| Family Health Care Center | |
|
23702 Highway 80 East Statesboro GA 30458 | |
| (912) 489-4090 | |
| (912) 764-5028 |
| Full Name | Family Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 23702 Highway 80 East, Statesboro, Georgia |
| Authorized Official Name and Position | Thad H Riley (OWNER) |
| Authorized Official Contact | 9124894090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Center Po Box 957 Statesboro GA 30459-0957 Ph: (912) 489-4090 | Family Health Care Center 23702 Highway 80 East Statesboro GA 30458 Ph: (912) 489-4090 |
| NPI Number | 1205855988 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/25/2022 |
| Medicare PECOS PAC ID | 4082601299 |
|---|---|
| Medicare Enrollment ID | O20040429000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205855988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 004250 (Georgia) | Primary |
| Provider Name | Angela M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760689319 PECOS PAC ID: 8628134251 Enrollment ID: I20090306000321 |
| Provider Name | Thaddeus H Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104874031 PECOS PAC ID: 4486650322 Enrollment ID: I20100127000370 |
| Provider Name | Alexandra B Weathersby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851790216 PECOS PAC ID: 9830414168 Enrollment ID: I20150209001764 |
| Provider Name | Kelly Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518337278 PECOS PAC ID: 5890099089 Enrollment ID: I20160209001133 |
| Provider Name | Zachary Russell Mcgalliard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013475029 PECOS PAC ID: 2769864941 Enrollment ID: I20220804001816 |
| Provider Name | Kellie Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093301855 PECOS PAC ID: 2567846074 Enrollment ID: I20220901001933 |
East Georgia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459 Phone: 912-764-2273 | |
Statesboro Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Northside Dr E, Suite 200, Statesboro, GA 30458 Phone: 912-764-9684 Fax: 912-489-8676 | |
Gastroenterology Institute, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Brian A Moogerfeld Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1088a Bermuda Run, Statesboro, GA 30458 Phone: 912-681-7111 Fax: 912-871-7794 | |
My Heart Doctor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Rushing Ln, Statesboro, GA 30458 Phone: 912-243-9274 | |
Southeastern Spine And Pain Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1058 Bermuda Run, Statesboro, GA 30458 Phone: 912-542-0444 Fax: 833-639-1102 | |
Total Health Center For Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16741 Highway 67, Suite A, Statesboro, GA 30458 Phone: 912-871-7890 Fax: 912-871-7898 |