| Brian C Griner, MD | |
|
3301 N Oak Street Ext, Valdosta, GA 31605-1014 | |
| (229) 242-6061 | |
| (229) 242-6151 |
| Full Name | Brian C Griner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 3301 N Oak Street Ext, Valdosta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366470650 | NPI | - | NPPES |
| 000819706C | Medicaid | GA | |
| 000819706D | Medicaid | GA | |
| 875175410A | Medicaid | GA | |
| 901359126B | Medicaid | GA | |
| 000819706E | Medicaid | GA | |
| 003138857A | Medicaid | GA | |
| 901359126A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 046966 (Georgia) | Secondary |
| 208000000X | Pediatrics | 046966 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Valdosta | Valdosta, GA | Home health agency |
| Suncrest Home Health | Adel, GA | Home health agency |
| Georgia Home Health Services | Valdosta, GA | Home health agency |
| Hospice Of South Georgia | Valdosta, GA | Hospice |
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Sgmc Berrien Campus | Nashville, GA | Hospital |
| Sgmc Lanier Campus | Lakeland, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Medical Center Inc | 1052764677 | 55 |
| Sgmc Physician Network Inc | 4082036843 | 101 |
| Brian C. Griner, Md, Llc | 8921190901 | 5 |
| Entity Name | Hospital Authority Of Valdosta And Lowndes County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160791 PECOS PAC ID: 1355334509 Enrollment ID: O20040405001313 |
| Entity Name | Brian C. Griner, Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083832901 PECOS PAC ID: 8921190901 Enrollment ID: O20070822000767 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Entity Name | South Georgia Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144096553 PECOS PAC ID: 1052764677 Enrollment ID: O20240514000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C Griner, MD 3301 N Oak Street Ext, Valdosta, GA 31605 Ph: (229) 242-6061 | Brian C Griner, MD 3301 N Oak Street Ext, Valdosta, GA 31605-1014 Ph: (229) 242-6061 |
Thomas L Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730 | |
Irene Murema, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-242-1730 | |
Kimberly W Megow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3526 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-241-9500 Fax: 229-241-1047 | |
Cristina Marie Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 W Cranford Ave, Valdosta, GA 31602 Phone: 229-247-7350 Fax: 229-468-0042 | |
Corne Maydell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Kamela Manantan Camon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Northside Dr Ste M, Valdosta, GA 31602 Phone: 229-241-0059 | |
Robert J Criscuola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3331 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2211 Fax: 229-247-9313 |