| Tandy M Smith, MSN, APRN, FNP-BC | |
|
330 Peachtree St, Jesup, GA 31545-0244 | |
| (912) 427-6964 | |
| (912) 427-0591 |
| Full Name | Tandy M Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 330 Peachtree St, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457632721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN085868 (Georgia) | Primary |
| Entity Name | Wayne Family Practice Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114962487 PECOS PAC ID: 6507851425 Enrollment ID: O20040419001165 |
| Entity Name | Peachtree Family Medicine, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700608353 PECOS PAC ID: 4183151582 Enrollment ID: O20241226000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Tandy M Smith, MSN, APRN, FNP-BC Po Box 937, Jesup, GA 31598-0937 Ph: (912) 427-6964 | Tandy M Smith, MSN, APRN, FNP-BC 330 Peachtree St, Jesup, GA 31545-0244 Ph: (912) 427-6964 |
Melanie D Collum, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 Fax: 912-427-9851 | |
Leslie Brook Tzen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Lesleigh Dee Beard, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Sunset Blvd, Jesup, GA 31545 Phone: 912-588-0080 Fax: 912-588-0082 | |
Kelly Boyette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Memorial Dr, Jesup, GA 31545 Phone: 912-427-4413 | |
Samantha Anthonette Wilkerson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Halei Alise Kirkland, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Colonial Way, Jesup, GA 31545 Phone: 912-588-9110 | |
Elisha Marchette Dansby, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 S 1st St, Jesup, GA 31545 Phone: 912-530-3176 |