| Jumpstart Fitness Inc | |
|
60 Old Highway 5 S, Ellijay, GA 30540-5436 | |
| (170) 627-6200 | |
| (706) 276-2080 |
| Full Name | Jumpstart Fitness Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 60 Old Highway 5 S, Ellijay, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194948034 | NPI | - | NPPES |
| 910061011A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT001550 (Georgia) | Primary |
| Provider Name | Melonie Lynn Clemmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609099530 PECOS PAC ID: 2062487663 Enrollment ID: I20040901000098 |
| Provider Name | James L Pritchett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407941883 PECOS PAC ID: 8729038807 Enrollment ID: I20050126000732 |
| Provider Name | Andre Baron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194815811 PECOS PAC ID: 5294907119 Enrollment ID: I20111018000601 |
| Provider Name | Joel Yagoda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205974946 PECOS PAC ID: 8123247996 Enrollment ID: I20140910001762 |
| Provider Name | Maria Nelsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649386608 PECOS PAC ID: 9931244191 Enrollment ID: I20250317002969 |
| Mailing Address | Practice Location Address |
|---|---|
| Jumpstart Fitness Inc Po Box 146, East Ellijay, GA 30539-0003 Ph: (706) 276-2000 | Jumpstart Fitness Inc 60 Old Highway 5 S, Ellijay, GA 30540-5436 Ph: (170) 627-6200 |
Blue Ridge Vision, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 Toccoa Ct, Ellijay, GA 30540 Phone: 770-402-1175 | |
Timothy Alan Parker Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 88 Highland Xing, Ellijay, GA 30540 Phone: 706-635-1194 Fax: 706-515-2021 | |
Melonie Clemmons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Old Highway 5 S, Ellijay, GA 30540 Phone: 706-276-2000 Fax: 706-276-2080 | |
Dr. Maria Jean Nelsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Old Highway 5 S, Ellijay, GA 30540 Phone: 706-276-2000 |