| Casey Salcedo, | |
|
132 Franklin Springs St Ste A, Royston, GA 30662-4134 | |
| (706) 621-7575 | |
| (833) 305-0340 |
| Full Name | Casey Salcedo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 132 Franklin Springs St Ste A, Royston, 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 |
|---|---|---|---|
| 1699324707 | NPI | - | NPPES |
| 003232886R | Other | GA | MEDICAID |
| RN184724 | Other | GA | PROFESSIONAL LICENSE |
| 1699324707 | Other | GA | NPI |
| G17368B | Other | GA | MEDICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN184724 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reddy Medical Group Llc | 3274554456 | 8 |
| Entity Name | Reddy Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427184654 PECOS PAC ID: 3274554456 Enrollment ID: O20051215000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Salcedo, 1061 Dowdy Rd Ste 204, Athens, GA 30606-5700 Ph: (706) 621-7575 | Casey Salcedo, 132 Franklin Springs St Ste A, Royston, GA 30662-4134 Ph: (706) 621-7575 |
Crystal Dawn Meadows, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7555 Fax: 706-621-7557 | |
Ms. Ashley Harris Carter, FNP/CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Audrey Lynn Clay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Mr. Shawn Thurston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7555 | |
Stacy Reel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Jillian Glaude Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7575 Fax: 706-621-7557 | |
Kristen Harris Turner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 |