| Joel Tumaliuan Moats, | |
|
100 S Madison St, Thomasville, GA 31792-5473 | |
| (229) 236-0831 | |
| Not Available |
| Full Name | Joel Tumaliuan Moats |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 100 S Madison St, Thomasville, 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 |
|---|---|---|---|
| 1396477808 | NPI | - | NPPES |
| RN204844 | Other | GA | GEORGIA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN204844 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Appling Hospital | Baxley, GA | Hospital |
| Jefferson Hospital | Louisville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Consolidated Emergency Services Llc | 2860792066 | 56 |
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 37 |
| Entity Name | Hospital Authority Of Washington County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396770004 PECOS PAC ID: 4385552686 Enrollment ID: O20040507000100 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Tumaliuan Moats, 608 N Kevin Ct, Statesboro, GA 30461-2743 Ph: (912) 690-0830 | Joel Tumaliuan Moats, 100 S Madison St, Thomasville, GA 31792-5473 Ph: (229) 236-0831 |
Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871 | |
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335 | |
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548 | |
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830 | |
Mary Racheal Havens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510 | |
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 | |
Cecilie Cowie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 |