| Southern Medical Group | |
|
601 S. Veterans Blvd Glennville GA 30427 | |
| (912) 654-0475 | |
| (912) 654-0486 |
| Full Name | Southern Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 601 S. Veterans Blvd, Glennville, Georgia |
| Authorized Official Name and Position | Jesse B Scott (PARTNER) |
| Authorized Official Contact | 9126540465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Group 601 S. Veterans Blvd Glennville GA 30427 Ph: (912) 654-0475 | Southern Medical Group 601 S. Veterans Blvd Glennville GA 30427 Ph: (912) 654-0475 |
| NPI Number | 1447339015 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 7113828609 |
|---|---|
| Medicare Enrollment ID | O20040116001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447339015 | NPI | - | NPPES |
| 000766114A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000432 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 000432 (Georgia) | Secondary |
| Provider Name | Jesse B Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235213158 PECOS PAC ID: 5496657470 Enrollment ID: I20040121000605 |
| Provider Name | Paul W Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265515019 PECOS PAC ID: 8921076936 Enrollment ID: I20040917000775 |
| Provider Name | Suzannah Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649555178 PECOS PAC ID: 4082880984 Enrollment ID: I20111227000176 |
| Provider Name | Jessica Joyner Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902434145 PECOS PAC ID: 6901210483 Enrollment ID: I20210124000046 |
| Provider Name | April D Mcbroom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654633 PECOS PAC ID: 0143684027 Enrollment ID: I20230911002925 |
Rotary Employee Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Barnard St, Glennville, GA 30427 Phone: 912-654-2694 Fax: 912-654-2695 | |
Southern Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Veterans Blvd, Glennville, GA 30427 Phone: 912-654-0475 Fax: 912-654-0486 | |
Glenville Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Caswell St, Glennville, GA 30427 Phone: 912-654-1080 | |
Your Choice Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 W Barnard St, Glennville, GA 30427 Phone: 478-559-3154 | |
Tattnall Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 N Downing Musgrove Hwy, Glennville, GA 30427 Phone: 912-654-4599 Fax: 912-654-4648 | |
Southern Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Veterans Blvd, Glennville, GA 30427 Phone: 912-654-0475 |