| Shametrial Glascock Foreman, NP-C | |
|
509 W 4th St, Waynesboro, GA 30830-1514 | |
| (706) 825-3373 | |
| Not Available |
| Full Name | Shametrial Glascock Foreman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 509 W 4th St, Waynesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144795618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN165946 (Georgia) | Primary |
| Entity Name | Hospital Authority Of Washington County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396770004 PECOS PAC ID: 4385552686 Enrollment ID: O20040507000100 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Physicians United Urgent Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497313258 PECOS PAC ID: 9335553163 Enrollment ID: O20210205001439 |
| Entity Name | Southland Burke Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235885815 PECOS PAC ID: 9537547401 Enrollment ID: O20220606000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Shametrial Glascock Foreman, NP-C 699 Four Points Rd W, Keysville, GA 30816-4565 Ph: (706) 825-3373 | Shametrial Glascock Foreman, NP-C 509 W 4th St, Waynesboro, GA 30830-1514 Ph: (706) 825-3373 |
Mrs. Ashley J Boynton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2281 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-421-6949 | |
Mrs. Shanika Linette Richardson Conyers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-2176 | |
Mrs. Shelley H Mallard, APRN, BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Jones Ave, Waynesboro, GA 30830 Phone: 706-554-5147 Fax: 706-554-6111 | |
Kaylyn Clifton, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 Porter Carswell Rd, Waynesboro, GA 30830 Phone: 706-871-7219 | |
Ashlee Elizabeth Harrell, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-4435 |