| The Wiregrass Medical & Surgical Group Inc | |
|
804 N Wiley Ave Donalsonville GA 39845-1120 | |
| (229) 524-2706 | |
| (229) 524-1272 |
| Full Name | The Wiregrass Medical & Surgical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 804 N Wiley Ave, Donalsonville, Georgia |
| Authorized Official Name and Position | April Clanton Massey (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2295242706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wiregrass Medical & Surgical Group Inc 804 N Wiley Ave Donalsonville GA 39845-1120 Ph: (229) 524-2706 | The Wiregrass Medical & Surgical Group Inc 804 N Wiley Ave Donalsonville GA 39845-1120 Ph: (229) 524-2706 |
| NPI Number | 1083753404 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 8123123387 |
|---|---|
| Medicare Enrollment ID | O20070417000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083753404 | NPI | - | NPPES |
| GRP8001 | Other | GA | MEDICARE GROUP NUMBER |
| Provider Name | Sarah W Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609872217 PECOS PAC ID: 2062410202 Enrollment ID: I20061122000002 |
| Provider Name | Charles O Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851398366 PECOS PAC ID: 5698773836 Enrollment ID: I20061122000003 |
| Provider Name | Gregory L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295815215 PECOS PAC ID: 2668577826 Enrollment ID: I20070417000423 |
| Provider Name | Homer E Breckenridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649371790 PECOS PAC ID: 7113948480 Enrollment ID: I20070417000492 |
| Provider Name | Joseph Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396866943 PECOS PAC ID: 0345317400 Enrollment ID: I20080916000404 |
| Provider Name | Andrea G Alexander |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346433521 PECOS PAC ID: 1759458771 Enrollment ID: I20080917000295 |
| Provider Name | Geary D Bush |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447437082 PECOS PAC ID: 1153570254 Enrollment ID: I20121005000001 |
| Provider Name | Ryan R Shingler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073924676 PECOS PAC ID: 0941500946 Enrollment ID: I20151124000416 |
| Provider Name | Heather Dawn Castleberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770994618 PECOS PAC ID: 3072735281 Enrollment ID: I20170906000898 |
| Provider Name | Allison E Josey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437710852 PECOS PAC ID: 6103157631 Enrollment ID: I20191014002306 |
Southwest Georgia Healthcare Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Marianna Hwy, Donalsonville, GA 39845 Phone: 229-524-1307 Fax: 229-524-6268 | |
Southwest Georgia Healthcare Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2808 Fax: 229-524-1272 | |
Southwest Georgia Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 S Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2232 Fax: 229-524-8766 |