| Shane Lindsay, | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-4951 | |
| (706) 869-7380 |
| Full Name | Shane Lindsay |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922131382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006635 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Au Medical Associates Emergency Medicine Billing Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
| Entity Name | Peach State Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053170605 PECOS PAC ID: 7719328038 Enrollment ID: O20240516002831 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Lindsay, 1499 Walton Way, Suite 1400, Augusta, GA 30901-2602 Ph: (706) 724-6100 | Shane Lindsay, 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-4951 |
Rachel Mccall Dawkins, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Doctors Hospital Of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 Phone: 706-651-6080 |
Robert G Stowers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3291 Fax: 706-721-1459 |
Mrs. Melanie Grace Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2922 Professional Pkwy, Augusta, GA 30907 Phone: 706-556-2767 |
Andrea N Sarata, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 |
Amanda Marie Tyra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St # Ad-2226, Augusta, GA 30912 Phone: 706-446-4887 Fax: 706-723-0382 |
Mr. Derek Aaron Lafont, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3696 Wheeler Rd, Augusta, GA 30909 Phone: 706-736-1830 Fax: 706-650-7553 |
Mr. Larry B Sims Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440 Fax: 706-790-4393 |