| Cynthia Jill Martin Clark, FNP-C | |
|
2160 W Elm St, Wrightsville, GA 31096-2014 | |
| (478) 864-3446 | |
| (478) 864-1288 |
| Full Name | Cynthia Jill Martin Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2160 W Elm St, Wrightsville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164899787 | NPI | - | NPPES |
| RN129251 | Other | GA | GEORGIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN129251 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pruitthealth Hospice Inc | 2264344217 | 26 |
| Entity Name | Community Health Care Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150422 PECOS PAC ID: 5890783179 Enrollment ID: O20040505000153 |
| Entity Name | Accordia Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962826511 PECOS PAC ID: 1153544945 Enrollment ID: O20140523001143 |
| Entity Name | Pruitthealth Hospice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Jill Martin Clark, FNP-C 667 S Main St, Swainsboro, GA 30401-4818 Ph: (478) 237-7798 | Cynthia Jill Martin Clark, FNP-C 2160 W Elm St, Wrightsville, GA 31096-2014 Ph: (478) 864-3446 |
Melissa Cheryl Kilgore, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 W Elm St, Wrightsville, GA 31096 Phone: 478-864-2600 Fax: 478-864-1288 | |
Allison D Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2251 W Elm St, Wrightsville, GA 31096 Phone: 478-864-2600 Fax: 478-864-1288 | |
Christy Clyborne Jackson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2251 W Elm St, Wrightsville, GA 31096 Phone: 478-864-2600 Fax: 478-864-1288 | |
Mrs. Susan Keyton Oliver, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Donovan Harrison Rd, Wrightsville, GA 31096 Phone: 478-864-4205 | |
Jessica Harper Thigpen, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9430 Ga Highway 15 N, Wrightsville, GA 31096 Phone: 478-697-0088 | |
Erin Foster Sumner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2251 W Elm St, Wrightsville, GA 31096 Phone: 478-864-2600 Fax: 478-864-1288 |