| Oasis Healthcare Service | |
|
2195 Pace St Ste E Covington GA 30014-6657 | |
| (470) 444-1005 | |
| (866) 983-3188 |
| Full Name | Oasis Healthcare Service |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2195 Pace St Ste E, Covington, Georgia |
| Authorized Official Name and Position | Troy Taylor (CEO) |
| Authorized Official Contact | 6789276744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Healthcare Service 2195 Pace St Ste E Covington GA 30014-6657 Ph: (470) 444-1005 | Oasis Healthcare Service 2195 Pace St Ste E Covington GA 30014-6657 Ph: (470) 444-1005 |
| NPI Number | 1912514969 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 9436569928 |
|---|---|
| Medicare Enrollment ID | O20201112001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912514969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Troy Dennis Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194146720 PECOS PAC ID: 4880025063 Enrollment ID: I20200504002888 |
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