| Samuel Jason Fletcher, FNP-BC | |
|
5470 Meridian Marks Rd, Atlanta, GA 30342 | |
| (800) 474-4007 | |
| (800) 474-4039 |
| Full Name | Samuel Jason Fletcher |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5470 Meridian Marks Rd, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558883868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN178608 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miller County Hospital | Colquitt, GA | Hospital |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Hospital Authority Of Miller County | 0244224947 | 29 |
| Southland Consolidated Emergency Services Llc | 2860792066 | 56 |
| Southland Emergency Medical Services Llc | 3779701743 | 26 |
| Entity Name | The Hospital Authority Of Miller County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710105119 PECOS PAC ID: 0244224947 Enrollment ID: O20040414000857 |
| Entity Name | Phoebe Sumter Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609001312 PECOS PAC ID: 4385789213 Enrollment ID: O20110324000491 |
| Entity Name | Southland Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | The Hospital Authority Of Miller County |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285794750 PECOS PAC ID: 0244224947 Enrollment ID: O20230918001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Jason Fletcher, FNP-BC 865 Twilight Church Rd, Colquitt, GA 39837-7636 Ph: (229) 220-5565 | Samuel Jason Fletcher, FNP-BC 5470 Meridian Marks Rd, Atlanta, GA 30342 Ph: (800) 474-4007 |
Tracy Purcell Nicholas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Piedmont Hospital Transplant Services, Atlanta, GA 30309 Phone: 404-605-4602 | |
Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983 | |
Mrs. Anne Compton Symbas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw, Suite 680, Atlanta, GA 30318 Phone: 404-352-1730 Fax: 404-352-6907 | |
Valerie S Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Brittany Kathryn Suchanek, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-785-5252 | |
Janika Montgomery, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Park Place Se, 5th Floor, Atlanta, GA 30303 Phone: 404-613-1205 | |
Nicole Coolidge, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266 |