| Nicholas A Pietrzak, Md, Llc | |
|
3951 Ridge Ave Ste B Macon GA 31210-5050 | |
| (478) 757-1934 | |
| (478) 757-1596 |
| Full Name | Nicholas A Pietrzak, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3951 Ridge Ave, Macon, Georgia |
| Authorized Official Name and Position | Kim Cook (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4787571934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas A Pietrzak, Md, Llc 3951 Ridge Ave Ste B Macon GA 31210-5050 Ph: (478) 757-1934 | Nicholas A Pietrzak, Md, Llc 3951 Ridge Ave Ste B Macon GA 31210-5050 Ph: (478) 757-1934 |
| NPI Number | 1285837716 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 06/07/2010 |
| Medicare PECOS PAC ID | 6608039136 |
|---|---|
| Medicare Enrollment ID | O20120521000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285837716 | NPI | - | NPPES |
| 00834413D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044308 (Georgia) | Primary |
| Provider Name | Nicholas A Pietrzak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792034 PECOS PAC ID: 1850554387 Enrollment ID: I20120521000587 |
| Provider Name | Amanda J Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518372937 PECOS PAC ID: 4688975667 Enrollment ID: I20151216001374 |
| Provider Name | Tyler Kael Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796501 PECOS PAC ID: 4688099781 Enrollment ID: I20200806002079 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |