| Kimberly Wahl, | |
|
200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | |
| (478) 953-6727 | |
| Not Available |
| Full Name | Kimberly Wahl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 200 S Houston Lake Rd, Warner Robins, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700267994 | NPI | - | NPPES |
| F0515490 | Other | GA | CERTIFICATION NUMBER (AMERICAN ACADEMY NURSE PRACTITIONERS) |
| RN208988 | Other | GA | GA STATE NURSE PRACTITIONER LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN208988 (Georgia) | Primary |
| Entity Name | Georgia Em-i Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Wahl, 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 Ph: (478) 955-1592 | Kimberly Wahl, 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 Ph: (478) 953-6727 |
Anita L. Barkin, DR.P.H., M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 Cohen Walker Dr, Warner Robins, GA 31088 Phone: 478-751-6045 Fax: 478-751-6099 | |
Heather Coffeen Chastain, NP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 306 Corder Rd, Suite 1, Warner Robins, GA 31088 Phone: 478-922-3074 Fax: 478-922-3076 | |
Ms. Nicole P Bizzell, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Carl Vinson Pkwy, Warner Robins, GA 31088 Phone: 478-322-3800 Fax: 477-322-0031 | |
Monica T. Evans, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 S Houston Rd, Warner Robins, GA 31088 Phone: 478-923-0131 Fax: 478-922-6530 | |
Marlanea Jarrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088 Phone: 478-333-3612 | |
Mrs. Christy Little Sims, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Tallulah Trl, Warner Robins, GA 31088 Phone: 478-302-5237 Fax: 478-302-5243 | |
Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Watson Blvd Ste A, Warner Robins, GA 31093 Phone: 478-922-2930 Fax: 478-922-2774 |