| Stephens County Hospital Physician Group Llc | |
|
163 Hospital Dr Toccoa GA 30577-6820 | |
| (706) 282-4200 | |
| (706) 886-8045 |
| Full Name | Stephens County Hospital Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 163 Hospital Dr, Toccoa, Georgia |
| Authorized Official Name and Position | Michael Hester (CEO) |
| Authorized Official Contact | 7062824200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens County Hospital Physician Group Llc 163 Hospital Dr Toccoa GA 30577-6820 Ph: (706) 282-4200 | Stephens County Hospital Physician Group Llc 163 Hospital Dr Toccoa GA 30577-6820 Ph: (706) 282-4200 |
| NPI Number | 1659761955 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 06/19/2020 |
| Medicare PECOS PAC ID | 7012219306 |
|---|---|
| Medicare Enrollment ID | O20160104001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659761955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Mark Eric Leimbach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104878404 PECOS PAC ID: 6608862784 Enrollment ID: I20040423000253 |
| Provider Name | Pradyumna E Tummala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427000959 PECOS PAC ID: 5193711299 Enrollment ID: I20040423000371 |
| Provider Name | David L Hatmaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578540340 PECOS PAC ID: 7810987948 Enrollment ID: I20040512001174 |
| Provider Name | Jim R Wade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700860913 PECOS PAC ID: 3678461522 Enrollment ID: I20040709000741 |
| Provider Name | Russell F Pruitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992886667 PECOS PAC ID: 2860440930 Enrollment ID: I20050105000490 |
| Provider Name | John J Marshall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184676413 PECOS PAC ID: 9931152063 Enrollment ID: I20050301000242 |
| Provider Name | Christopher M Vaughn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861404295 PECOS PAC ID: 8022065283 Enrollment ID: I20050331000533 |
| Provider Name | Larry A Fritchman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790747541 PECOS PAC ID: 1951307388 Enrollment ID: I20061009000036 |
| Provider Name | Stephen T Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508070897 PECOS PAC ID: 5395845630 Enrollment ID: I20070716000303 |
| Provider Name | Anthony Castro-poveda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053491654 PECOS PAC ID: 4688714132 Enrollment ID: I20091215000208 |
| Provider Name | Allison Dupont |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669698510 PECOS PAC ID: 1850483371 Enrollment ID: I20100910000870 |
| Provider Name | Charlotte A Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124380761 PECOS PAC ID: 8921264896 Enrollment ID: I20120720000249 |
| Provider Name | Charles Fotuchang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477781805 PECOS PAC ID: 1850435413 Enrollment ID: I20160308002195 |
| Provider Name | Cecil E Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295056067 PECOS PAC ID: 3173779378 Enrollment ID: I20160603000116 |
| Provider Name | Kathryn Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174966139 PECOS PAC ID: 5395034268 Enrollment ID: I20170921002327 |
| Provider Name | Anthony Iluyomade |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437554250 PECOS PAC ID: 8022352855 Enrollment ID: I20181205003466 |
| Provider Name | Anita Carol English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124689856 PECOS PAC ID: 7113256876 Enrollment ID: I20190906000454 |
| Provider Name | Kalpesh Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740717669 PECOS PAC ID: 3971879248 Enrollment ID: I20200709000300 |
| Provider Name | Robert Quick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255868196 PECOS PAC ID: 3375819642 Enrollment ID: I20200727000395 |
| Provider Name | Corey B Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139026 PECOS PAC ID: 2961822473 Enrollment ID: I20201022002452 |
| Provider Name | Sydney Elise Caudell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558091827 PECOS PAC ID: 3375927304 Enrollment ID: I20220825000536 |
| Provider Name | Howard Thompson Walpole |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407800113 PECOS PAC ID: 9537198379 Enrollment ID: I20230112000616 |
| Provider Name | Marion Mcmillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427037167 PECOS PAC ID: 9234220518 Enrollment ID: I20230830002845 |
Toccoa Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 Falls Rd, Toccoa, GA 30577 Phone: 706-886-0088 | |
Dba Physical Therapy Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Hayes St, Toccoa, GA 30577 Phone: 706-886-3883 Fax: 706-886-3812 | |
Lavonia Clinic Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-3148 | |
Harry C Mcdonald, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Falls Rd, Toccoa, GA 30577 Phone: 706-886-8476 Fax: 706-282-0134 | |
Stephens County Hospital Physician Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Falls Rd, Toccoa, GA 30577 Phone: 706-282-5840 Fax: 706-898-5344 | |
Stephens County Hospital Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Dr, Toccoa, GA 30577 Phone: 706-282-5860 Fax: 706-282-5869 |