| Cianna Pender, | |
|
100 Mimosa Dr, Thomasville, GA 31792-6676 | |
| (229) 226-8881 | |
| (229) 584-5964 |
| Full Name | Cianna Pender |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 100 Mimosa Dr, Thomasville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376832261 | NPI | - | NPPES |
| 2151193 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 76648 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Archbold Medical Group, Inc. | 8123196383 | 68 |
| Entity Name | Hospital Authority Of Mitchell County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700830247 PECOS PAC ID: 6002724598 Enrollment ID: O20031117000138 |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Entity Name | Grady General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
| Entity Name | Brooks County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306890942 PECOS PAC ID: 1557279049 Enrollment ID: O20040316000884 |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Cianna Pender, 100 Mimosa Dr, Thomasville, GA 31792-6676 Ph: (229) 226-8881 | Cianna Pender, 100 Mimosa Dr, Thomasville, GA 31792-6676 Ph: (229) 226-8881 |
Morgan Lane, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Fl 3, Thomasville, GA 31792 Phone: 229-226-8881 | |
Dr. Albert I Richardson Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1019 E Jackson St, Thomasville, GA 31792 Phone: 229-236-6742 Fax: 229-236-6746 | |
Dr. James Llewellyn Story Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 262 Saddlebrook Plantation, Thomasville, GA 31757 Phone: 229-226-0022 |