| Journeycare Family Medicine, Llc | |
|
126 N Park Dr Fayetteville GA 30214-1645 | |
| (470) 316-8028 | |
| (678) 519-2736 |
| Full Name | Journeycare Family Medicine, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 126 N Park Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Shantrice Nichols-bates (CO-OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 4702782618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeycare Family Medicine, Llc 126 N Park Dr Fayetteville GA 30214-1645 Ph: (470) 278-2618 | Journeycare Family Medicine, Llc 126 N Park Dr Fayetteville GA 30214-1645 Ph: (470) 316-8028 |
| NPI Number | 1932808094 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 01/16/2025 |
| Medicare PECOS PAC ID | 6002273760 |
|---|---|
| Medicare Enrollment ID | O20230612001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932808094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Shantrice Bernice Nichols-bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245603844 PECOS PAC ID: 9335449933 Enrollment ID: I20210407000365 |
Fayette Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Highway 54 W Ste 101, Fayetteville, GA 30214 Phone: 770-719-4620 Fax: 770-719-4622 | |
Privia Medical Group Of Georgia Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Yorktown Dr, Fayetteville, GA 30214 Phone: 770-460-4285 | |
Valentine Weight Loss & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 874 Lanier Ave W, Suite 210, Fayetteville, GA 30214 Phone: 770-833-7739 Fax: 770-629-1224 | |
Family Medicine Specialist, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Genevieve Ct, Fayetteville, GA 30215 Phone: 770-486-1818 Fax: 770-486-7303 | |
North Fayette Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St, Suite 902, Fayetteville, GA 30214 Phone: 770-716-8228 Fax: 770-716-6588 | |
Full Plate Industries, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W Ste 200, Fayetteville, GA 30214 Phone: 678-469-4212 |