| Sandra L Souza, MD | |
|
2121a Bellevue Rd, Dublin, GA 31021-2998 | |
| (478) 272-1190 | |
| (478) 274-7628 |
| Full Name | Sandra L Souza |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 2121a Bellevue Rd, 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 |
|---|---|---|---|
| 1043203839 | NPI | - | NPPES |
| 000606284H | Medicaid | GA | |
| 000666113D | Medicaid | GA | |
| 300030912A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 39476 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 039476 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Georgia Hospice Care | Dublin, GA | Hospice |
| Georgia Hospice Care | Warner robins, GA | Hospice |
| Fairview Park Hospital | Dublin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Family Care Llc | 4981189610 | 2 |
| Entity Name | Community Service Board of Middle Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689657637 PECOS PAC ID: 3173518644 Enrollment ID: O20040415000940 |
| Entity Name | Grace Family Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922954916 PECOS PAC ID: 4981189610 Enrollment ID: O20260331003129 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra L Souza, MD 1101 E Hillcrest Pkwy, Dublin, GA 31021-2998 Ph: (478) 205-5517 | Sandra L Souza, MD 2121a Bellevue Rd, Dublin, GA 31021-2998 Ph: (478) 272-1190 |
Qiuping A Pan, Family Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veteran Blvd, Dublin, GA 31021 Phone: 478-272-1210 |
Dr. William Dennis Taylor Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 160 Spring Branch Dr, Dublin, GA 31021 Phone: 478-274-8489 |
Kirkland Bain Kolbie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Pkwy, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809 |
David L Tate, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Pkwy, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809 |
Dr. Donald Anthony Davis, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 206 Hospital Dr Ste B, Dublin, GA 31021 Phone: 478-237-7855 |
Mrs. Michelle Lynne Deeves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 Hillcrest Parkway, Dublin, GA 31021 Phone: 478-272-7411 Fax: 478-274-9809 |
Dr. Alayna Mclean, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 W Madison St Ste C, Dublin, GA 31021 Phone: 478-353-1050 Fax: 478-202-9942 |