| Archie Thomas Kirkley, PA-C | |
|
125 Church St, Vidalia, GA 30474-4770 | |
| (912) 538-8484 | |
| (912) 538-8665 |
| Full Name | Archie Thomas Kirkley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 125 Church St, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427436393 | NPI | - | NPPES |
| 007567 | Other | GA | GEORGIA COMPOSITE MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7567 (Georgia) | Primary |
| Entity Name | Meadows Multispecialty Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952990533 PECOS PAC ID: 6002223484 Enrollment ID: O20210407000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Archie Thomas Kirkley, PA-C 125 Church St, Vidalia, GA 30474-4770 Ph: (912) 538-8484 | Archie Thomas Kirkley, PA-C 125 Church St, Vidalia, GA 30474-4770 Ph: (912) 538-8484 |
Mr. James R Payne, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |
Emily Paige Berryhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |
Hunter E Lynn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St # A, Vidalia, GA 30474 Phone: 912-537-4411 |
Mr. Alex Pierce, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1013 E 1st St, Vidalia, GA 30474 Phone: 912-538-7702 |
Dianne S Mixon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474 Phone: 912-537-9488 Fax: 912-537-8951 |
Robert Lee Arnold, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Maple Dr, Vidalia, GA 30474 Phone: 912-537-9851 Fax: 912-537-9843 |
Mrs. Christina Michelle Tidwell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5891 |