| Vineville Internal Medicine Llc | |
|
3448 Vineville Ave Macon GA 31204-1867 | |
| (478) 405-0045 | |
| (478) 405-0054 |
| Full Name | Vineville Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3448 Vineville Ave, Macon, Georgia |
| Authorized Official Name and Position | Katie B Andrews (ADMINISTRATION) |
| Authorized Official Contact | 4784050045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineville Internal Medicine Llc 3448 Vineville Ave Macon GA 31204-1867 Ph: (478) 405-0045 | Vineville Internal Medicine Llc 3448 Vineville Ave Macon GA 31204-1867 Ph: (478) 405-0045 |
| NPI Number | 1396955431 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/20/2014 |
| Medicare PECOS PAC ID | 0941281711 |
|---|---|
| Medicare Enrollment ID | O20060223000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396955431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 049552 (Georgia) | Primary |
| Provider Name | Marybell H Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710750 PECOS PAC ID: 0143113902 Enrollment ID: I20040603000023 |
| Provider Name | Brandi S Jernander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760468383 PECOS PAC ID: 0345285581 Enrollment ID: I20050628000301 |
| Provider Name | Shandora D Hayman Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487663480 PECOS PAC ID: 0042241473 Enrollment ID: I20050825000750 |
| Provider Name | Leslie G Tidwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568419216 PECOS PAC ID: 7012017320 Enrollment ID: I20080527000051 |
| Provider Name | James C Thigpen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841369105 PECOS PAC ID: 1951497734 Enrollment ID: I20080529000502 |
| Provider Name | Elisha A Plaxico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992933329 PECOS PAC ID: 0446397442 Enrollment ID: I20091023000407 |
| Provider Name | Kimberly Crump Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043526460 PECOS PAC ID: 5698959534 Enrollment ID: I20110418000564 |
| Provider Name | April G Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101621 PECOS PAC ID: 2769658236 Enrollment ID: I20120104000790 |
| Provider Name | Cherrice Clay-austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821340597 PECOS PAC ID: 0244480317 Enrollment ID: I20121025000678 |
| Provider Name | Daryl F Remick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174956478 PECOS PAC ID: 2860615002 Enrollment ID: I20140515001961 |
| Provider Name | Shannon Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033527254 PECOS PAC ID: 9739308735 Enrollment ID: I20140923001927 |
| Provider Name | Erin Caves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427364611 PECOS PAC ID: 8426370891 Enrollment ID: I20141215001256 |
| Provider Name | Mary Gayle Schnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770958589 PECOS PAC ID: 5597067447 Enrollment ID: I20160108001151 |
| Provider Name | Lauren Lambeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053738054 PECOS PAC ID: 6103121843 Enrollment ID: I20160218000350 |
| Provider Name | Ashley J Dykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235666884 PECOS PAC ID: 6002161247 Enrollment ID: I20180612002201 |
| Provider Name | Krista L Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124585880 PECOS PAC ID: 0840531166 Enrollment ID: I20190412001959 |
| Provider Name | Sarah R Purser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356807507 PECOS PAC ID: 3375886492 Enrollment ID: I20190513001752 |
| Provider Name | Kelsay Mcfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438619 PECOS PAC ID: 3072836816 Enrollment ID: I20191030002271 |
| Provider Name | Jenna Rubin Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164066106 PECOS PAC ID: 6204265556 Enrollment ID: I20200407003482 |
| Provider Name | Jessi Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791146 PECOS PAC ID: 8022324243 Enrollment ID: I20200806001355 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |