| Lagrange Internal Medicine, Pc | |
|
1602 Vernon Rd Suite 400 Lagrange GA 30240-4129 | |
| (706) 882-9341 | |
| (706) 884-0131 |
| Full Name | Lagrange Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1602 Vernon Rd, Lagrange, Georgia |
| Authorized Official Name and Position | Dennis E Garrison (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 7062982640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Internal Medicine, Pc 1602 Vernon Rd Suite 400 Lagrange GA 30240-4129 Ph: (706) 882-9341 | Lagrange Internal Medicine, Pc 1602 Vernon Rd Suite 400 Lagrange GA 30240-4129 Ph: (706) 882-9341 |
| NPI Number | 1831267632 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 4183663750 |
|---|---|
| Medicare Enrollment ID | O20050503000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831267632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871549204 PECOS PAC ID: 8527089440 Enrollment ID: I20051207000658 |
| Provider Name | Arnold Smalls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396747598 PECOS PAC ID: 0345263471 Enrollment ID: I20060104000493 |
| Provider Name | Amir Usman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255333456 PECOS PAC ID: 7315960440 Enrollment ID: I20060104000523 |
| Provider Name | Robert Stout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427050632 PECOS PAC ID: 9537108105 Enrollment ID: I20060104000789 |
| Provider Name | Richard L Ingram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629072699 PECOS PAC ID: 3476576547 Enrollment ID: I20060104000825 |
| Provider Name | Kelly Dianne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346538733 PECOS PAC ID: 5991943243 Enrollment ID: I20130529000370 |
| Provider Name | Syed A W Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144470840 PECOS PAC ID: 8527292796 Enrollment ID: I20131002000354 |
The Upper Cervical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-415-5245 | |
Lagrange Med Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Vernon St, Lagrange, GA 30240 Phone: 706-885-9110 Fax: 706-885-9113 | |
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Troup Cares, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 Fax: 706-882-9591 | |
Lagrange Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Dr, Ste 406, Lagrange, GA 30240 Phone: 706-845-7029 Fax: 706-812-1797 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
West Georgia Worx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Glenn Bass Rd, Lagrange, GA 30240 Phone: 706-845-3075 Fax: 706-882-8420 |