| Billie Salina Stout, FNP-C | |
|
330 Mims Rd, Sylvania, GA 30467-1904 | |
| (912) 451-5887 | |
| Not Available |
| Full Name | Billie Salina Stout |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 330 Mims Rd, Sylvania, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114459567 | NPI | - | NPPES |
| 003188494 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN155792 (Georgia) | Primary |
| Entity Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Billie Salina Stout, FNP-C 330 Mims Rd, Sylvania, GA 30467-1904 Ph: (912) 451-5887 | Billie Salina Stout, FNP-C 330 Mims Rd, Sylvania, GA 30467-1904 Ph: (912) 451-5887 |
Valarie Hopkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Acre Rd, Sylvania, GA 30467 Phone: 912-329-1889 | |
Mrs. Anne Davis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Mims Rd, Sylvania, GA 30467 Phone: 912-451-3000 | |
Hattie Hodges Brannen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 357 Gin House Rd, Sylvania, GA 30467 Phone: 912-212-6022 | |
John Will Bacon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Mims Rd, Sylvania, GA 30467 Phone: 912-303-7729 Fax: 912-564-2174 | |
Karen Beale Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Rocky Ford Rd, Sylvania, GA 30467 Phone: 912-564-7133 Fax: 912-564-2619 | |
Ms. Mary Lana Jarrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 416 Pine St, Sylvania, GA 30467 Phone: 912-564-2182 |