| Tiara Leonna Bradley, NP | |
|
310 Avenue F, Thomaston, GA 30286-3829 | |
| (706) 647-6676 | |
| (706) 647-0374 |
| Full Name | Tiara Leonna Bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 310 Avenue F, Thomaston, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689205593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN239116 (Georgia) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN239116 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qofl Services Llc | 6709030133 | 23 |
| Entity Name | Statesboro Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028 |
| Entity Name | Qofl Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140203001266 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Leonna Bradley, NP 200 Barnett Ln, Thomaston, GA 30286-5460 Ph: () - | Tiara Leonna Bradley, NP 310 Avenue F, Thomaston, GA 30286-3829 Ph: (706) 647-6676 |
Mrs. Tammie Ann Williams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346 | |
Lisa Marie Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229 | |
Mary Suzanne Gamel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1512 Highway 19 N, Thomaston, GA 30286 Phone: 706-647-2641 Fax: 706-647-2680 | |
Lisa Gaye Ingram, MSN, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-646-3153 | |
Mrs. Felicia Annette Jarrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-7713 | |
Sybil Lew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Deluxe Cir Ste B, Thomaston, GA 30286 Phone: 706-647-7509 Fax: 706-647-6624 | |
Lacey Nicole Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 |