| Kelli Alicia Boatright, | |
|
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
| (912) 535-5555 | |
| Not Available |
| Full Name | Kelli Alicia Boatright |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Meadows Pkwy, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972287167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN295084 (Georgia) | Primary |
| Entity Name | Montgomery Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Entity Name | Trimed Advance Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689140600 PECOS PAC ID: 3577809904 Enrollment ID: O20190107001071 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Alicia Boatright, 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 535-5555 | Kelli Alicia Boatright, 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 535-5555 |
Mrs. Cindy Ellen Hand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 | |
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772 | |
Angela Dean Hamilton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 904 Clyde Blvd, Vidalia, GA 30474 Phone: 912-326-3885 | |
Mrs. Kimberly Thigpen Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 East First Street, Unit B, Vidalia, GA 30474 Phone: 478-274-8739 | |
Jessi Erica Woods, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Mrs. Morgan Royal Comstock, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3193 E 1st St, Vidalia, GA 30474 Phone: 912-537-8588 | |
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 |