| Joint Regeneration Group | |
|
104 Whiting Way # 210-220 Warner Robins GA 31088-8054 | |
| (478) 333-1346 | |
| Not Available |
| Full Name | Joint Regeneration Group |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Whiting Way # 210-220, Warner Robins, Georgia |
| Authorized Official Name and Position | Michael E Bannister (OWNER) |
| Authorized Official Contact | 7708648423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joint Regeneration Group 9000 Watson Blvd Apt 1103 Byron GA 31008-3797 Ph: (770) 864-8423 | Joint Regeneration Group 104 Whiting Way # 210-220 Warner Robins GA 31088-8054 Ph: (478) 333-1346 |
| NPI Number | 1831766138 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 0840691986 |
|---|---|
| Medicare Enrollment ID | O20210628001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831766138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Frederick A Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912947326 PECOS PAC ID: 6002854874 Enrollment ID: I20050421000856 |
| Provider Name | Kimberly A Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518268838 PECOS PAC ID: 7315134640 Enrollment ID: I20101213000102 |
| Provider Name | Charla R Mcgaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487200176 PECOS PAC ID: 7416380746 Enrollment ID: I20191127001308 |
| Provider Name | Amanda Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902443039 PECOS PAC ID: 0143657783 Enrollment ID: I20200220002704 |
| Provider Name | Latonia Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891278743 PECOS PAC ID: 7810399458 Enrollment ID: I20210706001429 |
| Provider Name | Taylor Nicole Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891428900 PECOS PAC ID: 2466837257 Enrollment ID: I20220914002842 |
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 |