| David Gregory Gaines Ii, | |
|
541 Historic Highway 441, Demorest, GA 30535-0037 | |
| (706) 754-3113 | |
| Not Available |
| Full Name | David Gregory Gaines Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 541 Historic Highway 441, Demorest, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053737692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Georgia Emergency Department Services, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| Entity Name | Covenant Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194776914 PECOS PAC ID: 8224040712 Enrollment ID: O20060627000292 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124073721 PECOS PAC ID: 6608056171 Enrollment ID: O20121126000128 |
| Entity Name | Sound Physicians Emergency Medicine of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447784988 PECOS PAC ID: 0143592469 Enrollment ID: O20170822001999 |
| Mailing Address | Practice Location Address |
|---|---|
| David Gregory Gaines Ii, 1801 Nw 66th Ave, Plantation, FL 33313-4571 Ph: (706) 754-3113 | David Gregory Gaines Ii, 541 Historic Highway 441, Demorest, GA 30535-0037 Ph: (706) 754-3113 |
Morgan C Long, PA-C, LAT, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 870 Austin Dr Ste A, Demorest, GA 30535 Phone: 706-229-4233 |
Miss Jamie L. Simpson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 541 Historic Hwy 441, Demorest, GA 30535 Phone: 706-754-3113 |
Barbara Parsons, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 396 Historic Highway 441 N, Demorest, GA 30535 Phone: 706-754-4348 Fax: 706-754-0731 |
Amanda San U Pipkin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 247 Adams Drive, Demorest, GA 30535 Phone: 706-839-4096 |
Michael Marien, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 541 U.s. 441 Business, Demorest, GA 30535 Phone: 706-754-2161 |