| North Georgia Primary Care Pc | |
|
14 Sammy Mcghee Blvd Ste 204 Jasper GA 30143-7723 | |
| (706) 253-3842 | |
| (706) 253-3842 |
| Full Name | North Georgia Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14 Sammy Mcghee Blvd Ste 204, Jasper, Georgia |
| Authorized Official Name and Position | Marjorie S Buchanan (PRACTICE MANAGER) |
| Authorized Official Contact | 7066334132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Primary Care Pc 14 Sammy Mcghee Blvd Ste 204 Jasper GA 30143-7723 Ph: (706) 253-3842 | North Georgia Primary Care Pc 14 Sammy Mcghee Blvd Ste 204 Jasper GA 30143-7723 Ph: (706) 253-3842 |
| NPI Number | 1558562181 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 9436110061 |
|---|---|
| Medicare Enrollment ID | O20041026000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558562181 | NPI | - | NPPES |
| 000412618I | Medicaid | GA | |
| 762424450A | Medicaid | GA | |
| GRP4247 | Other | GA | MEDICARE GROUP FOR NORTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032586 (Georgia) | Primary |
| Provider Name | Jason A. Berner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144201781 PECOS PAC ID: 0143228593 Enrollment ID: I20061117000428 |
| Provider Name | Bryan Douglas Hooker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083600605 PECOS PAC ID: 3870554405 Enrollment ID: I20110830000578 |
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