| Westside Medical | |
|
2660 Montpelier Ave Macon GA 31204-5226 | |
| (478) 743-8316 | |
| (748) 743-1824 |
| Full Name | Westside Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 2660 Montpelier Ave, Macon, Georgia |
| Authorized Official Name and Position | Peter E Allotey (PRESIDENT) |
| Authorized Official Contact | 4787438316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Medical 2660 Montpelier Ave Macon GA 31204-5226 Ph: (478) 743-8316 | Westside Medical 2660 Montpelier Ave Macon GA 31204-5226 Ph: (478) 743-8316 |
| NPI Number | 1770794851 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 5991989014 |
|---|---|
| Medicare Enrollment ID | O20110413000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770794851 | NPI | - | NPPES |
| 300036064A | Medicaid | GA | |
| 11D0993815 | Other | GA | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
| Provider Name | Ralph Jr Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093758294 PECOS PAC ID: 5799797353 Enrollment ID: I20060622000264 |
| Provider Name | Peter E Allotey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164482808 PECOS PAC ID: 6103921499 Enrollment ID: I20070416000093 |
| Provider Name | Sandra Bernette Broomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760948434 PECOS PAC ID: 7416280110 Enrollment ID: I20190612001598 |
| Provider Name | Maureen Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427652114 PECOS PAC ID: 9638582257 Enrollment ID: I20201228001913 |
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 |