| Susan Rachel Ethridge, FNP | |
|
235 E Washington Ave, Ashburn, GA 31714-5224 | |
| (229) 778-9216 | |
| (229) 778-9218 |
| Full Name | Susan Rachel Ethridge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 235 E Washington Ave, Ashburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316922206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN076629 (Georgia) | Primary |
| Entity Name | Crisp Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700851649 PECOS PAC ID: 5991616336 Enrollment ID: O20040107000032 |
| Entity Name | Asa Mccann Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194305680 PECOS PAC ID: 2769883396 Enrollment ID: O20210702000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Rachel Ethridge, FNP 235 E Washington Ave, Ashburn, GA 31714-5224 Ph: (229) 638-6448 | Susan Rachel Ethridge, FNP 235 E Washington Ave, Ashburn, GA 31714-5224 Ph: (229) 778-9216 |
Teresa Tripp Ford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 | |
Megan Logue Gibbs, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 E Washington Ave, Ashburn, GA 31714 Phone: 229-947-6690 Fax: 229-947-6691 | |
Sonia C Wiggins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3404 | |
Donica Spencer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 Fax: 229-567-4419 | |
Tarah Wilson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 Fax: 229-567-4419 | |
Emily Burford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 Fax: 229-567-4419 |