| Mr Marshall K Hinds, MD | |
|
706 N Parrish Ave, Adel, GA 31620-1511 | |
| (229) 896-8159 | |
| Not Available |
| Full Name | Mr Marshall K Hinds |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 706 N Parrish Ave, Adel, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780792911 | NPI | - | NPPES |
| 000955248J | Other | GA | GA MEDICAID ID FOR URGENTONE IN SAVANNAH |
| G46909 | Other | SC | SC MEDICAID ID FOR URGENTONE |
| 202I088189 | Other | GA | GA MEDICARE ID FOR URGENTONE |
| P00394402 | Other | GA | RR MEDICARE ID FOR URGENTONE |
| 52002512-009 | Other | GA | BCBS/GA ID FOR URGENTONE IN POOLER |
| GPA892 | Other | SC | SC MEDICAID GROUP ID FOR URGENTONE IN POOLER |
| GPA902 | Other | SC | SC MEDICAID GROUP ID FOR URGENTONE IN |
| 000955248K | Other | GA | GA MEDICAID ID FOR URGENTONE IN POOLER |
| 52002512-008 | Other | GA | BCBS/GA ID FOR URGENTONE IN SAVANNAH |
| CG4057 | Other | GA | RR MEDICARE GROUP ID FOR URGENTONE |
| GRP2837 | Other | GA | GA MEDICARE GROUP ID FOR URGENTONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 051662 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 051662 (Georgia) | Secondary |
| Entity Name | Clinch County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
| 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 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marshall K Hinds, MD 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 896-8159 | Mr Marshall K Hinds, MD 706 N Parrish Ave, Adel, GA 31620-1511 Ph: (229) 896-8159 |