| Mrs Shirley Rene Breedlove, FNP | |
|
1244 Historic Homer Hwy, Homer, GA 30547-2737 | |
| (706) 677-2250 | |
| (706) 677-4208 |
| Full Name | Mrs Shirley Rene Breedlove |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1244 Historic Homer Hwy, Homer, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811911407 | NPI | - | NPPES |
| 000910247C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN135396 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Athens Primary Care Llc | 0648520841 | 69 |
| Entity Name | Piedmont Athens Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shirley Rene Breedlove, FNP 1244 Historic Homer Hwy, Homer, GA 30547-2737 Ph: (706) 677-2250 | Mrs Shirley Rene Breedlove, FNP 1244 Historic Homer Hwy, Homer, GA 30547-2737 Ph: (706) 677-2250 |
Valerie A Wills, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1244 Historic Homer Hwy, Homer, GA 30547 Phone: 706-677-4568 Fax: 706-677-3848 | |
Jamie Johnson Crawford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1224 Historic Homer Hwy, Homer, GA 30547 Phone: 706-677-2250 | |
Nancy F Mccoy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1244 Historic Homer Hwy, Homer, GA 30547 Phone: 706-245-5050 Fax: 706-677-3848 | |
Rebekah Hawkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1244 Historic Homer Hwy, Homer, GA 30547 Phone: 706-677-4568 |