| Dr Jamie W Walraven, MD | |
|
2037 Commerce Dr N, Peachtree City, GA 30269-3538 | |
| (678) 364-8414 | |
| (678) 545-0146 |
| Full Name | Dr Jamie W Walraven |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 2037 Commerce Dr N, Peachtree City, 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 |
|---|---|---|---|
| 1750328738 | NPI | - | NPPES |
| 000817022D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 045023 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 045023 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Group Of Columbus Llc | 2668735515 | 41 |
| Entity Name | Georgia Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Entity Name | Gomed, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053706531 PECOS PAC ID: 9537425533 Enrollment ID: O20171107003590 |
| Entity Name | Emergency Group Of Columbus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie W Walraven, MD 105 Governors Sq, Suite E, Fayetteville, GA 30215-4866 Ph: (678) 364-8414 | Dr Jamie W Walraven, MD 2037 Commerce Dr N, Peachtree City, GA 30269-3538 Ph: (678) 364-8414 |
Mrs. Laura Noel Moore, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Line Creek Dr, Peachtree City, GA 30269 Phone: 770-847-8786 | |
James M Desantis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Westpark Ct, Ste 230, Peachtree City, GA 30269 Phone: 770-631-8478 Fax: 770-631-8473 | |
Christi Lee Mccleery, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 529 Pinegate Rd, Peachtree City, GA 30269 Phone: 786-548-1960 |