| Southwest Georgia Center Of Medicine, Llc | |
|
915 Elmo St Americus GA 31709-3710 | |
| (229) 389-2038 | |
| (229) 924-9899 |
| Full Name | Southwest Georgia Center Of Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 915 Elmo St, Americus, Georgia |
| Authorized Official Name and Position | Eric N Codner (OWNER) |
| Authorized Official Contact | 2293892038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Georgia Center Of Medicine, Llc 915 Elmo St Americus GA 31709-3710 Ph: (229) 389-2038 | Southwest Georgia Center Of Medicine, Llc 915 Elmo St Americus GA 31709-3710 Ph: (229) 389-2038 |
| NPI Number | 1730418021 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 04/22/2014 |
| Medicare PECOS PAC ID | 4880729045 |
|---|---|
| Medicare Enrollment ID | O20100315000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730418021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 029865 (Georgia) | Primary |
| Provider Name | Eric N Codner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396766879 PECOS PAC ID: 8224055561 Enrollment ID: I20051028000840 |
| Provider Name | Anthony Ayokunle Olofintuyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144384827 PECOS PAC ID: 6709943566 Enrollment ID: I20090323000043 |
| Provider Name | Katherine Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548650617 PECOS PAC ID: 3971821273 Enrollment ID: I20150417000322 |
| Provider Name | Brandi Michelle Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346917838 PECOS PAC ID: 5799181772 Enrollment ID: I20210831002711 |
Sumter Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 | |
Gsw Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Gsw University Drive, Americus, GA 31709 Phone: 229-931-2225 Fax: 229-931-2143 | |
Sumter Family Medicine & Sports Medicine Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 E Jefferson St, Suite B, Americus, GA 31709 Phone: 229-924-2383 Fax: 229-924-0684 | |
Sumter Orthopedic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 | |
Americus Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 618 E Lamar St, Americus, GA 31709 Phone: 229-928-8355 Fax: 229-928-8358 | |
Careconnect Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Rees St, Americus, GA 31709 Phone: 229-928-4755 Fax: 229-928-4750 | |
Sumter Specialty Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Highway 280 W, Americus, GA 31719 Phone: 229-931-1159 Fax: 229-931-1160 |