| South Georgia Medical Associates, Pc | |
|
410 Connell Rd Valdosta GA 31602-1407 | |
| (229) 244-4720 | |
| Not Available |
| Full Name | South Georgia Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Connell Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Kathi Bruch (ADMINISTRATOR) |
| Authorized Official Contact | 2292444720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Medical Associates, Pc 410 Connell Rd Valdosta GA 31602-1407 Ph: (229) 244-4720 | South Georgia Medical Associates, Pc 410 Connell Rd Valdosta GA 31602-1407 Ph: (229) 244-4720 |
| NPI Number | 1760427959 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 4385601798 |
|---|---|
| Medicare Enrollment ID | O20041217000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760427959 | NPI | - | NPPES |
| 300022100A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Milledge Newton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255369435 PECOS PAC ID: 7517060700 Enrollment ID: I20070308000204 |
| Provider Name | George S Staton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215990098 PECOS PAC ID: 4587796404 Enrollment ID: I20100713000194 |
| Provider Name | Gregory S Beale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497782817 PECOS PAC ID: 3870674435 Enrollment ID: I20101103000760 |
| Provider Name | Lynn S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548298839 PECOS PAC ID: 7315028974 Enrollment ID: I20101103000995 |
| Provider Name | William Douglas Luke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326250036 PECOS PAC ID: 5698915569 Enrollment ID: I20130717000661 |
| Provider Name | Benjamin Lee Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417405176 PECOS PAC ID: 0143517961 Enrollment ID: I20160922001021 |
| Provider Name | Drimalyn C Burgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316421258 PECOS PAC ID: 7810238383 Enrollment ID: I20190410000735 |
| Provider Name | Joseph Bret Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700353547 PECOS PAC ID: 7214278787 Enrollment ID: I20190410000965 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |