Gail Miranda Ricker, APRN | |
1095 Us Highway 82 W, Leesburg, GA 31763-5803 | |
(229) 800-8100 | |
(229) 800-8101 |
Full Name | Gail Miranda Ricker |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1095 Us Highway 82 W, Leesburg, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245680487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN157942 (Georgia) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Shellman Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992548994 PECOS PAC ID: 2062945330 Enrollment ID: O20241024002252 |
Mailing Address | Practice Location Address |
---|---|
Gail Miranda Ricker, APRN 1095 Us Highway 82 W, Leesburg, GA 31763-5803 Ph: (229) 800-8102 | Gail Miranda Ricker, APRN 1095 Us Highway 82 W, Leesburg, GA 31763-5803 Ph: (229) 800-8100 |
Eddie Jean Truelove, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 113, Leesburg, GA 31763 Phone: 901-603-5890 | |
Schvon Bussey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Pine Arbor Dr, Leesburg, GA 31763 Phone: 706-593-9263 | |
Mrs. April Michelle Johnson, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 | |
Stacie L Rolland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7490 Fax: 229-312-7495 | |
Imiyah Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1224 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7401 | |
Sekeithia Sims Waters, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 Station Dr, Leesburg, GA 31763 Phone: 229-814-8426 Fax: 229-814-5026 |