Legacy Healthcare Services, Inc. - Medicare Occupational Therapist in Evans, GA

  1. Home
  2. Occupational Therapists
  3. GA
  4. Evans
Legacy Healthcare Services, Inc. is a medicare enrolled "Occupational Therapist" provider in Evans, Georgia. Their current practice location is 100 Washington Commons Dr, Apt. 314, Evans, Georgia. You can reach out to their office (for appointments etc.) via phone at (706) 426-8136.

Legacy Healthcare Services, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Healthcare Services, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1528419751.

Contact Information

Legacy Healthcare Services, Inc.
100 Washington Commons Dr, Apt. 314,
Evans, GA 30809-3159
(706) 426-8136
(706) 496-8936

Map and Direction




Healthcare Provider's Profile

Full NameLegacy Healthcare Services, Inc.
TypeFacility
SpecialityOccupational Therapist
Location100 Washington Commons Dr, Evans, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528419751
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163339722
  • Enrollment ID: O20160830000411

Medical Identifiers

Medical identifiers for Legacy Healthcare Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528419751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Primary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Healthcare Services, Inc. acts as a billing entity for following providers:
Provider NameNina A Grandin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588739056
PECOS PAC ID: 8921016585
Enrollment ID: I20060323000764
Provider NameJennifer Vistnes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730242926
PECOS PAC ID: 6507044401
Enrollment ID: I20110623000649
Provider NameDeanna K Brubaker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194896076
PECOS PAC ID: 6305083718
Enrollment ID: I20130502000184
Provider NameErika C Linstrom
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114159498
PECOS PAC ID: 4688729973
Enrollment ID: I20131125000825
Provider NamePatricio Morchio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558741207
PECOS PAC ID: 6901114917
Enrollment ID: I20150924001205
Provider NameKeitoria Lacount
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1356561096
PECOS PAC ID: 9537460803
Enrollment ID: I20151211000802
Provider NameNeelam K Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346616570
PECOS PAC ID: 4284935370
Enrollment ID: I20151215000156
Provider NameChristopher Andrew Carter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982058863
PECOS PAC ID: 1557654274
Enrollment ID: I20160718002290
Provider NameCheries L Brule
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467420661
PECOS PAC ID: 3678698479
Enrollment ID: I20160809002099
Provider NameKelly A Williams Wyche
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174729263
PECOS PAC ID: 3476839358
Enrollment ID: I20170406002694
Provider NameSamuel O Wehby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104219914
PECOS PAC ID: 7719263979
Enrollment ID: I20170425000189
Provider NameSusanna Grace Krouse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700301975
PECOS PAC ID: 1153696364
Enrollment ID: I20171013000281
Provider NameCherie Dempster
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699084053
PECOS PAC ID: 4789944182
Enrollment ID: I20180202001899
Provider NameLora Marie C Reed
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831435122
PECOS PAC ID: 3577708346
Enrollment ID: I20180521000379
Provider NameAndrea Mcmahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417447459
PECOS PAC ID: 4880942374
Enrollment ID: I20180820000917
Provider NameCharla N Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689639924
PECOS PAC ID: 8820184351
Enrollment ID: I20181022003390
Provider NameEmily Patton
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427514272
PECOS PAC ID: 2264867936
Enrollment ID: I20200128000263
Provider NameMeredith Stokes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376741694
PECOS PAC ID: 1355779307
Enrollment ID: I20200325001705
Provider NameKelly M West
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285299883
PECOS PAC ID: 4486083581
Enrollment ID: I20200409003336
Provider NameKaren M Durden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396833802
PECOS PAC ID: 9436589538
Enrollment ID: I20200413002139
Provider NameJohn Forrest Nettles
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932761756
PECOS PAC ID: 5395630032
Enrollment ID: I20200630001997
Provider NameCheryl Willis
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1093722407
PECOS PAC ID: 9739506809
Enrollment ID: I20200903001831
Provider NameGlenn L Johlman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598037962
PECOS PAC ID: 4880855360
Enrollment ID: I20201007002053
Provider NameMeghan Rardin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588834832
PECOS PAC ID: 2668602160
Enrollment ID: I20210222001681
Provider NameAbigael C Panares
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336606730
PECOS PAC ID: 5799192258
Enrollment ID: I20210329002144
Provider NameBonnie J Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699089912
PECOS PAC ID: 8224432927
Enrollment ID: I20210803000919
Provider NameJulie Kierstein
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083808083
PECOS PAC ID: 8729483185
Enrollment ID: I20210823002411
Provider NameChelsea Underwood
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649897901
PECOS PAC ID: 7517385024
Enrollment ID: I20211103002616
Provider NameMichael S Shadburn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306429618
PECOS PAC ID: 8325430143
Enrollment ID: I20220127002003
Provider NameKristen M Finlay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114683166
PECOS PAC ID: 2668865312
Enrollment ID: I20220202000911
Provider NameCourtney Lynn Hodgeman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649790767
PECOS PAC ID: 0244500320
Enrollment ID: I20220228001041
Provider NameCaleb M Fairey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518306034
PECOS PAC ID: 5395987218
Enrollment ID: I20220527000822
Provider NameMitzie Marion C Mickelson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801408802
PECOS PAC ID: 8123408721
Enrollment ID: I20220629000076
Provider NameLaura Jackson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1457844110
PECOS PAC ID: 6800273798
Enrollment ID: I20220725000631
Provider NameKristy K Grayson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003238460
PECOS PAC ID: 3173908282
Enrollment ID: I20220909001506
Provider NameJemicah N Mosby
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194480764
PECOS PAC ID: 8729464110
Enrollment ID: I20221010000420
Provider NameKhadesha Quammie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316662992
PECOS PAC ID: 7214303353
Enrollment ID: I20221014001604
Provider NameKailey L Mccarty
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558734863
PECOS PAC ID: 4385009406
Enrollment ID: I20230425001298
Provider NameSteven P Craig
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1437859725
PECOS PAC ID: 3678938446
Enrollment ID: I20230501000475
Provider NameJade L Matthews-rosado
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609578640
PECOS PAC ID: 8123483559
Enrollment ID: I20230516003050
Provider NameShyrece D Celestine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487364428
PECOS PAC ID: 6608232475
Enrollment ID: I20230522000013
Provider NameShontae D Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861047953
PECOS PAC ID: 2961869482
Enrollment ID: I20230526002015
Provider NameJessica R Quiles
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1114325545
PECOS PAC ID: 2668839812
Enrollment ID: I20230605000883
Provider NameBrenda L Williams
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1972976140
PECOS PAC ID: 9537439005
Enrollment ID: I20230613000597
Provider NameMia Marrow
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700574126
PECOS PAC ID: 0446610612
Enrollment ID: I20230719002640
Provider NameHeather M Tabor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275833808
PECOS PAC ID: 7810358629
Enrollment ID: I20230726002112
Provider NameMykiah Clark
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740944388
PECOS PAC ID: 2769846609
Enrollment ID: I20230912001084
Provider NameCamille Alline Clancy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124429741
PECOS PAC ID: 9830553379
Enrollment ID: I20230915002780
Provider NameKim Khong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083499222
PECOS PAC ID: 4880048628
Enrollment ID: I20230927001285
Provider NameShannon Alexandra Stanley
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326530098
PECOS PAC ID: 8325493513
Enrollment ID: I20231007000735
Provider NameSherise Hextall
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710587266
PECOS PAC ID: 7416350715
Enrollment ID: I20231017002602
Provider NameNatalie Paige Brown
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760110332
PECOS PAC ID: 1254787450
Enrollment ID: I20231024003473
Provider NameAngela Renee Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750048658
PECOS PAC ID: 4688020282
Enrollment ID: I20231101003024
Provider NameLauren Ashley Shields
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932616877
PECOS PAC ID: 0042667115
Enrollment ID: I20231110001337
Provider NameAshley P Wilson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376314369
PECOS PAC ID: 0446694723
Enrollment ID: I20240214001983

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Healthcare Services, Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Healthcare Services, Inc.
110 Horizon Dr Ste 310,
Raleigh, NC 27615-4926

Ph: (919) 424-5080		Legacy Healthcare Services, Inc.
100 Washington Commons Dr, Apt. 314,
Evans, GA 30809-3159

Ph: (706) 426-8136

Reviews and Comments


Occupational Therapist in Evans, GA

Mrs. Lillian Nicole Brewer, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4130 Fox Brush Dr, Evans, GA 30809
Phone: 706-825-9966    
Melissa W Fitzgerald, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 446 Northridge Cir, Evans, GA 30809
Phone: 706-210-0282    Fax: 706-210-0282
Melinda L Coleman, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 815 Walden Glen Ln, Evans, GA 30809
Phone: 706-495-2528    Fax: 706-364-0351
Sherry Brown, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 536 Grand Slam Dr, Suite D, Evans, GA 30809
Phone: 706-854-8434    Fax: 706-854-8435
Mrs. Nancy Lynn Clements-morgan, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5086 Wells Dr, Evans, GA 30809
Phone: 706-650-1344    
Bailey Olivia Parker, OT, MOT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4446 Washington Rd Ste 8, Evans, GA 30809
Phone: 706-869-3352    Fax: 706-869-3299
Shelby Christine Cannon, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 536 Grand Slam Dr Ste D, Evans, GA 30809
Phone: 706-854-8434    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.