| Wayne Family Practice Associates, P.c. | |
|
330 Peachtree St Jesup GA 31545-0244 | |
| (912) 427-6964 | |
| (912) 427-0591 |
| Full Name | Wayne Family Practice Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Peachtree St, Jesup, Georgia |
| Authorized Official Name and Position | Gwenell W Lightsey (OFFICE MANAGER) |
| Authorized Official Contact | 9124276964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Family Practice Associates, P.c. Po Box 937 Jesup GA 31598-0937 Ph: (912) 427-6964 | Wayne Family Practice Associates, P.c. 330 Peachtree St Jesup GA 31545-0244 Ph: (912) 427-6964 |
| NPI Number | 1114962487 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 6507851425 |
|---|---|
| Medicare Enrollment ID | O20040419001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114962487 | NPI | - | NPPES |
| 85001314G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin O Keown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083606800 PECOS PAC ID: 1658467428 Enrollment ID: I20071010000404 |
| Provider Name | Tandy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457632721 PECOS PAC ID: 1850565888 Enrollment ID: I20111130000908 |
| Provider Name | Jennifer Holly Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407365265 PECOS PAC ID: 2567721798 Enrollment ID: I20180117000196 |
Lentz Urgent Care & Family Med, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Headley Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S 1st St, Jesup, GA 31545 Phone: 912-427-7400 Fax: 912-385-2953 | |
Golden Isles Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S 1st St, Jesup, GA 31545 Phone: 912-427-8031 Fax: 912-427-8032 | |
Internal Medicine Of Southeast Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 Peachtree St, Jesup, GA 31545 Phone: 912-530-6582 Fax: 912-530-6584 | |
Peach Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Brunswick St, Jesup, GA 31546 Phone: 912-385-2755 Fax: 912-385-2785 | |
Winnie Claire Hicks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Memorial Dr, Jesup, GA 31545 Phone: 912-588-2511 Fax: 912-588-2518 |