| Dwayne Thomas Gard, MD | |
|
1499 Fair Rd, Statesboro, GA 30458-1683 | |
| (912) 486-1433 | |
| (912) 871-2261 |
| Full Name | Dwayne Thomas Gard |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 21 Years |
| Location | 1499 Fair Rd, 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 |
|---|---|---|---|
| 1053440099 | NPI | - | NPPES |
| 721978496A | Medicaid | GA | |
| 466640 | Other | GA | WELLCARE |
| G60731 | Medicaid | SC | |
| 01352254 | Other | AMERIGROUP | |
| 721978496B | Medicaid | GA | |
| P00803304 | Other | GA | RR MEDICARE |
| P00609441 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 127604 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 060731 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 060731 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Compassus-savannah | Savannah, GA | Hospice |
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statesboro Hma Physician Management Llc | 8820196058 | 23 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| 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 | Hospice Advantage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992261838 PECOS PAC ID: 3779544960 Enrollment ID: O20190821003817 |
| Entity Name | Chronic Disease Management Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Thomas Gard, MD Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 465-7211 | Dwayne Thomas Gard, MD 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1433 |
Dr. Lajide Richard Lawoyin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1433 Fax: 912-871-2261 | |
Uchechukwu P Ezeigwe, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1431 Fax: 912-871-2261 | |
Isaac Dua Fordjour, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1433 Fax: 912-871-2261 |