| John Will Bacon, NP | |
|
213 Mims Rd, Sylvania, GA 30467-1994 | |
| (912) 303-7729 | |
| (912) 564-2174 |
| Full Name | John Will Bacon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 213 Mims Rd, Sylvania, 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 |
|---|---|---|---|
| 1528724812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN245533 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| John Will Bacon, NP 213 Mims Rd, Sylvania, GA 30467-1994 Ph: (912) 303-7729 | John Will Bacon, NP 213 Mims Rd, Sylvania, GA 30467-1994 Ph: (912) 303-7729 |
Valarie Hopkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Acre Rd, Sylvania, GA 30467 Phone: 912-329-1889 | |
Billie Salina Stout, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Mims Rd, Sylvania, GA 30467 Phone: 912-451-5887 | |
Mrs. Anne Davis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Mims Rd, Sylvania, GA 30467 Phone: 912-451-3000 | |
Hattie Hodges Brannen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 357 Gin House Rd, Sylvania, GA 30467 Phone: 912-212-6022 | |
Karen Beale Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Rocky Ford Rd, Sylvania, GA 30467 Phone: 912-564-7133 Fax: 912-564-2619 | |
Ms. Mary Lana Jarrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 416 Pine St, Sylvania, GA 30467 Phone: 912-564-2182 |