| Travis James Aultman, DNP, APRN, PMHNP-BC | |
|
2000 16th Ave Bldg 3, Columbus, GA 31901-1665 | |
| (706) 320-3126 | |
| (706) 320-3054 |
| Full Name | Travis James Aultman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 2000 16th Ave Bldg 3, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609574797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN315388 (Georgia) | Secondary |
| 163W00000X | Registered Nurse | RN315388 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Physician Practices Llc | 8729381033 | 217 |
| Entity Name | St Francis Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis James Aultman, DNP, APRN, PMHNP-BC 340 Hospital Dr, Macon, GA 31217-3838 Ph: (478) 445-5486 | Travis James Aultman, DNP, APRN, PMHNP-BC 2000 16th Ave Bldg 3, Columbus, GA 31901-1665 Ph: (706) 320-3126 |
Mrs. Leigh Ann Youngblood - West, MSN, NP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
Courtney Natasha Jones, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 Brookstone Centre Pkwy Ste 226, Columbus, GA 31904 Phone: 706-653-2889 Fax: 706-494-8220 |
Alixander Lee Scavola, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1000 |
Matthew Chase Parker, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6910 River Rd, Columbus, GA 31904 Phone: 706-257-7200 |
Chelsea Marie Allen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7049 Spring Walk Dr, Columbus, GA 31904 Phone: 706-289-2693 |
Haley Harbuck, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-596-4000 |
Stacey Darrisaw, RN, CCM Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2020 7th Ave, Columbus, GA 31904 Phone: 762-822-1242 Fax: 706-494-4445 |