| Medcare | |
|
5612 Whitesville Rd Columbus GA 31904-9031 | |
| (706) 322-2223 | |
| (706) 324-5233 |
| Full Name | Medcare |
|---|---|
| Speciality | Family Medicine |
| Location | 5612 Whitesville Rd, Columbus, Georgia |
| Authorized Official Name and Position | Andrew T Mecca (PRESIDENT) |
| Authorized Official Contact | 7063222223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare 5612 Whitesville Rd Ste A Columbus GA 31904-9031 Ph: (706) 322-2223 | Medcare 5612 Whitesville Rd Columbus GA 31904-9031 Ph: (706) 322-2223 |
| NPI Number | 1508085135 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/09/2019 |
| Medicare PECOS PAC ID | 4183610082 |
|---|---|
| Medicare Enrollment ID | O20040426000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508085135 | NPI | - | NPPES |
| 000540196A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036574 (Georgia) | Primary |
| Provider Name | Andrew Thomas Mecca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659316362 PECOS PAC ID: 3173519071 Enrollment ID: I20040426000021 |
| Provider Name | Heather Marie Scrimpshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306484043 PECOS PAC ID: 9335579960 Enrollment ID: I20200423000552 |
| Provider Name | Juanita Jones-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063927101 PECOS PAC ID: 2466717152 Enrollment ID: I20210408001191 |
| Provider Name | Jessica Swanson Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205566601 PECOS PAC ID: 5597141762 Enrollment ID: I20220926003771 |
| Provider Name | Deanna N Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144914912 PECOS PAC ID: 8820456486 Enrollment ID: I20240112002135 |
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