| Martha Hanna, NP | |
|
2484 E Pinetree Blvd, Thomasville, GA 31792-4854 | |
| (229) 226-8800 | |
| (229) 226-8232 |
| Full Name | Martha Hanna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2484 E Pinetree Blvd, Thomasville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790178564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN082087 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Shaw Living Pc | 6800221904 | 6 |
| 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 |
| Entity Name | Shaw Living Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033778923 PECOS PAC ID: 6800221904 Enrollment ID: O20200118000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Hanna, NP 2484 E Pinetree Blvd, Thomasville, GA 31792-4854 Ph: (229) 226-8800 | Martha Hanna, NP 2484 E Pinetree Blvd, Thomasville, GA 31792-4854 Ph: (229) 226-8800 |
Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871 | |
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335 | |
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548 | |
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830 | |
Mary Racheal Havens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 454 Smith Ave, Thomasville, GA 31792 Phone: 229-227-5510 | |
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120 | |
Cecilie Cowie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 |