| South Georgia Medicine, P.c. | |
|
1111 20th St E Tifton GA 31794-3689 | |
| (229) 382-9338 | |
| (229) 382-4282 |
| Full Name | South Georgia Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 20th St E, Tifton, Georgia |
| Authorized Official Name and Position | Shirley Vickers Carrington (BILLING MANAGER) |
| Authorized Official Contact | 2293829338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Medicine, P.c. 1111 20th St E Tifton GA 31794-3689 Ph: (229) 382-9338 | South Georgia Medicine, P.c. 1111 20th St E Tifton GA 31794-3689 Ph: (229) 382-9338 |
| NPI Number | 1528126182 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 1951383363 |
|---|---|
| Medicare Enrollment ID | O20040601000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528126182 | NPI | - | NPPES |
| 300029134A | Medicaid | GA | |
| CA5040 | Other | GA | RAILROAD MEDICARE |
| 1023084000 | Other | GA | BCBS |
| 11D090618 | Other | GA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 021582 (Georgia) | Primary |
| Provider Name | Don W. Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780755918 PECOS PAC ID: 9335249424 Enrollment ID: I20070702000369 |
| Provider Name | Margarett A Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477099661 PECOS PAC ID: 1951672039 Enrollment ID: I20170808002243 |
| Provider Name | Misty Leigh Mcgough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942884275 PECOS PAC ID: 9739581414 Enrollment ID: I20210719000757 |
Worksmart Occupational Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4468 Union Rd, Tifton, GA 31794 Phone: 229-353-6320 Fax: 229-353-6343 | |
Southwell Center For Healing And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd, Suite 2, Tifton, GA 31794 Phone: 229-388-9393 Fax: 229-388-9855 | |
Tifton Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 18th St East, Tifton, GA 31794 Phone: 229-382-6414 | |
Gowdy Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Tift Ave N, Suite 202, Tifton, GA 31794 Phone: 770-355-2064 Fax: 229-238-3940 | |
Allhealth Choice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 2nd St E Ste B, Tifton, GA 31794 Phone: 404-996-0086 | |
Careconnect Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Tift Ave N Ste D, Tifton, GA 31794 Phone: 229-382-5554 Fax: 229-382-0530 | |
Tift Regional Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 18th St E, Suite 140, Tifton, GA 31794 Phone: 229-353-4325 |