Utm Of Georgia Physicians Llc | |
400 Battlefield Pkwy Fort Oglethorpe GA 30742-3847 | |
(615) 988-2009 | |
Not Available |
Full Name | Utm Of Georgia Physicians Llc |
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Speciality | Family Medicine |
Location | 400 Battlefield Pkwy, Fort Oglethorpe, Georgia |
Authorized Official Name and Position | Rudy Blank (CFO) |
Authorized Official Contact | 6159882005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Utm Of Georgia Physicians Llc 30 Burton Hills Blvd Ste 175 Nashville TN 37215-6403 Ph: (615) 988-2009 | Utm Of Georgia Physicians Llc 400 Battlefield Pkwy Fort Oglethorpe GA 30742-3847 Ph: (615) 988-2009 |
NPI Number | 1255893038 |
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Provider Enumeration Date | 04/02/2019 |
Last Update Date | 05/05/2023 |
Medicare PECOS PAC ID | 5991138307 |
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Medicare Enrollment ID | O20191125002037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255893038 | NPI | - | NPPES |
Provider Name | Beverly B Beltran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639159569 PECOS PAC ID: 9436114089 Enrollment ID: I20041123000792 |
Provider Name | Jon H Risley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417923293 PECOS PAC ID: 9032183595 Enrollment ID: I20061005000368 |
Provider Name | Nicole B Swiger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780691303 PECOS PAC ID: 2062510837 Enrollment ID: I20070604000123 |
Provider Name | Leanne D Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407152838 PECOS PAC ID: 1951584705 Enrollment ID: I20110331000783 |
Provider Name | William E Meadows |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396787495 PECOS PAC ID: 6608780325 Enrollment ID: I20120213000008 |
Provider Name | Derek Heldzinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336442037 PECOS PAC ID: 6002078623 Enrollment ID: I20120427000071 |
Provider Name | Amy Danielle Daniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235478025 PECOS PAC ID: 6204072689 Enrollment ID: I20130410000358 |
Provider Name | Johannes D Engelbrecht |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811282346 PECOS PAC ID: 6800028515 Enrollment ID: I20140807002273 |
Provider Name | Janet M. Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497054910 PECOS PAC ID: 0840476644 Enrollment ID: I20150831001713 |
Provider Name | Jonathan A Drumm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164821054 PECOS PAC ID: 2466760293 Enrollment ID: I20150929000556 |
Provider Name | Zachary David Ownbey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497131924 PECOS PAC ID: 0042529919 Enrollment ID: I20151014003410 |
Provider Name | Anthony Philip Carter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487092656 PECOS PAC ID: 9335459981 Enrollment ID: I20151110002695 |
Provider Name | Frankie H White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548608813 PECOS PAC ID: 0547582561 Enrollment ID: I20160811001996 |
Provider Name | Marie Blaize |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1275979205 PECOS PAC ID: 0941521298 Enrollment ID: I20160823000826 |
Provider Name | Farzeen A Khurram |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710381926 PECOS PAC ID: 0840575585 Enrollment ID: I20170321001604 |
Provider Name | Rachel Marie Goode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710427760 PECOS PAC ID: 1355626433 Enrollment ID: I20170403001392 |
Provider Name | Princess Bejacmar Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679082549 PECOS PAC ID: 0749547578 Enrollment ID: I20171201002138 |
Provider Name | Brandi Spikes Mathis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700301538 PECOS PAC ID: 1052657681 Enrollment ID: I20190117003496 |
Provider Name | Johanna Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295202323 PECOS PAC ID: 2769716786 Enrollment ID: I20190625003728 |
Provider Name | Allison Heidi Pledger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306498118 PECOS PAC ID: 5597095372 Enrollment ID: I20190920000699 |
Provider Name | Patricia Ann Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215598131 PECOS PAC ID: 9931531183 Enrollment ID: I20191109000058 |
Provider Name | Tracy G Gartman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073557211 PECOS PAC ID: 9436325412 Enrollment ID: I20200106003117 |
Provider Name | Taylor Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659932978 PECOS PAC ID: 6709215189 Enrollment ID: I20200406002980 |
Provider Name | Varsha Vera Whitmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295369957 PECOS PAC ID: 0840620282 Enrollment ID: I20200425000211 |
Provider Name | Selina Michelle Fambro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215548003 PECOS PAC ID: 2961821830 Enrollment ID: I20200925000592 |
Provider Name | Marlin Calvin Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245847367 PECOS PAC ID: 5890115034 Enrollment ID: I20201009000183 |
Provider Name | Brandy L Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922620798 PECOS PAC ID: 0042630089 Enrollment ID: I20201013003164 |
Provider Name | Dena Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790165827 PECOS PAC ID: 9638462518 Enrollment ID: I20210215000235 |
Provider Name | Kristen C Slade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144995242 PECOS PAC ID: 6103223706 Enrollment ID: I20210924000293 |
Provider Name | Sheryl A Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255819603 PECOS PAC ID: 1355734138 Enrollment ID: I20220201000656 |
Provider Name | Ruth Moze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205206893 PECOS PAC ID: 9830503069 Enrollment ID: I20220307000104 |
Provider Name | Andrew Holding Thornton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336469295 PECOS PAC ID: 2062647134 Enrollment ID: I20220618000208 |
Provider Name | Heather Tinker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033730130 PECOS PAC ID: 1951710813 Enrollment ID: I20220728000544 |
Provider Name | Nyeshia Sherelle Cohill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194355859 PECOS PAC ID: 6103289210 Enrollment ID: I20230822003849 |
Provider Name | Stacy Patrick Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366122632 PECOS PAC ID: 3173986114 Enrollment ID: I20230824000644 |
Provider Name | Melissa Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831972017 PECOS PAC ID: 8022463801 Enrollment ID: I20231013002430 |
Provider Name | Michelle Kathryn Kadetz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194406330 PECOS PAC ID: 0244689610 Enrollment ID: I20231211001239 |
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