| Nicole Ford, NP-C | |
|
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
| (706) 788-2127 | |
| (706) 788-2815 |
| Full Name | Nicole Ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11 Charlie Morris Rd, Colbert, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588642771 | NPI | - | NPPES |
| 717156962A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN139406 (Georgia) | Primary |
| Entity Name | Athens Heart Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447338744 PECOS PAC ID: 0244134583 Enrollment ID: O20031120000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ford, NP-C Po Box 459, Colbert, GA 30628-0459 Ph: (706) 788-3234 | Nicole Ford, NP-C 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-2127 |
Mrs. Sarah Sammons, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 067-882-1277 | |
Evan Grovenstein, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Justin Souter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-521-3113 | |
Karla Coco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 | |
Isabelle Nicole Orlino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-521-3113 | |
Linda Tejada Mahomar, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-2127 |