| Vicki Lyndall Van, MD | |
|
747 S Hill St, Griffin, GA 30224-4830 | |
| (770) 228-5407 | |
| Not Available |
| Full Name | Vicki Lyndall Van |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 43 Years |
| Location | 747 S Hill St, Griffin, 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 |
|---|---|---|---|
| 1124181086 | NPI | - | NPPES |
| 52023548 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 029811 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Lyndall Van, MD 416 Club Dr, Griffin, GA 30223-7125 Ph: (770) 228-5407 | Vicki Lyndall Van, MD 747 S Hill St, Griffin, GA 30224-4830 Ph: (770) 228-5407 |
Mr. Kenneth Dale Autry, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 S 8th St, Griffin, GA 30224 Phone: 770-228-2273 | |
Mrs. Ashley Newby Finney, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 Holliday Pass, Griffin, GA 30223 Phone: 678-588-3099 | |
David Anthony De La Sierra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 S 8th St, Griffin, GA 30224 Phone: 770-467-1224 Fax: 770-467-1225 | |
Kyong Rok Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 | |
Dr. Turner Mckay Grogan, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
James Gore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 |