| Justin Mcivor Law, MD | |
|
1400 Coleman Ave, Macon, GA 31207-0001 | |
| (478) 301-2700 | |
| Not Available |
| Full Name | Justin Mcivor Law |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1400 Coleman Ave, Macon, 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 |
|---|---|---|---|
| 1962750323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 076754 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 72978 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Mitchell County Hospital | Camilla, GA | Hospital |
| Grady General Hospital | Cairo, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Consolidated Emergency Services Llc | 2860792066 | 56 |
| Southland Emergency Medical Services Llc | 3779701743 | 26 |
| Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 47 |
| Emergency Medical Care Facilities Pc | 6103837877 | 42 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
| Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
| Entity Name | Southland Cochran Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
| Entity Name | Southland Taylor Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Entity Name | Southland Chatuge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
| Entity Name | Southland Union Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
| Entity Name | Southland Dodge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Mcivor Law, MD 1400 Coleman Ave, Macon, GA 31207-0001 Ph: (478) 301-2700 | Justin Mcivor Law, MD 1400 Coleman Ave, Macon, GA 31207-0001 Ph: (478) 301-2700 |
Sriramakrishna Rao Koganti, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-751-0367 | |
Sam G Amporful, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Riverside Drive Lane, Macon, GA 31201 Phone: 478-259-3439 Fax: 478-254-2733 | |
Dr. Allison Harriott, MD MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-765-7000 | |
Dr. Philip Enrique Chung, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 College St, Macon, GA 31207 Phone: 678-790-0729 | |
Lisa Kirkland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 770-994-9326 Fax: 770-994-4747 | |
Lloyd Harrington, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Msc 10, Macon, GA 31201 Phone: 478-633-7707 | |
Dr. Daryl Franklin Remick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3448 Vineville Ave, Macon, GA 31204 Phone: 478-405-0045 Fax: 478-405-0054 |