| Jonathan Fairley, MD | |
|
3131 S Main St, Moultrie, GA 31768-6925 | |
| (229) 502-9782 | |
| Not Available |
| Full Name | Jonathan Fairley |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 3131 S Main St, Moultrie, 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 |
|---|---|---|---|
| 1174866503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 074820 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colquitt Regional Hospitalists, Llc | 0749568780 | 23 |
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Colquitt Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912099094 PECOS PAC ID: 6204821796 Enrollment ID: O20040415000368 |
| Entity Name | Apogee Medical Group Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
| Entity Name | Statesboro Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Colquitt Regional Hospitalists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851840912 PECOS PAC ID: 0749568780 Enrollment ID: O20161026002551 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Fairley, MD Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 502-9782 | Jonathan Fairley, MD 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 502-9782 |
Mr. James Clyde Lamon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Sunset Circle, Moultrie, GA 31768 Phone: 229-985-5200 Fax: 229-985-1302 | |
Dr. Tre'cherie Arachael Crumbs, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-502-9782 | |
Marianne Laguerre, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3007 2nd St Se, Moultrie, GA 31768 Phone: 516-668-3180 Fax: 229-891-9141 | |
Michael J Dawson Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-785-2400 | |
Francis Kundi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Hospital Park, Moultrie, GA 31768 Phone: 229-986-1156 Fax: 229-985-2205 | |
Pallavi Luthra, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-890-5305 Fax: 229-890-5307 |