| Preston Family Medicine | |
|
6381 Hamilton St Preston GA 31824-4029 | |
| (229) 828-2118 | |
| Not Available |
| Full Name | Preston Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 6381 Hamilton St, Preston, Georgia |
| Authorized Official Name and Position | Terry N Bryant (OWNER) |
| Authorized Official Contact | 2298282118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Family Medicine 6381 Hamilton St Preston GA 31824-4029 Ph: (229) 828-2273 | Preston Family Medicine 6381 Hamilton St Preston GA 31824-4029 Ph: (229) 828-2118 |
| NPI Number | 1053802553 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 8820342355 |
|---|---|
| Medicare Enrollment ID | O20181119002573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053802553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jill S Olek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154632685 PECOS PAC ID: 1951427095 Enrollment ID: I20100927001004 |
| Provider Name | Lauren Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356871529 PECOS PAC ID: 4587938733 Enrollment ID: I20170927000283 |
| Provider Name | John Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346654407 PECOS PAC ID: 0840412797 Enrollment ID: I20171009000888 |
| Provider Name | Stephanie S Heleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417501750 PECOS PAC ID: 7315278223 Enrollment ID: I20191008000652 |