| Tracy O Cobb, NP | |
| 5354 Reynolds St Ste 422, Savannah, GA 31405-6011 | |
| (912) 354-2634 | |
| Not Available | 
| Full Name | Tracy O Cobb | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5354 Reynolds St Ste 422, Savannah, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013383876 | NPI | - | NPPES | 
| PENDING | Medicaid | SC | |
| PENDING | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN180798 NP (Georgia) | Primary | 
| 363LF0000X | Nurse Practitioner - Family | 20451 (South Carolina) | Secondary | 
| Entity Name | Southcoast Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467451922 PECOS PAC ID: 9032013271 Enrollment ID: O20040109000192 | 
| Entity Name | Mppg Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 | 
| Entity Name | Sjc Oncology Services - Georgia, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710196589 PECOS PAC ID: 8426086901 Enrollment ID: O20050727000606 | 
| Entity Name | Privia Medical Group Of Georgia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 | 
| Entity Name | St. Joseph's/candler Ob/gyn Practice, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730690561 PECOS PAC ID: 4385909936 Enrollment ID: O20180531001527 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracy O Cobb, NP 5354 Reynolds St Ste 422, Savannah, GA 31405-6011 Ph: (912) 354-2634 | Tracy O Cobb, NP 5354 Reynolds St Ste 422, Savannah, GA 31405-6011 Ph: (912) 354-2634 | 
| Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643 | |
| Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843 | |
| Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414 | |
| Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805 | |
| Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297 | |
| Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040 | |
| Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676 |