| Amy Beck Conner, CPNP-PC | |
|
155 Professional Dr, Baldwin, GA 30511-4000 | |
| (706) 776-2368 | |
| (706) 776-2589 |
| Full Name | Amy Beck Conner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 155 Professional Dr, Baldwin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740525054 | NPI | - | NPPES |
| 003129979B | Medicaid | GA | |
| 003129979E | Medicaid | GA | |
| 003129979C | Medicaid | GA | |
| 003129979A | Medicaid | GA | |
| 003129979D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN-NP194985 (Georgia) | Primary |
| Entity Name | Northeast Georgia Community Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881583730 PECOS PAC ID: 3274010582 Enrollment ID: O20260116002133 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Beck Conner, CPNP-PC Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Amy Beck Conner, CPNP-PC 155 Professional Dr, Baldwin, GA 30511-4000 Ph: (706) 776-2368 |
Ms. Tina Carita Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 184 Professional Dr Unit A, Baldwin, GA 30511 Phone: 706-894-2714 Fax: 706-894-2715 |
Christy A Floyd, R.N., CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Professional Dr, Baldwin, GA 30511 Phone: 706-776-2368 Fax: 706-776-2589 |
Cheryl Glover, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Professional Dr, Baldwin, GA 30511 Phone: 706-776-2368 Fax: 706-776-2589 |
Maureen Burnham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Highway 441 Byp, Baldwin, GA 30511 Phone: 706-407-0100 Fax: 770-888-9998 |