Trickera T Sims, FNP-BC | |
107 Canal St, Pooler, GA 31322-4016 | |
(912) 450-1949 | |
Not Available |
Full Name | Trickera T Sims |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 107 Canal St, Pooler, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932341682 | NPI | - | NPPES |
14877549958 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 226723 (Georgia) | Primary |
Entity Name | St Josephs Candler Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190515000494 |
Entity Name | Centerwell Senior Primary Care Ga Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801463468 PECOS PAC ID: 3274939061 Enrollment ID: O20210901004313 |
Mailing Address | Practice Location Address |
---|---|
Trickera T Sims, FNP-BC 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 Ph: (910) 907-8922 | Trickera T Sims, FNP-BC 107 Canal St, Pooler, GA 31322-4016 Ph: (912) 450-1949 |
Elizabeth Williams Greenwood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Canal St Ste 503, Pooler, GA 31322 Phone: 912-450-6300 Fax: 912-450-6303 | |
Anny Most, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Us Highway 80 E, Pooler, GA 31322 Phone: 912-998-0040 | |
Jessica Riner Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Canal St Ste 503, Pooler, GA 31322 Phone: 912-450-6300 | |
Lolita Hanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Canal St Ste 600, Pooler, GA 31322 Phone: 912-724-0955 | |
Melissa Susan Vaughan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-3847 | |
Ms. Salaethia Martria Crawford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Blue Moon Xing Ste 203, Pooler, GA 31322 Phone: 912-590-0973 Fax: 912-590-0180 | |
Ms. Stephanie Renee Denmark, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr, Pooler, GA 31322 Phone: 912-748-1999 |