| Ocmulgee Physicians, Llc | |
|
446 Poplar St Suite B Macon GA 31201-3336 | |
| (478) 746-0097 | |
| (478) 742-4051 |
| Full Name | Ocmulgee Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 446 Poplar St, Macon, Georgia |
| Authorized Official Name and Position | Alan D Justice (OWNER) |
| Authorized Official Contact | 4787460097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocmulgee Physicians, Llc 446 Poplar St Suite B Macon GA 31201-3336 Ph: (478) 746-0097 | Ocmulgee Physicians, Llc 446 Poplar St Suite B Macon GA 31201-3336 Ph: (478) 746-0097 |
| NPI Number | 1629346416 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 5092972331 |
|---|---|
| Medicare Enrollment ID | O20120130000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629346416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032405 (Georgia) | Primary |
| Provider Name | Alan Dean Justice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114955572 PECOS PAC ID: 0143121228 Enrollment ID: I20100826001032 |
| Provider Name | Jeremiah R Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700049772 PECOS PAC ID: 2466623210 Enrollment ID: I20110927000650 |
| Provider Name | David R Rumph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205802550 PECOS PAC ID: 4789600883 Enrollment ID: I20111003000221 |
| Provider Name | Kelly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388430 PECOS PAC ID: 0749427268 Enrollment ID: I20130430000492 |
| Provider Name | Stephanie M Gaddis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518376482 PECOS PAC ID: 3779703822 Enrollment ID: I20141013001763 |
| Provider Name | Betsy S Mitcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417387382 PECOS PAC ID: 0547575128 Enrollment ID: I20151104000361 |
| Provider Name | Christina Nicole Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871958330 PECOS PAC ID: 2668775008 Enrollment ID: I20160119002543 |
| Provider Name | Tina Saiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316272719 PECOS PAC ID: 9133465834 Enrollment ID: I20190117001638 |
| Provider Name | Lori Denise Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598295719 PECOS PAC ID: 3870833213 Enrollment ID: I20190320002932 |
| Provider Name | Allison Lumsden Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447821244 PECOS PAC ID: 6901204627 Enrollment ID: I20211012000051 |
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 |