| Dr Joshua J Wilburn, MD | |
|
25 W Lyon St, Tallapoosa, GA 30176-1288 | |
| (770) 824-2800 | |
| (770) 824-2810 |
| Full Name | Dr Joshua J Wilburn |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 25 W Lyon St, Tallapoosa, 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 |
|---|---|---|---|
| 1922365444 | NPI | - | NPPES |
| PENDING | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 077594 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Higgins General Hospital | Bremen, GA | Hospital |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc Tallapoosa Family Healthcare Center | 0042129074 | 3 |
| Entity Name | Tmc Tallapoosa Family Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497760243 PECOS PAC ID: 0042129074 Enrollment ID: O20050809000615 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua J Wilburn, MD 119 Ambulance Dr Ste 202, Carrollton, GA 30117-3857 Ph: (770) 838-8787 | Dr Joshua J Wilburn, MD 25 W Lyon St, Tallapoosa, GA 30176-1288 Ph: (770) 824-2800 |
Gary I Hendricker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 W Lyon St, Tallapoosa, GA 30176 Phone: 770-824-2800 Fax: 770-824-2810 |