Mayo Clinic Health System In Waycross, Inc. | |
1900 Tebeau St Waycross GA 31501-6357 | |
(912) 283-3030 | |
Not Available |
Full Name | Mayo Clinic Health System In Waycross, Inc. |
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Speciality | Clinic/Center |
Location | 1900 Tebeau St, Waycross, Georgia |
Authorized Official Name and Position | George Hoffman (CFO) |
Authorized Official Contact | 9122874213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mayo Clinic Health System In Waycross, Inc. 1900 Tebeau St Waycross GA 31501-6357 Ph: (912) 283-3030 | Mayo Clinic Health System In Waycross, Inc. 1900 Tebeau St Waycross GA 31501-6357 Ph: (912) 283-3030 |
NPI Number | 1154745982 |
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Provider Enumeration Date | 02/14/2014 |
Last Update Date | 08/15/2016 |
Medicare PECOS PAC ID | 0042124919 |
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Medicare Enrollment ID | O20040308000639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154745982 | NPI | - | NPPES |
CJ0931 | Other | RAILROAD PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Martin R Artman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104890284 PECOS PAC ID: 2163318601 Enrollment ID: I20040223001084 |
Provider Name | Stephen R Adcock |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1831395052 PECOS PAC ID: 6204727894 Enrollment ID: I20040324000704 |
Provider Name | Ross G Moorman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972608982 PECOS PAC ID: 7214920578 Enrollment ID: I20040405000610 |
Provider Name | William F Shivers |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457420614 PECOS PAC ID: 9931196920 Enrollment ID: I20040430000091 |
Provider Name | Gregory Robert Crawley |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1194716423 PECOS PAC ID: 9830080647 Enrollment ID: I20040618000389 |
Provider Name | Robert D Collins |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447250220 PECOS PAC ID: 6901882182 Enrollment ID: I20040628001126 |
Provider Name | Amanda L Davis Herin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356377154 PECOS PAC ID: 5597730721 Enrollment ID: I20040831000681 |
Provider Name | Jules Nehmetallah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003880576 PECOS PAC ID: 7214996073 Enrollment ID: I20041008000442 |
Provider Name | Jacob Hyppolite |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255302428 PECOS PAC ID: 2567421936 Enrollment ID: I20041011000256 |
Provider Name | Willie W Tapp |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104875012 PECOS PAC ID: 2961466917 Enrollment ID: I20041118000686 |
Provider Name | Timothy A Jamieson |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1548251010 PECOS PAC ID: 4688631997 Enrollment ID: I20041220000719 |
Provider Name | Douglas W Johnson |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1497712384 PECOS PAC ID: 1153388467 Enrollment ID: I20041227000395 |
Provider Name | Charles Galea |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1174517502 PECOS PAC ID: 1759349574 Enrollment ID: I20041228000069 |
Provider Name | Marco A Ayulo |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1316938848 PECOS PAC ID: 2466496773 Enrollment ID: I20050623000009 |
Provider Name | Padmanabha Maramreddy |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1487639092 PECOS PAC ID: 4880650860 Enrollment ID: I20050824000090 |
Provider Name | Ateeqahmed S Patel |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710072319 PECOS PAC ID: 9830122274 Enrollment ID: I20050915000547 |
Provider Name | Andrea D Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285660365 PECOS PAC ID: 8123036183 Enrollment ID: I20060403000207 |
Provider Name | Armando Moncada |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1639246366 PECOS PAC ID: 0547231839 Enrollment ID: I20060427000332 |
Provider Name | Angampally G Rajeev |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1891738118 PECOS PAC ID: 3274545041 Enrollment ID: I20060616000038 |
Provider Name | Antonio Reyes Beltran |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1720011570 PECOS PAC ID: 8123016441 Enrollment ID: I20060726000338 |
Provider Name | Ovidiu Popa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144277864 PECOS PAC ID: 4789689308 Enrollment ID: I20061003000352 |
Provider Name | Vikram R Mandadi |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1598852436 PECOS PAC ID: 6305940644 Enrollment ID: I20070327000326 |
Provider Name | Thomas E Craig |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720163066 PECOS PAC ID: 9537265038 Enrollment ID: I20070430000348 |
Provider Name | Iris Chambliss Kelly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134172588 PECOS PAC ID: 5395777130 Enrollment ID: I20071213000480 |
Provider Name | Howard Griffin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669467122 PECOS PAC ID: 3072514769 Enrollment ID: I20080218000211 |
Provider Name | John Raymond Duttenhaver |
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Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1588695969 PECOS PAC ID: 7416950431 Enrollment ID: I20080407000552 |
Provider Name | William A Morton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881614584 PECOS PAC ID: 2769551241 Enrollment ID: I20080523000375 |
Provider Name | Donald B. Waters |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972535615 PECOS PAC ID: 1355332362 Enrollment ID: I20080529000615 |
Provider Name | James Blasko |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619997384 PECOS PAC ID: 4385714633 Enrollment ID: I20080529000642 |
Provider Name | George A Wheeler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588684278 PECOS PAC ID: 2163592411 Enrollment ID: I20080529000674 |
Provider Name | Marlene Zetzer Shivers |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801915871 PECOS PAC ID: 9931267861 Enrollment ID: I20081022000305 |
Provider Name | Mcgregor N Lott |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326263310 PECOS PAC ID: 6204925043 Enrollment ID: I20081027000513 |
Provider Name | Kenyon M Meadows |
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Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1891726451 PECOS PAC ID: 0749286136 Enrollment ID: I20081121000464 |
Provider Name | Isiaka Olawale Sholabi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003854449 PECOS PAC ID: 9133128614 Enrollment ID: I20090414000002 |
Provider Name | Odette A Thomas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235385576 PECOS PAC ID: 1951453299 Enrollment ID: I20090716000467 |
Provider Name | Sigismund S Lee |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194974048 PECOS PAC ID: 4688727431 Enrollment ID: I20090728000048 |
Provider Name | Manel D Nayak |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1902818073 PECOS PAC ID: 1951448216 Enrollment ID: I20091020000252 |
Provider Name | Sridhar Srinivasan |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1750598363 PECOS PAC ID: 4385718634 Enrollment ID: I20091027000428 |
Provider Name | Ashraf I Sedfawy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972761153 PECOS PAC ID: 2769521434 Enrollment ID: I20091209000588 |
Provider Name | William M Rouse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124265426 PECOS PAC ID: 7810037835 Enrollment ID: I20091222000515 |
Provider Name | Jill G Bryant |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306820741 PECOS PAC ID: 6305973371 Enrollment ID: I20100422000810 |
Provider Name | Samer A Zeayter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578543047 PECOS PAC ID: 5395777627 Enrollment ID: I20100726000311 |
Provider Name | Devendra Rao Koganti |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1659334829 PECOS PAC ID: 5698879930 Enrollment ID: I20100826000773 |
Provider Name | Robert M Packer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417948282 PECOS PAC ID: 8224185632 Enrollment ID: I20100827000585 |
Provider Name | Robert R Francilin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538485321 PECOS PAC ID: 8921123100 Enrollment ID: I20100910000829 |
Provider Name | James H Bloodworth |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1235112913 PECOS PAC ID: 5597957043 Enrollment ID: I20101004000124 |
Provider Name | Charles G Caldwell |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1023017555 PECOS PAC ID: 3971575457 Enrollment ID: I20101101001428 |
Provider Name | Dennis A Fields |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356506836 PECOS PAC ID: 5092900308 Enrollment ID: I20101112000198 |
Provider Name | Fritz Jean-pierre |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1770735151 PECOS PAC ID: 1759579915 Enrollment ID: I20110103000875 |
Provider Name | Kurtis Moodie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346413424 PECOS PAC ID: 1254461908 Enrollment ID: I20110214000792 |
Provider Name | Ray Thomas Ross |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1508940651 PECOS PAC ID: 6406955889 Enrollment ID: I20110310000169 |
Provider Name | Aristotle P Cochon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912165192 PECOS PAC ID: 9830368950 Enrollment ID: I20110808000048 |
Provider Name | Jose E Espinel |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1497863211 PECOS PAC ID: 0547240517 Enrollment ID: I20110809000162 |
Provider Name | Mitzi B Tyre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396983227 PECOS PAC ID: 6800065582 Enrollment ID: I20110815000504 |
Provider Name | Yolanda Borders |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841483914 PECOS PAC ID: 9537330774 Enrollment ID: I20110920000932 |
Provider Name | Kristina N Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841426707 PECOS PAC ID: 5991951220 Enrollment ID: I20120801000963 |
Provider Name | Nimi P Patel |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1235410911 PECOS PAC ID: 6103073366 Enrollment ID: I20120823000726 |
Provider Name | Nosheen Azam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184852600 PECOS PAC ID: 5496902017 Enrollment ID: I20120904000193 |
Provider Name | Amaka Eunice Ezimora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
Provider Name | Scott E Mathis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356535322 PECOS PAC ID: 7719132141 Enrollment ID: I20130308000327 |
Provider Name | Angela D Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245580414 PECOS PAC ID: 7911147301 Enrollment ID: I20130708000601 |
Provider Name | Ronnie Tom Oommen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20130723000902 |
Provider Name | Kamalendra N Mondal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033140587 PECOS PAC ID: 9234197369 Enrollment ID: I20130726000469 |
Provider Name | Saadia Aurangzeb Malik |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912209115 PECOS PAC ID: 8325272792 Enrollment ID: I20131018000474 |
Provider Name | Tiffany L Bolden Watkins |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982845897 PECOS PAC ID: 0648404012 Enrollment ID: I20131018000622 |
Provider Name | Victor Hugo Urbieta Caceres |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1386922938 PECOS PAC ID: 7810121282 Enrollment ID: I20131018000646 |
Provider Name | Lashunda Nicole Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245598523 PECOS PAC ID: 9335375443 Enrollment ID: I20131120000824 |
Provider Name | David N Gosselin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548602691 PECOS PAC ID: 6709013519 Enrollment ID: I20131223001296 |
Provider Name | Noah Nathan Chasen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932416401 PECOS PAC ID: 3274780754 Enrollment ID: I20140324001225 |
Provider Name | Richard Lesperance |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194927228 PECOS PAC ID: 4284881459 Enrollment ID: I20140422000582 |
Provider Name | Byron Faler |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1003008236 PECOS PAC ID: 9830322353 Enrollment ID: I20140507000568 |
Provider Name | Gregory Woods |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1720073778 PECOS PAC ID: 7618914581 Enrollment ID: I20140806001389 |
Provider Name | Shaun Robert Brown |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730388976 PECOS PAC ID: 0345468765 Enrollment ID: I20140827001246 |
Provider Name | Mary H Benek |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1689088874 PECOS PAC ID: 9436378627 Enrollment ID: I20140922000601 |
Provider Name | Gazanfar Rahmathulla |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1073750303 PECOS PAC ID: 7911155965 Enrollment ID: I20140923001362 |
Provider Name | Cletus Tanwi Moma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982998373 PECOS PAC ID: 0042446353 Enrollment ID: I20140923001479 |
Provider Name | William Carey Ramsey |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1265537252 PECOS PAC ID: 2163325408 Enrollment ID: I20141003001587 |
Provider Name | Ruchir Puri |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386800852 PECOS PAC ID: 5597906719 Enrollment ID: I20141003001873 |
Provider Name | Tamara Huff |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1932336997 PECOS PAC ID: 9739309543 Enrollment ID: I20141015000823 |
Provider Name | Douglas Adolphson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073767018 PECOS PAC ID: 7113162637 Enrollment ID: I20141022001558 |
Provider Name | Darrell Jack Potter |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1265412605 PECOS PAC ID: 9739078478 Enrollment ID: I20141029001324 |
Provider Name | Ratna M Kunasani |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1104073808 PECOS PAC ID: 6709946197 Enrollment ID: I20141210002238 |
Provider Name | Brian Singleton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134108426 PECOS PAC ID: 5092807370 Enrollment ID: I20150114001762 |
Provider Name | Johnny Washington |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1407007552 PECOS PAC ID: 7416271580 Enrollment ID: I20150120001302 |
Provider Name | Shelly Bansal |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1174793111 PECOS PAC ID: 4688801806 Enrollment ID: I20150302000881 |
Provider Name | Jimmy L Moss |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275845208 PECOS PAC ID: 0143457721 Enrollment ID: I20150327000313 |
Provider Name | Jonathan Caleb Malone |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639223530 PECOS PAC ID: 6305070152 Enrollment ID: I20150410002479 |
Provider Name | Megan Jane Manthe |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104050772 PECOS PAC ID: 6002036050 Enrollment ID: I20150505000242 |
Provider Name | Donald P Prentiss |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1275617839 PECOS PAC ID: 9436130507 Enrollment ID: I20150629001228 |
Provider Name | Roberto J Lopez-vega |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891073482 PECOS PAC ID: 5193945897 Enrollment ID: I20150708001257 |
Provider Name | John Pennington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780657734 PECOS PAC ID: 8426043522 Enrollment ID: I20150728006084 |
Provider Name | Priscilla G Thomas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063656403 PECOS PAC ID: 2668781329 Enrollment ID: I20151020000722 |
Provider Name | Jennifer M Rafus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114007630 PECOS PAC ID: 1456330240 Enrollment ID: I20151020001759 |
Provider Name | Duane L Schonlau |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710208442 PECOS PAC ID: 0547406753 Enrollment ID: I20151030000768 |
Provider Name | Marcus Allen Kater |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821314410 PECOS PAC ID: 7618282385 Enrollment ID: I20151105001585 |
Provider Name | Nancy Danielle Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033586615 PECOS PAC ID: 0042511198 Enrollment ID: I20151215002582 |
Provider Name | Ashley L Cowart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568745354 PECOS PAC ID: 3375701147 Enrollment ID: I20160208000250 |
Provider Name | Ray Kartchner Bradford |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518287176 PECOS PAC ID: 1456665207 Enrollment ID: I20160224002389 |
Provider Name | Julia A Drake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487027967 PECOS PAC ID: 7113224049 Enrollment ID: I20160321001458 |
Provider Name | Edyn B Mckinnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235595604 PECOS PAC ID: 2163711961 Enrollment ID: I20160518001067 |
Provider Name | Jesse Mckinnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407219314 PECOS PAC ID: 5698069953 Enrollment ID: I20160809001733 |
Provider Name | Mandy Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740425479 PECOS PAC ID: 5395030373 Enrollment ID: I20160830001798 |
Provider Name | Tara D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134505118 PECOS PAC ID: 8628365335 Enrollment ID: I20160923001222 |
Provider Name | James R Kisselburg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841434255 PECOS PAC ID: 0648496687 Enrollment ID: I20161004003046 |
Provider Name | Melissa Waters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396197208 PECOS PAC ID: 6305134172 Enrollment ID: I20161011001067 |
Provider Name | Dwelvin L Simmons |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1740247311 PECOS PAC ID: 5890746432 Enrollment ID: I20161220000273 |
Provider Name | Obi Osuji |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730321985 PECOS PAC ID: 7214184753 Enrollment ID: I20170207002421 |
Provider Name | Alicia Thrift |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538604368 PECOS PAC ID: 0648555730 Enrollment ID: I20170403001718 |
Provider Name | John Riggs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689089526 PECOS PAC ID: 0749566115 Enrollment ID: I20170419001866 |
Provider Name | Sara S Knox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760939441 PECOS PAC ID: 2264719731 Enrollment ID: I20170510001948 |
Provider Name | Douglas B Widener |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104088566 PECOS PAC ID: 4284959768 Enrollment ID: I20170511002213 |
Provider Name | Nisha Panicker Aravindakshan-patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942527478 PECOS PAC ID: 6507173770 Enrollment ID: I20170710003102 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |