| Penny L Champion, CNM | |
|
414 5th Ave, Albany, GA 31701-1976 | |
| (229) 883-4555 | |
| (229) 888-0063 |
| Full Name | Penny L Champion |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 414 5th Ave, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265425797 | NPI | - | NPPES |
| 00787146A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | R079412 (Georgia) | Primary |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny L Champion, CNM 414 Fifth Avenue, Albany, GA 31701 Ph: (229) 883-4555 | Penny L Champion, CNM 414 5th Ave, Albany, GA 31701-1976 Ph: (229) 883-4555 |
Tiffany Lynn Radney, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2100 Palmyra Rd, Albany, GA 31701 Phone: 229-888-3636 Fax: 229-329-7373 |
Alana Anderson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1001 N Monroe St, Albany, GA 31701 Phone: 229-436-7248 Fax: 229-431-1951 |
Maria Mock, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 |
Diann Elizabeth Burling, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2100 Palmyra Rd, Albany, GA 31701 Phone: 229-888-3636 Fax: 229-888-5535 |
Mrs. Amanda Banks Thomas, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 803 13th Avenue, Albany, GA 31701 Phone: 229-434-7640 Fax: 229-434-7647 |
Laurie Anne Lewis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2100 Palmyra Rd, Albany, GA 31701 Phone: 229-888-6559 Fax: 229-436-4107 |
Elois Edge, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 401 S Madison St, Albany, GA 31701 Phone: 229-888-3636 |