| Phyllis A Kennedy-howell, FNP-BC | |
|
2700 N Oak St, Valdosta, GA 31602-1772 | |
| (229) 249-8687 | |
| (229) 249-9282 |
| Full Name | Phyllis A Kennedy-howell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2700 N Oak St, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063951408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN189066 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 189066 (Georgia) | Secondary |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
| Entity Name | Christopher Dennis Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588090229 PECOS PAC ID: 7416254990 Enrollment ID: O20190327002643 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis A Kennedy-howell, FNP-BC 660 Gornto Cemetery Rd, Barney, GA 31625-3248 Ph: (229) 456-2152 | Phyllis A Kennedy-howell, FNP-BC 2700 N Oak St, Valdosta, GA 31602-1772 Ph: (229) 249-8687 |
John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341 | |
Vicki Wetter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764 | |
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151 | |
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584 | |
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736 | |
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575 | |
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160 |