| Dr Amy Jordan Eubanks, MD | |
|
204 Allen Memorial Dr Ste 201, Bremen, GA 30110-2062 | |
| (770) 537-6500 | |
| (770) 824-2600 |
| Full Name | Dr Amy Jordan Eubanks |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 204 Allen Memorial Dr Ste 201, Bremen, 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 |
|---|---|---|---|
| 1962441493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 052922 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Kindred At Home | Peachtree city, GA | Home health agency |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Higgins General Hospital | Bremen, GA | Hospital |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc Haralson Family Healthcare Center | 8729997846 | 5 |
| Entity Name | Tmc Haralson Family Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992710610 PECOS PAC ID: 8729997846 Enrollment ID: O20040429000440 |
| Entity Name | Tanner Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
| Entity Name | Elite Healthcare Physical Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669736120 PECOS PAC ID: 8325292212 Enrollment ID: O20130130000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amy Jordan Eubanks, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Dr Amy Jordan Eubanks, MD 204 Allen Memorial Dr Ste 201, Bremen, GA 30110-2062 Ph: (770) 537-6500 |
Samuel L Ogden, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 109b Allen Memorial Dr, Bremen, GA 30110 Phone: 770-537-4900 Fax: 770-537-0907 |