| Mrs Brigitte Ginou Hampton, CNP | |
|
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
| (762) 408-2273 | |
| Not Available |
| Full Name | Mrs Brigitte Ginou Hampton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861571697 | NPI | - | NPPES |
| 1861571697 | Medicaid | GA | |
| 277560101C | Medicaid | GA | |
| 1861571697 | Other | GA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN116013 (Georgia) | Primary |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brigitte Ginou Hampton, CNP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273 | Mrs Brigitte Ginou Hampton, CNP 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273 |
Amaza Tripp, MSN, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273 | |
Ms. Tamika Lashun Helton, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-544-8301 | |
Mr. Robert Louis Carter Ii, RN, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2350 | |
Lauren Jensen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-544-8816 Fax: 762-408-8123 | |
Leslie Pandy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273 | |
Mrs. Rae Michelle Broadnax, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3450 Fax: 762-408-8115 | |
Andrea Denise Thompson-davis, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2605 |