| Casidy Enfinger, NP-C | |
|
725 Us Highway 19 S, Camilla, GA 31730-6396 | |
| (229) 336-5208 | |
| Not Available |
| Full Name | Casidy Enfinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 725 Us Highway 19 S, Camilla, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386892446 | NPI | - | NPPES |
| RN144558 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN144558 (Georgia) | Primary |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Casidy Enfinger, NP-C 360 College St, Blakely, GA 39823-2554 Ph: (229) 723-2660 | Casidy Enfinger, NP-C 725 Us Highway 19 S, Camilla, GA 31730-6396 Ph: (229) 336-5208 |
Christine M Lockhart, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 | |
Ashley Abt, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 E Stephens St, Camilla, GA 31730 Phone: 229-336-4600 | |
Tyra Lashay Bennett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4191 Old Ga Highway 3, Camilla, GA 31730 Phone: 229-328-4181 | |
Heather Brooke Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 | |
Pamela Pierce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-584-5966 | |
Deborah Herndon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 |