| Ms Glendell B Coleman, FNP-C | |
|
11740 Columbia St, Blakely, GA 39823-2574 | |
| (229) 724-4282 | |
| (229) 724-4283 |
| Full Name | Ms Glendell B Coleman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 11740 Columbia St, Blakely, 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 |
|---|---|---|---|
| 1962755421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN094148 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebrite Hospital Group Of Early Llc | 7810263589 | 8 |
| Entity Name | Middle Flint Area Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366521932 PECOS PAC ID: 3274426150 Enrollment ID: O20040204000828 |
| Entity Name | Georgia Pines Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631 |
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
| Entity Name | Lifebrite Hospital Group Of Early Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912430224 PECOS PAC ID: 7810263589 Enrollment ID: O20171024003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Glendell B Coleman, FNP-C 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 724-4282 | Ms Glendell B Coleman, FNP-C 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 724-4282 |
Jessica Price Vinson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Tabaitha Dawn Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11045 Columbia St, Blakely, GA 39823 Phone: 229-723-4313 Fax: 229-723-3734 | |
Lakeisha Cannon-scott, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1194 N Main St, Blakely, GA 39823 Phone: 346-541-7104 | |
Mary Madeline Shattles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2752 Cuba Rd, Blakely, GA 39823 Phone: 229-308-8857 | |
Ms. Aretha Tinson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Allison Josey, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 360 College St, Blakely, GA 39823 Phone: 229-723-2660 Fax: 229-723-2663 | |
Chandra Levatte, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Chancey Mill Rd, Blakely, GA 39823 Phone: 229-308-5203 |