| Oconee Valley Healthcare Inc | |
|
803 S Main St Greensboro GA 30642-1211 | |
| (706) 453-1201 | |
| (706) 454-0337 |
| Full Name | Oconee Valley Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 S Main St, Greensboro, Georgia |
| Authorized Official Name and Position | Dave Ringer (CEO) |
| Authorized Official Contact | 7064531201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Valley Healthcare Inc 803 S Main St Greensboro GA 30642-1211 Ph: (706) 453-1201 | Oconee Valley Healthcare Inc 803 S Main St Greensboro GA 30642-1211 Ph: (706) 453-1201 |
| NPI Number | 1255433736 |
|---|---|
| Provider Enumeration Date | 09/04/2006 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 0446232268 |
|---|---|
| Medicare Enrollment ID | O20040604000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255433736 | NPI | - | NPPES |
| 000956238A | Medicaid | GA | |
| 336288 | Other | GA | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
| Provider Name | Jeffrey Lawrence Zweig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134155302 PECOS PAC ID: 1658357942 Enrollment ID: I20040628000377 |
| Provider Name | Dave A Ringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992784433 PECOS PAC ID: 3375511785 Enrollment ID: I20040923000380 |
| Provider Name | Sallyann Mitchell Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700854189 PECOS PAC ID: 4587633177 Enrollment ID: I20040930000182 |
| Provider Name | Elizabeth L Coe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124201454 PECOS PAC ID: 4486677366 Enrollment ID: I20060105000818 |
| Provider Name | Peggy D Edmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134368640 PECOS PAC ID: 5294881413 Enrollment ID: I20090914000100 |
| Provider Name | Craig B Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629266937 PECOS PAC ID: 1557487907 Enrollment ID: I20100923000498 |
| Provider Name | Donna Amanda Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881915023 PECOS PAC ID: 8729302724 Enrollment ID: I20150122001559 |
| Provider Name | Joshua M Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437412079 PECOS PAC ID: 0840514709 Enrollment ID: I20150825003795 |
| Provider Name | Nathan Charles Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689057754 PECOS PAC ID: 5991012437 Enrollment ID: I20150916002539 |
| Provider Name | Meagan M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513342 PECOS PAC ID: 1355609538 Enrollment ID: I20171215001636 |
| Provider Name | Itoro Bassey Edet Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508202995 PECOS PAC ID: 9931471232 Enrollment ID: I20181106003100 |
| Provider Name | Tina Marie Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912559311 PECOS PAC ID: 0042505034 Enrollment ID: I20200116002415 |
| Provider Name | Benjamin Goodroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508392333 PECOS PAC ID: 0941565394 Enrollment ID: I20200810002742 |
| Provider Name | Jennifer Lee Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637192 PECOS PAC ID: 4789094111 Enrollment ID: I20201113000484 |
| Provider Name | Steve Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255436986 PECOS PAC ID: 5395886865 Enrollment ID: I20210526003081 |
| Provider Name | Erica Starr Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916682 PECOS PAC ID: 9537561006 Enrollment ID: I20210707002415 |
| Provider Name | Andrew L Tam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053436030 PECOS PAC ID: 4688044092 Enrollment ID: I20221229001982 |
| Provider Name | Christopher Bassett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598758252 PECOS PAC ID: 5698753135 Enrollment ID: I20240216002002 |
Pgh Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinic Way, Ste W-2, Greensboro, GA 30642 Phone: 706-999-0270 Fax: 706-999-0274 | |
Greene County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Greene Co Hlth Dept Dist 10 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Georgia Kidney Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Greene County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Apalachee Ave, Greensboro, GA 30642 Phone: 706-453-7561 Fax: 706-453-9120 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Park Dr, Greensboro, GA 30642 Phone: 706-534-6640 Fax: 706-400-4414 | |
Oconee Valley Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1041 Park Dr, Greensboro, GA 30642 Phone: 706-453-4945 Fax: 706-453-2954 |