| Cody Ryan Scoggins, | |
|
21 Commerce Pkwy, Adairsville, GA 30103-2009 | |
| (770) 773-9201 | |
| (770) 773-9219 |
| Full Name | Cody Ryan Scoggins |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 21 Commerce Pkwy, Adairsville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427710078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP231270 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Gordon | Calhoun, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health System Georgia Inc | 4486568037 | 195 |
| Entity Name | Adventist Health System Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699791343 PECOS PAC ID: 4486568037 Enrollment ID: O20031203000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Ryan Scoggins, Po Box 12938, C/o Clinic Management, Calhoun, GA 30703-7013 Ph: (706) 602-7800 | Cody Ryan Scoggins, 21 Commerce Pkwy, Adairsville, GA 30103-2009 Ph: (770) 773-9201 |
Mrs. Helen Clair Medlin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 Prosperity Way Ne, Adairsville, GA 30121 Phone: 678-721-0705 Fax: 678-721-5116 | |
Emily King Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Commerce Pkwy, Adairsville, GA 30103 Phone: 770-773-9201 Fax: 770-773-9219 | |
Janna Novotny Lister, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Commerce Pkwy, Adairsville, GA 30103 Phone: 770-773-9201 Fax: 770-773-9219 | |
Jessica Morgan Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Hardwood Ridge Dr, Adairsville, GA 30103 Phone: 404-309-3441 | |
Pennie H Schuh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321-a North Main Street, Adairsville, GA 30103 Phone: 770-773-9902 Fax: 770-773-9902 | |
Mrs. Sally Jo Sanford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Legacy Way Ste B, Adairsville, GA 30103 Phone: 770-773-9902 Fax: 770-773-9803 |