| Southern Medicine Of Baxley | |
|
275 North Main Street Baxley GA 31513 | |
| (407) 403-2228 | |
| Not Available |
| Full Name | Southern Medicine Of Baxley |
|---|---|
| Speciality | Clinic/Center |
| Location | 275 North Main Street, Baxley, Georgia |
| Authorized Official Name and Position | Amy Causey (EMPLOYEES) |
| Authorized Official Contact | 9127857022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medicine Of Baxley 275 N Main St Baxley GA 31513-0516 Ph: (912) 785-7022 | Southern Medicine Of Baxley 275 North Main Street Baxley GA 31513 Ph: (407) 403-2228 |
| NPI Number | 1578113940 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 2264862382 |
|---|---|
| Medicare Enrollment ID | O20200413003415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578113940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Selina E Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164416723 PECOS PAC ID: 1052390135 Enrollment ID: I20040714000736 |
Appling Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Tollison St Ste B, Baxley, GA 31513 Phone: 912-367-0102 Fax: 912-367-9966 | |
Telehealth Resources, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 North Main Street, Suite B, Baxley, GA 31513 Phone: 912-208-3824 Fax: 912-705-9111 | |
Baxley Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Main St, Baxley, GA 31513 Phone: 912-367-9112 Fax: 912-367-6233 | |
South Georgia Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 654 S Main St, Baxley, GA 31513 Phone: 912-367-4122 Fax: 912-367-4136 | |
Family Medicine Of Baxley Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 S Main St, Baxley, GA 31513 Phone: 912-705-1227 Fax: 912-705-0673 | |
Appling Total Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 City Circle Rd Bldg B, Baxley, GA 31513 Phone: 912-705-1939 | |
Bruce M. Gioia, Md, Pa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 S Main St, Baxley, GA 31513 Phone: 912-705-0781 Fax: 912-705-0154 |