| Laurie Martin-kiser, FNP | |
|
819 Church Street, Royston, GA 30662 | |
| (706) 245-6177 | |
| (706) 245-6242 |
| Full Name | Laurie Martin-kiser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 819 Church Street, Royston, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497735328 | NPI | - | NPPES |
| 741481598A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN135069 (Georgia) | Primary |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
| Entity Name | Physiatry Consultants Of Ga Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609468248 PECOS PAC ID: 5698182616 Enrollment ID: O20210318001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Martin-kiser, FNP 819 Church Street, Royston, GA 30662 Ph: (706) 245-6177 | Laurie Martin-kiser, FNP 819 Church Street, Royston, GA 30662 Ph: (706) 245-6177 |
Crystal Dawn Meadows, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7555 Fax: 706-621-7557 | |
Ms. Ashley Harris Carter, FNP/CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Audrey Lynn Clay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Mr. Shawn Thurston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7555 | |
Stacy Reel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Jillian Glaude Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7575 Fax: 706-621-7557 | |
Kristen Harris Turner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 |