| Upson Family Medical Center ,llc | |
|
1512 Highway 19 N Thomaston GA 30286-2258 | |
| (706) 647-2641 | |
| Not Available |
| Full Name | Upson Family Medical Center ,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1512 Highway 19 N, Thomaston, Georgia |
| Authorized Official Name and Position | Jeffrey Tarrant (CEO) |
| Authorized Official Contact | 7066478111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upson Family Medical Center ,llc 801 W Gordon St Thomaston GA 30286-3426 Ph: (706) 647-8111 | Upson Family Medical Center ,llc 1512 Highway 19 N Thomaston GA 30286-2258 Ph: (706) 647-2641 |
| NPI Number | 1124528344 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 9032472824 |
|---|---|
| Medicare Enrollment ID | O20180409001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124528344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | George L Capo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154330843 PECOS PAC ID: 6800783820 Enrollment ID: I20040303000498 |
| Provider Name | Bert Puckett Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154423754 PECOS PAC ID: 7315924917 Enrollment ID: I20040702000549 |
| Provider Name | Stewart V Grizzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437201407 PECOS PAC ID: 7416907571 Enrollment ID: I20100902000400 |
| Provider Name | Bridget A Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588949432 PECOS PAC ID: 7517130123 Enrollment ID: I20111026000876 |
| Provider Name | Tammie Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043594369 PECOS PAC ID: 5991971343 Enrollment ID: I20120105000844 |
| Provider Name | Mary S Gamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073884987 PECOS PAC ID: 7113187758 Enrollment ID: I20120320000108 |
| Provider Name | Katie Leigh Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670292 PECOS PAC ID: 3173801552 Enrollment ID: I20161107001036 |
| Provider Name | Jonniece Priester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568974681 PECOS PAC ID: 4981963568 Enrollment ID: I20180108000930 |
| Provider Name | Lisa Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366968729 PECOS PAC ID: 2264791326 Enrollment ID: I20180117001909 |
| Provider Name | Jessica E Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337527 PECOS PAC ID: 8527390137 Enrollment ID: I20191031002657 |
| Provider Name | Lisa G Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104456235 PECOS PAC ID: 8820426455 Enrollment ID: I20200314000001 |
| Provider Name | Michael W Savelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568078483 PECOS PAC ID: 0143631242 Enrollment ID: I20201120002005 |
Upson Family Physicians, Lc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 West Gordon Street, Suite C, Thomaston, GA 30286 Phone: 706-647-7009 Fax: 706-647-7014 | |
Careconnect Convenient Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Deluxe Circle, Suite B, Thomaston, GA 30286 Phone: 706-647-7509 Fax: 706-647-6624 | |
C. Wayne Dodgen, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Jackson Ave, Suite A, Thomaston, GA 30286 Phone: 706-647-8101 Fax: 706-647-8543 | |
Sabrina Lancaster Np-c Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W Main St, Thomaston, GA 30286 Phone: 706-938-4483 Fax: 706-938-0777 | |
Thomaston Internal Medicine,l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346 | |
Thomaston Medical Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229 |