| Meadows Multispecialty Associates, Llc | |
|
1707 Meadows Ln Ste G Vidalia GA 30474-7201 | |
| (912) 535-5120 | |
| (912) 535-2015 |
| Full Name | Meadows Multispecialty Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1707 Meadows Ln Ste G, Vidalia, Georgia |
| Authorized Official Name and Position | William Tedrick Johnson (AO/GROUP VICE PRESIDENT) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Multispecialty Associates, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 376-7600 | Meadows Multispecialty Associates, Llc 1707 Meadows Ln Ste G Vidalia GA 30474-7201 Ph: (912) 535-5120 |
| NPI Number | 1952990533 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Medicare PECOS PAC ID | 6002223484 |
|---|---|
| Medicare Enrollment ID | O20210407000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952990533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul J Giles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104827369 PECOS PAC ID: 9234120361 Enrollment ID: I20040519000341 |
| Provider Name | Jeanie L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881705812 PECOS PAC ID: 2668429549 Enrollment ID: I20050404000039 |
| Provider Name | Brenda M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487660353 PECOS PAC ID: 4981621356 Enrollment ID: I20051026000223 |
| Provider Name | Samuel L Featherston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447240510 PECOS PAC ID: 3779508833 Enrollment ID: I20060801000325 |
| Provider Name | Gilbert J Gonzalez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316930464 PECOS PAC ID: 1355344821 Enrollment ID: I20060823000265 |
| Provider Name | Henry D Cline |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093716409 PECOS PAC ID: 0648208017 Enrollment ID: I20070418000278 |
| Provider Name | Amber Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932333291 PECOS PAC ID: 2668528357 Enrollment ID: I20090922000358 |
| Provider Name | Caryn J Masterman Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598767857 PECOS PAC ID: 0547212516 Enrollment ID: I20100226000589 |
| Provider Name | Maria F. Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457344418 PECOS PAC ID: 8527190842 Enrollment ID: I20100721000560 |
| Provider Name | Susanna Moore Meredith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841353687 PECOS PAC ID: 6406988773 Enrollment ID: I20100722000188 |
| Provider Name | Stanley Clifford Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942263884 PECOS PAC ID: 8224104716 Enrollment ID: I20110609000387 |
| Provider Name | Robert Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609874197 PECOS PAC ID: 6507053758 Enrollment ID: I20110811000366 |
| Provider Name | John Mate-kole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558374371 PECOS PAC ID: 3577705755 Enrollment ID: I20130819000331 |
| Provider Name | Mark F Hoerman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366440984 PECOS PAC ID: 3870780026 Enrollment ID: I20131030001871 |
| Provider Name | Christy Lewis Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104149319 PECOS PAC ID: 2163618372 Enrollment ID: I20160805000425 |
| Provider Name | Pate Chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164873121 PECOS PAC ID: 3274819545 Enrollment ID: I20170421000849 |
| Provider Name | Rodney S Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346212248 PECOS PAC ID: 8527006592 Enrollment ID: I20170523002096 |
| Provider Name | Terra Hardeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942716642 PECOS PAC ID: 4486919347 Enrollment ID: I20180523001876 |
| Provider Name | Katherine Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609374776 PECOS PAC ID: 8224386586 Enrollment ID: I20180802000426 |
| Provider Name | Albert A Burton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629064365 PECOS PAC ID: 0042374746 Enrollment ID: I20180827003115 |
| Provider Name | Robert Andrew Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790247633 PECOS PAC ID: 3779826698 Enrollment ID: I20190516001924 |
| Provider Name | Ashley Hill Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427613165 PECOS PAC ID: 5496088734 Enrollment ID: I20190531000981 |
| Provider Name | Kendrix Jermaine Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831325356 PECOS PAC ID: 3678704871 Enrollment ID: I20190825000024 |
| Provider Name | Henry Leon Ferland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891109880 PECOS PAC ID: 6800126103 Enrollment ID: I20190930003188 |
| Provider Name | Angel Gilreath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790336840 PECOS PAC ID: 7214360734 Enrollment ID: I20191213000892 |
| Provider Name | Michael Gilbert Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265842223 PECOS PAC ID: 2769804905 Enrollment ID: I20200617001303 |
| Provider Name | Taylor Alexandria Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779624 PECOS PAC ID: 1850718693 Enrollment ID: I20200825003187 |
| Provider Name | Sarah Hammock Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811510357 PECOS PAC ID: 6305255373 Enrollment ID: I20210503002186 |
| Provider Name | Kristin Elise Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073199204 PECOS PAC ID: 8123437134 Enrollment ID: I20210504001031 |
| Provider Name | Courtney O Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811402829 PECOS PAC ID: 8729488903 Enrollment ID: I20210609001282 |
| Provider Name | Ashlee Nicole Tillery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356876197 PECOS PAC ID: 5193096436 Enrollment ID: I20210813002484 |
| Provider Name | Ashley Nasworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558009985 PECOS PAC ID: 8820479132 Enrollment ID: I20220718003565 |
| Provider Name | Joshua Caleb Pittman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750841359 PECOS PAC ID: 3870963879 Enrollment ID: I20230109002424 |
| Provider Name | Lauren Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043776891 PECOS PAC ID: 1557736295 Enrollment ID: I20230411000524 |
| Provider Name | Marla Kristen Mikell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477335891 PECOS PAC ID: 3476901661 Enrollment ID: I20231129000227 |
Vidalia Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Meadows Medical Group Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Optim Primary Care-vidalia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 | |
Williams Rural Surgical & Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Meadows Ln, Vidalia, GA 30474 Phone: 912-245-4179 Fax: 912-403-3346 |