Utm Of Georgia Physicians Llc - Medicare Primary Care in Fort Oglethorpe, GA

Utm Of Georgia Physicians Llc is a medicare enrolled primary clinic (Family Medicine) in Fort Oglethorpe, Georgia. The current practice location for Utm Of Georgia Physicians Llc is 400 Battlefield Pkwy, Fort Oglethorpe, Georgia. For appointments, you can reach them via phone at (615) 988-2009. The mailing address for Utm Of Georgia Physicians Llc is 30 Burton Hills Blvd Ste 175, Nashville, Tennessee and phone number is (615) 988-2009.

Utm Of Georgia Physicians Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255893038. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 988-2009.

Contact Information

Utm Of Georgia Physicians Llc
400 Battlefield Pkwy
Fort Oglethorpe
GA 30742-3847
(615) 988-2009
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameUtm Of Georgia Physicians Llc
SpecialityFamily Medicine
Location400 Battlefield Pkwy, Fort Oglethorpe, Georgia
Authorized Official Name and PositionRudy Blank (CFO)
Authorized Official Contact6159882005
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
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 Details:

NPI Number1255893038
Provider Enumeration Date04/02/2019
Last Update Date05/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5991138307
Medicare Enrollment IDO20191125002037

Medical Identifiers

Medical identifiers for Utm Of Georgia Physicians Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255893038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261Q00000XClinic/center (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Utm Of Georgia Physicians Llc acts as a billing entity for following providers:
Provider NameBeverly B Beltran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639159569
PECOS PAC ID: 9436114089
Enrollment ID: I20041123000792
Provider NameJon H Risley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417923293
PECOS PAC ID: 9032183595
Enrollment ID: I20061005000368
Provider NameNicole B Swiger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780691303
PECOS PAC ID: 2062510837
Enrollment ID: I20070604000123
Provider NameLeanne D Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407152838
PECOS PAC ID: 1951584705
Enrollment ID: I20110331000783
Provider NameWilliam E Meadows
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396787495
PECOS PAC ID: 6608780325
Enrollment ID: I20120213000008
Provider NameDerek Heldzinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336442037
PECOS PAC ID: 6002078623
Enrollment ID: I20120427000071
Provider NameAmy Danielle Daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235478025
PECOS PAC ID: 6204072689
Enrollment ID: I20130410000358
Provider NameJohannes D Engelbrecht
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811282346
PECOS PAC ID: 6800028515
Enrollment ID: I20140807002273
Provider NameJanet M. Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497054910
PECOS PAC ID: 0840476644
Enrollment ID: I20150831001713
Provider NameJonathan A Drumm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164821054
PECOS PAC ID: 2466760293
Enrollment ID: I20150929000556
Provider NameZachary David Ownbey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497131924
PECOS PAC ID: 0042529919
Enrollment ID: I20151014003410
Provider NameAnthony Philip Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487092656
PECOS PAC ID: 9335459981
Enrollment ID: I20151110002695
Provider NameFrankie H White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548608813
PECOS PAC ID: 0547582561
Enrollment ID: I20160811001996
Provider NameMarie Blaize
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1275979205
PECOS PAC ID: 0941521298
Enrollment ID: I20160823000826
Provider NameFarzeen A Khurram
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710381926
PECOS PAC ID: 0840575585
Enrollment ID: I20170321001604
Provider NameRachel Marie Goode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710427760
PECOS PAC ID: 1355626433
Enrollment ID: I20170403001392
Provider NamePrincess Bejacmar Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679082549
PECOS PAC ID: 0749547578
Enrollment ID: I20171201002138
Provider NameBrandi Spikes Mathis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700301538
PECOS PAC ID: 1052657681
Enrollment ID: I20190117003496
Provider NameJohanna Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295202323
PECOS PAC ID: 2769716786
Enrollment ID: I20190625003728
Provider NameAllison Heidi Pledger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306498118
PECOS PAC ID: 5597095372
Enrollment ID: I20190920000699
Provider NamePatricia Ann Torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215598131
PECOS PAC ID: 9931531183
Enrollment ID: I20191109000058
Provider NameTracy G Gartman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073557211
PECOS PAC ID: 9436325412
Enrollment ID: I20200106003117
Provider NameTaylor Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659932978
PECOS PAC ID: 6709215189
Enrollment ID: I20200406002980
Provider NameVarsha Vera Whitmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295369957
PECOS PAC ID: 0840620282
Enrollment ID: I20200425000211
Provider NameSelina Michelle Fambro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215548003
PECOS PAC ID: 2961821830
Enrollment ID: I20200925000592
Provider NameMarlin Calvin Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245847367
PECOS PAC ID: 5890115034
Enrollment ID: I20201009000183
Provider NameBrandy L Bentley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922620798
PECOS PAC ID: 0042630089
Enrollment ID: I20201013003164
Provider NameDena Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790165827
PECOS PAC ID: 9638462518
Enrollment ID: I20210215000235
Provider NameKristen C Slade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144995242
PECOS PAC ID: 6103223706
Enrollment ID: I20210924000293
Provider NameSheryl A Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255819603
PECOS PAC ID: 1355734138
Enrollment ID: I20220201000656
Provider NameRuth Moze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205206893
PECOS PAC ID: 9830503069
Enrollment ID: I20220307000104
Provider NameAndrew Holding Thornton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336469295
PECOS PAC ID: 2062647134
Enrollment ID: I20220618000208
Provider NameHeather Tinker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033730130
PECOS PAC ID: 1951710813
Enrollment ID: I20220728000544
Provider NameNyeshia Sherelle Cohill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194355859
PECOS PAC ID: 6103289210
Enrollment ID: I20230822003849
Provider NameStacy Patrick Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366122632
PECOS PAC ID: 3173986114
Enrollment ID: I20230824000644
Provider NameMelissa Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831972017
PECOS PAC ID: 8022463801
Enrollment ID: I20231013002430
Provider NameMichelle Kathryn Kadetz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194406330
PECOS PAC ID: 0244689610
Enrollment ID: I20231211001239

Reviews and Comments


Family Medicine in Fort Oglethorpe, GA

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Phone: 706-858-0252    Fax: 706-858-0323
Primary Health Care Center Of Dade, Inc.
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Medicare: Medicare Enrolled
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Phone: 706-866-5520    Fax: 706-657-2958
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Medicare: Medicare Enrolled
Practice Location: 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742
Phone: 423-979-5804    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.