| Nicola Presley Revills, MD | |
|
200 Industrial Blvd, Dublin, GA 31021-2997 | |
| (478) 274-3925 | |
| Not Available |
| Full Name | Nicola Presley Revills |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 200 Industrial Blvd, Dublin, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124280268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 003029 (Georgia) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 65784 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Park Hospital | Dublin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| 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 | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Inpatient Consultants Of Georgia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659403970 PECOS PAC ID: 2264539618 Enrollment ID: O20070518000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicola Presley Revills, MD 200 Industrial Blvd, Dublin, GA 31021-2981 Ph: (478) 274-3925 | Nicola Presley Revills, MD 200 Industrial Blvd, Dublin, GA 31021-2997 Ph: (478) 274-3925 |
Jorge B Pisarello, MD Preventive Medicine Medicare: May Accept Medicare Assignments Practice Location: 107 Fairview Park Dr, Dublin, GA 31021 Phone: 478-864-3448 Fax: 478-864-1288 |