| Ashley Traylor, MD | |
|
777 Hemlock St, Macon, GA 31201-2102 | |
| (478) 633-1000 | |
| Not Available |
| Full Name | Ashley Traylor |
|---|---|
| Gender | Female |
| Speciality | Student In An Organized Health Care Education/training Program |
| Location | 777 Hemlock St, Macon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962819482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 201356 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 17363 (Georgia) | Primary |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland Taylor Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
| Entity Name | Muscogee Hospitalist Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
| Entity Name | Benning Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Entity Name | Heritage Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Entity Name | Houston Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962040147 PECOS PAC ID: 2769813906 Enrollment ID: O20200504000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Traylor, MD 3780 Eisenhower Pkwy, Macon, GA 31206-0800 Ph: (478) 919-0216 | Ashley Traylor, MD 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 633-1000 |