| Mary Virginia Brady, | |
|
120 S Zetterower Ave, Statesboro, GA 30458-4816 | |
| (912) 681-7368 | |
| (912) 681-3687 |
| Full Name | Mary Virginia Brady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 S Zetterower Ave, Statesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417385295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN195811 (Georgia) | Primary |
| Entity Name | Bulloch County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043243876 PECOS PAC ID: 5193710481 Enrollment ID: O20040416000581 |
| Entity Name | Coffee County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952346074 PECOS PAC ID: 7416944087 Enrollment ID: O20040427000232 |
| Entity Name | Toombs County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112879 PECOS PAC ID: 4183612732 Enrollment ID: O20040504000055 |
| Entity Name | Ware County Board Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568491785 PECOS PAC ID: 5395736193 Enrollment ID: O20230224001760 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Virginia Brady, 120 S Zetterower Ave, Statesboro, GA 30458-4816 Ph: (912) 681-7368 | Mary Virginia Brady, 120 S Zetterower Ave, Statesboro, GA 30458-4816 Ph: (912) 681-7368 |
Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611 | |
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273 | |
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444 | |
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111 | |
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737 | |
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 |