| Medlink Georgia Inc | |
|
11 Charlie Morris Rd, Colbert, GA 30628-2445 | |
| (706) 788-3234 | |
| Not Available |
| Full Name | Medlink Georgia Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11 Charlie Morris Rd, Colbert, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396794541 | NPI | - | NPPES |
| 89014RK | Medicaid | NC | |
| GPA868 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Lonnie Keith Sipsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518925767 PECOS PAC ID: 8628033032 Enrollment ID: I20041124000833 |
| Provider Name | Theodore K Schock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023179090 PECOS PAC ID: 6002879327 Enrollment ID: I20050301000564 |
| Provider Name | Shannon L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679536429 PECOS PAC ID: 6709817596 Enrollment ID: I20050822000696 |
| Provider Name | Jason B Hurt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356325112 PECOS PAC ID: 4183657307 Enrollment ID: I20050916000692 |
| Provider Name | Nancy Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841390226 PECOS PAC ID: 6507880846 Enrollment ID: I20060125000511 |
| Provider Name | Maria Isabel Alban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396857587 PECOS PAC ID: 8426095191 Enrollment ID: I20060126000023 |
| Provider Name | Samuel K Sencil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699816322 PECOS PAC ID: 9133135478 Enrollment ID: I20071017000704 |
| Provider Name | Kathryn Mccusker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992926083 PECOS PAC ID: 6901976257 Enrollment ID: I20080529000652 |
| Provider Name | Syed Sami Hyder Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649470626 PECOS PAC ID: 2668560327 Enrollment ID: I20080603000759 |
| Provider Name | Quientela Lajoyce Kwakye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700051703 PECOS PAC ID: 7810067485 Enrollment ID: I20080609000547 |
| Provider Name | Rodney A Raker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770542417 PECOS PAC ID: 7113098179 Enrollment ID: I20080618000557 |
| Provider Name | Lee Lindsey Bleshoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669636767 PECOS PAC ID: 3476627779 Enrollment ID: I20080805000379 |
| Provider Name | Joan T James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801041595 PECOS PAC ID: 1052592011 Enrollment ID: I20110223000922 |
| Provider Name | Paula S Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881847176 PECOS PAC ID: 0446420962 Enrollment ID: I20110818000867 |
| Provider Name | Haroon Mian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326210899 PECOS PAC ID: 9830385244 Enrollment ID: I20111109000639 |
| Provider Name | Kimberly Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073564480 PECOS PAC ID: 5698736577 Enrollment ID: I20130226000406 |
| Provider Name | Meredith C Udell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871768002 PECOS PAC ID: 1254502297 Enrollment ID: I20130311000353 |
| Provider Name | Karen J Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447201876 PECOS PAC ID: 3870554751 Enrollment ID: I20130314000168 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255652053 PECOS PAC ID: 6507017035 Enrollment ID: I20130924000367 |
| Provider Name | Denise Hanak Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497136576 PECOS PAC ID: 2961719042 Enrollment ID: I20150922002580 |
| Provider Name | Jeffrey D Trawick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982043709 PECOS PAC ID: 1254644842 Enrollment ID: I20160810002336 |
| Provider Name | Mushtaq Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457592552 PECOS PAC ID: 6002100039 Enrollment ID: I20160812001816 |
| Provider Name | Nirdesh Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942432364 PECOS PAC ID: 6305131277 Enrollment ID: I20160817002010 |
| Provider Name | Flor Estella Quijada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477008902 PECOS PAC ID: 2062709066 Enrollment ID: I20160919002069 |
| Provider Name | Daniel Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467862813 PECOS PAC ID: 6204139595 Enrollment ID: I20161019002553 |
| Provider Name | Jordan Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801248182 PECOS PAC ID: 1456636331 Enrollment ID: I20170315001419 |
| Provider Name | Jeralyn Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437130135 PECOS PAC ID: 6305115031 Enrollment ID: I20170711003626 |
| Provider Name | Nora Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336492503 PECOS PAC ID: 1658647847 Enrollment ID: I20171016001008 |
| Provider Name | Jennifer Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467984302 PECOS PAC ID: 7113293374 Enrollment ID: I20171017000408 |
| Provider Name | Robin Belcher-howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104292200 PECOS PAC ID: 9537439088 Enrollment ID: I20180601001772 |
| Provider Name | Amanda H Pileski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215206040 PECOS PAC ID: 1254696156 Enrollment ID: I20180614003101 |
| Provider Name | Heather Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336649128 PECOS PAC ID: 4688920564 Enrollment ID: I20180706002103 |
| Provider Name | Anny Sosebee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164916581 PECOS PAC ID: 1951650761 Enrollment ID: I20180827003031 |
| Provider Name | Kelly Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851680938 PECOS PAC ID: 6507135340 Enrollment ID: I20181105000295 |
| Provider Name | Rebecca Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144601121 PECOS PAC ID: 1254649288 Enrollment ID: I20181116002247 |
| Provider Name | Derek Arthur Klemm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225300494 PECOS PAC ID: 8729332242 Enrollment ID: I20181119002180 |
| Provider Name | Charles A Mcelveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487139739 PECOS PAC ID: 8325384449 Enrollment ID: I20190110002406 |
| Provider Name | Akilah Tomingas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972897700 PECOS PAC ID: 9133340177 Enrollment ID: I20190313003028 |
| Provider Name | Amy Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295273571 PECOS PAC ID: 0749521391 Enrollment ID: I20190408001998 |
| Provider Name | Evan Grovenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184030 PECOS PAC ID: 8325375033 Enrollment ID: I20190802002080 |
| Provider Name | Savannah L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093102675 PECOS PAC ID: 0345578746 Enrollment ID: I20190822003782 |
| Provider Name | Philip Young Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489929 PECOS PAC ID: 9739419094 Enrollment ID: I20190930001192 |
| Provider Name | Melissa Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392975 PECOS PAC ID: 2860723020 Enrollment ID: I20191018002751 |
| Provider Name | Heather Lynn Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730736570 PECOS PAC ID: 7416288675 Enrollment ID: I20191021000089 |
| Provider Name | Jennifer Ruth Wright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528615713 PECOS PAC ID: 3870926538 Enrollment ID: I20191210003595 |
| Provider Name | Gina Marie Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548714512 PECOS PAC ID: 0648565374 Enrollment ID: I20191212002875 |
| Provider Name | Nkechi R Okonta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558915173 PECOS PAC ID: 3072947001 Enrollment ID: I20191230001178 |
| Provider Name | Tina Lynn Shehee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710542287 PECOS PAC ID: 8325476989 Enrollment ID: I20200312001488 |
| Provider Name | Sarah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063863645 PECOS PAC ID: 6204251705 Enrollment ID: I20200730003383 |
| Provider Name | Nicole Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902423841 PECOS PAC ID: 9436574266 Enrollment ID: I20200810003416 |
| Provider Name | Kristen Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396353355 PECOS PAC ID: 6204253057 Enrollment ID: I20200825003657 |
| Provider Name | John Kahle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497395164 PECOS PAC ID: 6800211939 Enrollment ID: I20201110001138 |
| Provider Name | Ernie Aldaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689009953 PECOS PAC ID: 5890101166 Enrollment ID: I20210311000274 |
| Provider Name | Clayton Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285215319 PECOS PAC ID: 9830598192 Enrollment ID: I20210519001148 |
| Provider Name | Deanna Essig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568036002 PECOS PAC ID: 8224438999 Enrollment ID: I20210617000733 |
| Provider Name | Josie Eavenson Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730758418 PECOS PAC ID: 0547662157 Enrollment ID: I20210706000374 |
| Provider Name | Jorie Muraida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780176305 PECOS PAC ID: 9931501699 Enrollment ID: I20210716002798 |
| Provider Name | Jennifer E Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821660978 PECOS PAC ID: 2163325127 Enrollment ID: I20210803000244 |
| Provider Name | Donald E Nichols |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871560235 PECOS PAC ID: 6901708908 Enrollment ID: I20220429001852 |
| Provider Name | Kari M Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083354690 PECOS PAC ID: 7810374212 Enrollment ID: I20220524000559 |
| Provider Name | Jennifer Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497486047 PECOS PAC ID: 0648650176 Enrollment ID: I20220630001012 |
| Provider Name | Heather Michele Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954768 PECOS PAC ID: 9638559446 Enrollment ID: I20220711000179 |
| Provider Name | Brenna Clinansmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336887595 PECOS PAC ID: 1658751490 Enrollment ID: I20220711000927 |
| Provider Name | Cameron Dean Wagenbrenner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063995561 PECOS PAC ID: 2264814573 Enrollment ID: I20220803002354 |
| Provider Name | Monick Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639802473 PECOS PAC ID: 9739563420 Enrollment ID: I20220830000452 |
| Provider Name | Linda Tejada Mahomar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730896572 PECOS PAC ID: 7517335938 Enrollment ID: I20221116000992 |
| Provider Name | Trenice Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447831250 PECOS PAC ID: 1052783669 Enrollment ID: I20230208001309 |
| Provider Name | Reno James Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669094959 PECOS PAC ID: 6800269853 Enrollment ID: I20230222002509 |
| Provider Name | Melonie Grace Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679124390 PECOS PAC ID: 7315307584 Enrollment ID: I20230719002781 |
| Provider Name | Mysonya Earlisa Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891474300 PECOS PAC ID: 0749640779 Enrollment ID: I20230721001419 |
| Provider Name | Justin Souter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205539293 PECOS PAC ID: 2961863584 Enrollment ID: I20230731000551 |
| Provider Name | Sarah Marie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366145708 PECOS PAC ID: 4981068921 Enrollment ID: I20230911000969 |
| Provider Name | Selina Farley Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649055534 PECOS PAC ID: 1759745607 Enrollment ID: I20230912001451 |
| Provider Name | Elizabeth J Pelaccio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386327245 PECOS PAC ID: 7517314636 Enrollment ID: I20231111000423 |
| Provider Name | Ann Whitaker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699158584 PECOS PAC ID: 1658728605 Enrollment ID: I20231113001943 |
| Provider Name | Natalie Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417139601 PECOS PAC ID: 2668555814 Enrollment ID: I20240212000842 |
| Provider Name | Keo L Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225813025 PECOS PAC ID: 1254778228 Enrollment ID: I20240326002741 |
| Provider Name | Allison Dooley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639398290 PECOS PAC ID: 5799879722 Enrollment ID: I20240419001107 |
| Provider Name | Alexandria Odum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992548051 PECOS PAC ID: 0244776177 Enrollment ID: I20240726002088 |
| Provider Name | Sara Chappell Clough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447095740 PECOS PAC ID: 8123564952 Enrollment ID: I20240729001538 |
| Provider Name | James Clinton Tomol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679319701 PECOS PAC ID: 5395282941 Enrollment ID: I20240801000732 |
| Provider Name | Karla Coco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235977489 PECOS PAC ID: 5193262426 Enrollment ID: I20240805003286 |
| Provider Name | Rachelle Lea Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245077833 PECOS PAC ID: 4789121948 Enrollment ID: I20240806000524 |
| Provider Name | Bridgett Muckle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841037686 PECOS PAC ID: 9133667751 Enrollment ID: I20240814002305 |
| Provider Name | Amanda Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477382323 PECOS PAC ID: 4082154042 Enrollment ID: I20240905003007 |
| Provider Name | Sandy Michelle Stinnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497586986 PECOS PAC ID: 9537691480 Enrollment ID: I20241016002016 |
| Provider Name | Jasey Alan Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710605613 PECOS PAC ID: 2769915156 Enrollment ID: I20241023003441 |
| Provider Name | Caroline Broom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912370990 PECOS PAC ID: 7719410083 Enrollment ID: I20241024002124 |
| Provider Name | Tracy Ellen Dasher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457815136 PECOS PAC ID: 8628501566 Enrollment ID: I20241030001649 |
| Provider Name | Stelin Sunny George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932737988 PECOS PAC ID: 2961828561 Enrollment ID: I20241107000465 |
| Provider Name | Patricia Whatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831836410 PECOS PAC ID: 3577097203 Enrollment ID: I20241118000451 |
| Provider Name | Shana Gissentanner Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497431043 PECOS PAC ID: 5395275994 Enrollment ID: I20250212001200 |
| Mailing Address | Practice Location Address |
|---|---|
| Medlink Georgia Inc Po Box 459, Colbert, GA 30628-0459 Ph: (706) 788-3234 | Medlink Georgia Inc 11 Charlie Morris Rd, Colbert, GA 30628-2445 Ph: (706) 788-3234 |