| Mr Byron Tyrell Mathis, PA-C | |
|
4720 Washington Rd, Evans, GA 30809-5875 | |
| (706) 650-0111 | |
| (706) 651-1882 |
| Full Name | Mr Byron Tyrell Mathis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4720 Washington Rd, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578038337 | NPI | - | NPPES |
| 3850PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9011 (Georgia) | Primary |
| 363AM0700X | Physician Assistant - Medical | 3107 (South Carolina) | Secondary |
| Entity Name | Urgent MD Healthcare Services, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482273 PECOS PAC ID: 5890795538 Enrollment ID: O20070103000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Byron Tyrell Mathis, PA-C 1021 Silver Bluff Rd, Aiken, SC 29803-5879 Ph: (803) 648-0587 | Mr Byron Tyrell Mathis, PA-C 4720 Washington Rd, Evans, GA 30809-5875 Ph: (706) 650-0111 |
Charles P Bean Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Towne Centre Dr Ste 2200, Evans, GA 30809 Phone: 706-722-0705 Fax: 762-333-0496 |
Zoe Renew Schultz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4321 University Pkwy Ste 104, Evans, GA 30809 Phone: 706-854-2198 |
Karli Durden Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4244 Washington Rd, Evans, GA 30809 Phone: 706-760-7607 |
Jessica Fields, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 Ponder Place Ct, Suite 3, Evans, GA 30809 Phone: 706-364-3223 Fax: 706-364-4918 |
Mr. William Samuel Rutledge, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1175 Dartmore Ct, Evans, GA 30809 Phone: 706-868-6282 |
Delores Schwartz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1205 Town Park Ln, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3125 |
Kathy Dexter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1202 Town Park Ln Ste 300, Evans, GA 30809 Phone: 706-210-8855 Fax: 706-432-8775 |