| Tiffany R Levins, PA-C | |
|
235 Walnut Street, Leesburg, GA 31763 | |
| (229) 759-6508 | |
| (229) 759-9950 |
| Full Name | Tiffany R Levins |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 235 Walnut Street, Leesburg, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760700819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Premise Health of North Carolina Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427575869 PECOS PAC ID: 7315927597 Enrollment ID: O20211104000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany R Levins, PA-C 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | Tiffany R Levins, PA-C 235 Walnut Street, Leesburg, GA 31763 Ph: (229) 759-6508 |
Carla D Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Oakland Crossing Dr, Leesburg, GA 31763 Phone: 229-888-4093 Fax: 229-888-4098 |
Madison Kae Andrews, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 2108, Leesburg, GA 31763 Phone: 602-881-2855 |
Michael Hardy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 235 Walnut Ave S, Leesburg, GA 31763 Phone: 229-759-6508 |
Abdul Raqeeb Musaib Mohammed, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 Sapelo Dr, Leesburg, GA 31763 Phone: 229-343-6120 |