Hulgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265816714 PECOS PAC ID: 8628370111 Enrollment ID: I20151229002352 |
Provider Name | Shirley Dianne Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932275542 PECOS PAC ID: 4981901030 Enrollment ID: I20160405000581 |
Provider Name | Lynn Denny |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447474184 PECOS PAC ID: 0244521474 Enrollment ID: I20160620001181 |
Provider Name | Cynthia Jill Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164899787 PECOS PAC ID: 7618269135 Enrollment ID: I20160701000878 |
Provider Name | Melissa Kilgore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164881454 PECOS PAC ID: 7416841358 Enrollment ID: I20160811002113 |
Provider Name | Sandra N Mcneal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508319856 PECOS PAC ID: 3274819651 Enrollment ID: I20170419002547 |
Provider Name | Betsy Janice Colquitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770012015 PECOS PAC ID: 3577821149 Enrollment ID: I20180103002582 |
Provider Name | Yashica Chantil Austin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467990374 PECOS PAC ID: 0749549509 Enrollment ID: I20180124001350 |
Provider Name | Brittany Shantrel Primas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851813893 PECOS PAC ID: 7911252499 Enrollment ID: I20180625002555 |
Provider Name | Cornelia Ann Benoit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700250107 PECOS PAC ID: 6406102789 Enrollment ID: I20180628000915 |
Provider Name | Cassandra Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366953291 PECOS PAC ID: 5092065045 Enrollment ID: I20180912002024 |
Provider Name | Teresa Annette Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467963090 PECOS PAC ID: 4880946581 Enrollment ID: I20181008002423 |
Provider Name | Mitzi Weekley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003326604 PECOS PAC ID: 9931451549 Enrollment ID: I20181010000192 |
Provider Name | Christy Clyborne Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245888213 PECOS PAC ID: 5597088294 Enrollment ID: I20191018002304 |
Provider Name | Hannah Brooke Evors |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417581778 PECOS PAC ID: 8123459088 Enrollment ID: I20200508000197 |
Provider Name | Muhammad Talha Jamil |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124515556 PECOS PAC ID: 7911248349 Enrollment ID: I20200918000483 |
Provider Name | Joylove Felder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255817169 PECOS PAC ID: 4981931540 Enrollment ID: I20201228000077 |
Provider Name | Lorraine Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124555354 PECOS PAC ID: 3779995360 Enrollment ID: I20201228000290 |
Provider Name | Brian Paramore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366956823 PECOS PAC ID: 9739448887 Enrollment ID: I20211110000698 |
Provider Name | Janie Douglass Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699949388 PECOS PAC ID: 3375934102 Enrollment ID: I20220105000093 |
Provider Name | Juliette H Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306475553 PECOS PAC ID: 9830582634 Enrollment ID: I20220131000233 |
Provider Name | Armeshia Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831855980 PECOS PAC ID: 5799165221 Enrollment ID: I20220630001157 |
Provider Name | Stephanie T Mcburrough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699403758 PECOS PAC ID: 6406224880 Enrollment ID: I20221115002958 |
Provider Name | Sherry R Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407468556 PECOS PAC ID: 7012385685 Enrollment ID: I20221201003369 |
Provider Name | Sharron Whipple |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417614603 PECOS PAC ID: 2365814928 Enrollment ID: I20230207003098 |
Provider Name | Heather J Spivey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033828629 PECOS PAC ID: 7113391624 Enrollment ID: I20230324000690 |
Provider Name | Jaiye A Andrews |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710407234 PECOS PAC ID: 9032577366 Enrollment ID: I20230620000640 |
Provider Name | Danielle Elaine Spelich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225751183 PECOS PAC ID: 6800242611 Enrollment ID: I20231031002652 |
Provider Name | Hannah Marie Griggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508543380 PECOS PAC ID: 9537516133 Enrollment ID: I20231102003764 |
Provider Name | Morgan A Stinson |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1134665599 PECOS PAC ID: 7113365974 Enrollment ID: I20240329002007 |
Johnson County Center For Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Elm St, Wrightsville, GA 31096 Phone: 478-864-3448 Fax: 478-864-1288 | |
Johnson County Center For Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Elm St, Wrightsville, GA 31096 Phone: 478-864-3448 Fax: 478-864-1288 | |
Washington County Internal Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2257 W Elm St, Wrightsville, GA 31096 Phone: 478-864-0032 Fax: 478-864-1220 | |
Community Health Care Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 W Elm St, Wrightsville, GA 31096 Phone: 478-864-3446 Fax: 478-864-1288 |