| Upson Regional Medical Center | |
|
206 Cherokee Rd Thomaston GA 30286-3402 | |
| (706) 647-8111 | |
| Not Available |
| Full Name | Upson Regional Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 Cherokee Rd, 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 Regional Medical Center Po Box 1059 Thomaston GA 30286-0027 Ph: (706) 647-8111 | Upson Regional Medical Center 206 Cherokee Rd Thomaston GA 30286-3402 Ph: (706) 647-8111 |
| NPI Number | 1700392438 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 8729075536 |
|---|---|
| Medicare Enrollment ID | O20180710001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700392438 | NPI | - | NPPES |
| 003213614A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Tammie Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043594369 PECOS PAC ID: 5991971343 Enrollment ID: I20120105000844 |
| Provider Name | Christina Leigh H Noguera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952734436 PECOS PAC ID: 6204191562 Enrollment ID: I20180607002025 |
| Provider Name | Allison B Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528568706 PECOS PAC ID: 8224381017 Enrollment ID: I20181024002090 |
| Provider Name | Jessica E Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337527 PECOS PAC ID: 8527390137 Enrollment ID: I20191031002657 |
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 | |
Upson Family Medical Center ,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1512 Highway 19 N, Thomaston, GA 30286 Phone: 706-647-2641 | |
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 |