| Mrs Heather G Dismuke, FNP-BC | |
|
101 Cobblestone Trce Se, Moultrie, GA 31788-7747 | |
| (229) 891-9016 | |
| (229) 891-9185 |
| Full Name | Mrs Heather G Dismuke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 101 Cobblestone Trce Se, Moultrie, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386320752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN293813 (Georgia) | Primary |
| Entity Name | The Kirk Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083816128 PECOS PAC ID: 7517068075 Enrollment ID: O20070727000320 |
| Entity Name | Swartzentruber Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376904201 PECOS PAC ID: 9537458815 Enrollment ID: O20160511000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather G Dismuke, FNP-BC Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9016 | Mrs Heather G Dismuke, FNP-BC 101 Cobblestone Trce Se, Moultrie, GA 31788-7747 Ph: (229) 891-9016 |
Addie B Gay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788 Phone: 229-891-3513 Fax: 229-890-1986 | |
Courtney Oakes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Laurel Ct, Moultrie, GA 31768 Phone: 229-891-9016 | |
Phyllis Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-985-1080 | |
Mary Ann Anderson-parris, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-4815 | |
Sabrina Griffin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Us Highway 319 S Ste 1, Moultrie, GA 31768 Phone: 229-217-0523 | |
Ms. Vernita S Shipp, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788 Phone: 229-891-3513 Fax: 229-890-1986 | |
Casey Jo Bennett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 31st Ave Se, Moultrie, GA 31768 Phone: 229-502-9788 Fax: 229-890-2166 |