| Jerry David Phillips Jr, MD | |
|
1518 Miluli Ave, Bainbridge, GA 39819-4866 | |
| (229) 248-8500 | |
| (229) 248-8600 |
| Full Name | Jerry David Phillips Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1518 Miluli Ave, Bainbridge, 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 |
|---|---|---|---|
| 1134133523 | NPI | - | NPPES |
| 00749845F | Medicaid | GA | |
| 08BBQVZ | Other | GA | MEDICARE-ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042107 (Georgia) | Primary |
| 174400000X | Specialist | 042107 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Bainbridge, GA | Home health agency |
| Integrity Hospice | Eastman, GA | Hospice |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Miller County Hospital | Colquitt, GA | Hospital |
| Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry David Phillips Jr, MD 1518 Miluli Ave, Bainbridge, GA 39819-4866 Ph: (229) 248-8500 | Jerry David Phillips Jr, MD 1518 Miluli Ave, Bainbridge, GA 39819-4866 Ph: (229) 248-8500 |
Ladonna M Bass, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 S West St, Bainbridge, GA 39819 Phone: 229-246-8850 | |
Dr. Omar Al Haddad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 E Evans St, Memorial Hospital And Manor, Bainbridge, GA 39819 Phone: 229-243-3361 Fax: 229-243-3371 | |
Dr. Gloria Browne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 Amelia Ave, Bainbridge, GA 39819 Phone: 229-243-6900 Fax: 229-243-6919 | |
Dr. Zacharey Alan Powell, DNP, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Shotwell St, Bainbridge, GA 39819 Phone: 229-220-9301 | |
Dr. Darrell Shawn Surratt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 603 Wheat Ave, Suite 700, Bainbridge, GA 39819 Phone: 229-243-8462 |