| Southern Neurodiagnostics Llc | |
|
5357 Shiloh Rd Hahira GA 31632-2321 | |
| (229) 740-7639 | |
| (884) 638-8738 |
| Full Name | Southern Neurodiagnostics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5357 Shiloh Rd, Hahira, Georgia |
| Authorized Official Name and Position | Darin Melvin (NP/OWNER) |
| Authorized Official Contact | 2297407663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Neurodiagnostics Llc 5357 Shiloh Rd Hahira GA 31632-2321 Ph: (292) 740-7639 | Southern Neurodiagnostics Llc 5357 Shiloh Rd Hahira GA 31632-2321 Ph: (229) 740-7639 |
| NPI Number | 1568769974 |
|---|---|
| Provider Enumeration Date | 02/21/2011 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 9234311978 |
|---|---|
| Medicare Enrollment ID | O20110316000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568769974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 054374 (Georgia) | Primary |
| Provider Name | Jarod F Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649432733 PECOS PAC ID: 4688842198 Enrollment ID: I20110727000221 |
| Provider Name | Darin Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386074680 PECOS PAC ID: 8325220072 Enrollment ID: I20140409002151 |
G And G Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 East Main Street, Hahira, GA 31632 Phone: 229-794-1794 Fax: 229-794-9794 | |
Drs G Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Main St, Hahira, GA 31632 Phone: 229-794-1794 | |
Thomas Hart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4510 Mahan Dr, Hahira, GA 31632 Phone: 229-560-0252 |