| Wellness Life Center, Llc | |
|
1842 Us Highway 84 W Cairo GA 39827-4224 | |
| (229) 377-2002 | |
| (229) 377-0930 |
| Full Name | Wellness Life Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1842 Us Highway 84 W, Cairo, Georgia |
| Authorized Official Name and Position | Laura M Odum (PRACTICE MANAGER) |
| Authorized Official Contact | 2293975433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Life Center, Llc 1842 Us Highway 84 W Cairo GA 39827-4224 Ph: (229) 397-5433 | Wellness Life Center, Llc 1842 Us Highway 84 W Cairo GA 39827-4224 Ph: (229) 377-2002 |
| NPI Number | 1255815981 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 1557606779 |
|---|---|
| Medicare Enrollment ID | O20181217001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255815981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan P Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477578599 PECOS PAC ID: 3476626029 Enrollment ID: I20080716000058 |
| Provider Name | S Kendra T Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649288077 PECOS PAC ID: 4082788518 Enrollment ID: I20080801000197 |
| Provider Name | Wendy G Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073968574 PECOS PAC ID: 3577855691 Enrollment ID: I20160825001585 |
| Provider Name | Brian Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396221313 PECOS PAC ID: 6608125448 Enrollment ID: I20180828000610 |
| Provider Name | Temesia Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437616950 PECOS PAC ID: 3274860358 Enrollment ID: I20190813000147 |
The Pediatric Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 4th St Se, Cairo, GA 39828 Phone: 229-377-8560 Fax: 229-377-4606 | |
D/b/a Grady Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 1st Ave Ne, Cairo, GA 39828 Phone: 229-378-2214 Fax: 833-386-7012 | |
Jennifer W. Kendrick Dmd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 N Broad St, Cairo, GA 39828 Phone: 229-377-4204 Fax: 229-377-7753 | |
Angels Of Grace Community Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Martin Luther King Jr Ave Sw, Cairo, GA 39828 Phone: 229-397-9355 | |
Cairo Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 5th St Se, Cairo, GA 39828 Phone: 229-377-1100 | |
Archbold - Grady Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 5th St Se, Cairo, GA 39828 Phone: 229-377-2718 |