Lavonia Clinic Medical | |
58 Big A Rd Toccoa GA 30577-6000 | |
(706) 886-3148 | |
Not Available |
Full Name | Lavonia Clinic Medical |
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Speciality | Clinic/Center |
Location | 58 Big A Rd, Toccoa, Georgia |
Authorized Official Name and Position | David Cronic (ADMINISTRATOR) |
Authorized Official Contact | 7068867537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lavonia Clinic Medical Po Box 8848 Belfast ME 04915-8848 Ph: (513) 632-4885 | Lavonia Clinic Medical 58 Big A Rd Toccoa GA 30577-6000 Ph: (706) 886-3148 |
NPI Number | 1609896885 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 5597652164 |
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Medicare Enrollment ID | O20040301000262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609896885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Bernard A Ram |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1114910510 PECOS PAC ID: 7719972454 Enrollment ID: I20040420000824 |
Provider Name | Thomas D Yates |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225012446 PECOS PAC ID: 4284624628 Enrollment ID: I20040517000712 |
Provider Name | Marc S Coan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174516330 PECOS PAC ID: 5496731747 Enrollment ID: I20040628000105 |
Provider Name | Louis R Fernandez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548253651 PECOS PAC ID: 5092785600 Enrollment ID: I20040802000765 |
Provider Name | Robert E Kim |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225087166 PECOS PAC ID: 4587555065 Enrollment ID: I20040811000568 |
Provider Name | Courtney Perez |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447207782 PECOS PAC ID: 2163498924 Enrollment ID: I20040903000112 |
Provider Name | Tejal Lalaji |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225003320 PECOS PAC ID: 3577526524 Enrollment ID: I20041110000548 |
Provider Name | Christopher M Vaughn |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861404295 PECOS PAC ID: 8022065283 Enrollment ID: I20050331000533 |
Provider Name | Derek B Pollard |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114976040 PECOS PAC ID: 5597702498 Enrollment ID: I20050412001316 |
Provider Name | Jay L Curtin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366491813 PECOS PAC ID: 4284676396 Enrollment ID: I20050531000445 |
Provider Name | Kevin Miller |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093764425 PECOS PAC ID: 5193639847 Enrollment ID: I20050608000056 |
Provider Name | Joyce W Mccollum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851384978 PECOS PAC ID: 4486683026 Enrollment ID: I20050804000491 |
Provider Name | James D Darling |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235188244 PECOS PAC ID: 6406747971 Enrollment ID: I20050928000580 |
Provider Name | Valerie A Wills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588632483 PECOS PAC ID: 9537175831 Enrollment ID: I20060223000465 |
Provider Name | Michael L Maley |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104819218 PECOS PAC ID: 2668481300 Enrollment ID: I20060407000449 |
Provider Name | Eric J Lindstrom |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396794350 PECOS PAC ID: 1153364286 Enrollment ID: I20060509000445 |
Provider Name | Christopher J Cornille |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548396906 PECOS PAC ID: 5092811596 Enrollment ID: I20070430000337 |
Provider Name | Jonathan E Hall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811912967 PECOS PAC ID: 3577664846 Enrollment ID: I20070731000331 |
Provider Name | Thomas D Jones |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1750383030 PECOS PAC ID: 5597844829 Enrollment ID: I20080512000279 |
Provider Name | Mark Rheaume |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811177884 PECOS PAC ID: 9537238654 Enrollment ID: I20080515000453 |
Provider Name | Samir P Chande |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1902088941 PECOS PAC ID: 0840369989 Enrollment ID: I20080515000544 |
Provider Name | Ellen Seib |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548456700 PECOS PAC ID: 3678482114 Enrollment ID: I20081201000322 |
Provider Name | Robert S Kirby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871748491 PECOS PAC ID: 3577625730 Enrollment ID: I20081222000524 |
Provider Name | Debra Yates |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922294180 PECOS PAC ID: 2860301306 Enrollment ID: I20090205000670 |
Provider Name | Stuart Babcock |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20090211000767 |
Provider Name | Margaret Kopchick |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1699768804 PECOS PAC ID: 4981641628 Enrollment ID: I20090610000522 |
Provider Name | Jacquelyne R Bodea |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1225100118 PECOS PAC ID: 2264570472 Enrollment ID: I20091109000553 |
Provider Name | Paresh R Patel |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912990326 PECOS PAC ID: 3274677802 Enrollment ID: I20100222000026 |
Provider Name | Jack A Harris |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245223361 PECOS PAC ID: 1355485988 Enrollment ID: I20100222000048 |
Provider Name | William A Mills |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588658330 PECOS PAC ID: 8729976667 Enrollment ID: I20100222000057 |
Provider Name | Lenka Novotna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437142809 PECOS PAC ID: 0547158487 Enrollment ID: I20100222000082 |
Provider Name | Frances H Graham |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619209046 PECOS PAC ID: 4688702269 Enrollment ID: I20100503000809 |
Provider Name | Kimberly M Stroud |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407840879 PECOS PAC ID: 4981613601 Enrollment ID: I20100824000764 |
Provider Name | Shannon Chatman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538151253 PECOS PAC ID: 6305961327 Enrollment ID: I20100915000018 |
Provider Name | Kristie D Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942512157 PECOS PAC ID: 7214129063 Enrollment ID: I20101012000425 |
Provider Name | Dennis D Horner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669794160 PECOS PAC ID: 7214116672 Enrollment ID: I20110201000292 |
Provider Name | Andrea Dabney |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912158288 PECOS PAC ID: 3870659923 Enrollment ID: I20110802000764 |
Provider Name | Sonya L Dicara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841586328 PECOS PAC ID: 8729257761 Enrollment ID: I20110809000694 |
Provider Name | Laura P West |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205113578 PECOS PAC ID: 6608033238 Enrollment ID: I20120208000963 |
Provider Name | Charlotte A Griffith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124380761 PECOS PAC ID: 8921264896 Enrollment ID: I20120720000249 |
Provider Name | Camden L Randels |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1194062505 PECOS PAC ID: 3173777554 Enrollment ID: I20130212000503 |
Provider Name | Buffy W York |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164691846 PECOS PAC ID: 5698675809 Enrollment ID: I20130213000362 |
Provider Name | Ted T Chang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871740332 PECOS PAC ID: 9830327626 Enrollment ID: I20140714001911 |
Provider Name | Robin L Sweat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619380201 PECOS PAC ID: 6709004278 Enrollment ID: I20140825001469 |
Provider Name | Kristen Sue Montgomery |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1770989576 PECOS PAC ID: 8123340031 Enrollment ID: I20141204000191 |
Provider Name | Tara Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952728651 PECOS PAC ID: 1658596978 Enrollment ID: I20151021000905 |
Provider Name | Jessica Tanksley Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770951857 PECOS PAC ID: 9032429857 Enrollment ID: I20151106001868 |
Provider Name | Sarah L Fulaytar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356721179 PECOS PAC ID: 0143520957 Enrollment ID: I20151201001105 |
Provider Name | Maribel Miller |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285711473 PECOS PAC ID: 0547564759 Enrollment ID: I20160209001821 |
Provider Name | Rachel Leigh Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407208283 PECOS PAC ID: 8224321633 Enrollment ID: I20160722001159 |
Toccoa Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 Falls Rd, Toccoa, GA 30577 Phone: 706-886-0088 | |
Dba Physical Therapy Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Hayes St, Toccoa, GA 30577 Phone: 706-886-3883 Fax: 706-886-3812 | |
Harry C Mcdonald, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Falls Rd, Toccoa, GA 30577 Phone: 706-886-8476 Fax: 706-282-0134 | |
Stephens County Hospital Physician Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Falls Rd, Toccoa, GA 30577 Phone: 706-282-5840 Fax: 706-898-5344 | |
Stephens County Hospital Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 163 Hospital Dr, Toccoa, GA 30577 Phone: 706-282-4200 Fax: 706-886-8045 | |
Stephens County Hospital Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Dr, Toccoa, GA 30577 Phone: 706-282-5860 Fax: 706-282-5869 |