| Dr Aaron Taylor Clark, MD | |
|
117 Hill Pond Ln, Statesboro, GA 30458-0872 | |
| (912) 623-2155 | |
| (912) 623-2156 |
| Full Name | Dr Aaron Taylor Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 117 Hill Pond Ln, Statesboro, 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 |
|---|---|---|---|
| 1134439581 | NPI | - | NPPES |
| 003109717C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 66012 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Candler County Hospital | Metter, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Authority Of Candler County | 5294623948 | 24 |
| Clark Medical Group Llc | 8820390347 | 2 |
| Entity Name | Hospital Authority Of Candler County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
| Entity Name | Clark Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477927192 PECOS PAC ID: 8820390347 Enrollment ID: O20151230000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aaron Taylor Clark, MD 117 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 623-2155 | Dr Aaron Taylor Clark, MD 117 Hill Pond Ln, Statesboro, GA 30458-0872 Ph: (912) 623-2155 |
Leslie A Pittman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16741 Hwy 67, Suite A, Statesboro, GA 30458 Phone: 912-623-2391 Fax: 912-623-2396 | |
Zachary Mcgalliard, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23702 Us Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 | |
Robert Moore Benson Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458 Phone: 912-764-2273 Fax: 912-489-4762 | |
Sreevalli Dega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 | |
Thaddeus H Riley, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 23702 Hwy 80 E, Statesboro, GA 30458 Phone: 912-489-4090 Fax: 912-765-5028 | |
Iris Kalin Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Brampton Ave, Ste B, Statesboro, GA 30458 Phone: 912-623-2155 Fax: 912-623-5156 |