| Timothy G Grayson, MD | |
|
100 Mimosa Dr, Thomasville, GA 31792-6676 | |
| (229) 228-5500 | |
| Not Available |
| Full Name | Timothy G Grayson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 100 Mimosa Dr, Thomasville, 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 |
|---|---|---|---|
| 1073597753 | NPI | - | NPPES |
| 000841365B | Medicaid | GA | |
| 000841365A | Medicaid | GA | |
| 340017372 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 048050 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Grady General Hospital | Cairo, GA | Hospital |
| Brooks County Hospital | Quitman, GA | Hospital |
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Archbold Medical Group, Inc. | 8123196383 | 68 |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Entity Name | South Georgia Urology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033282231 PECOS PAC ID: 0345221701 Enrollment ID: O20040601000481 |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy G Grayson, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () - | Timothy G Grayson, MD 100 Mimosa Dr, Thomasville, GA 31792-6676 Ph: (229) 228-5500 |
Dr. Jason Odell Burnette, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr, Thomasville, GA 31792 Phone: 229-228-5500 | |
Frank Eugene Glover Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 817 Smith Ave, Thomasville, GA 31792 Phone: 229-227-0086 Fax: 229-227-5929 | |
Dr. Eric Daniel Webb, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr, Thomasville, GA 31792 Phone: 229-228-5500 |