| Mallory Mayers Montes, DNP, FNP-C | |
|
315 Fluker St, Thomson, GA 30824-2108 | |
| (706) 595-1090 | |
| (706) 595-6010 |
| Full Name | Mallory Mayers Montes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 315 Fluker St, Thomson, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154992550 | NPI | - | NPPES |
| 003255026F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F06211739 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN216727 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Neighborhood Improvement Project, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700900867 PECOS PAC ID: 7315851078 Enrollment ID: O20031117000665 |
| Entity Name | Family Care Group Of Thomson Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669660783 PECOS PAC ID: 9133153273 Enrollment ID: O20050919000990 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Mayers Montes, DNP, FNP-C Po Box 780, Thomson, GA 30824-0780 Ph: (706) 595-1090 | Mallory Mayers Montes, DNP, FNP-C 315 Fluker St, Thomson, GA 30824-2108 Ph: (706) 595-1090 |
Savannah Morgan Workman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-595-1461 Fax: 706-597-9824 | |
Megan Stuckey Wiley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 Fluker St, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Mrs. Lori Roth Tucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-595-1461 Fax: 706-597-9824 | |
Emily Neal Talkington, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 University Dr, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Mrs. Virginia R Bradshaw, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Greenway St, Thomson, GA 30824 Phone: 706-595-1740 Fax: 706-595-8503 | |
Katy Lynn Cunningham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Greenway St, Thomson, GA 30824 Phone: 706-595-1740 |