| Access Medical Clinic Georgia Llc | |
|
304 N Westberry St Perry GA 31069-3145 | |
| (229) 463-7071 | |
| (833) 606-0577 |
| Full Name | Access Medical Clinic Georgia Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 N Westberry St, Perry, Georgia |
| Authorized Official Name and Position | Bradley Bibb (CEO) |
| Authorized Official Contact | 8708561202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Medical Clinic Georgia Llc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | Access Medical Clinic Georgia Llc 304 N Westberry St Perry GA 31069-3145 Ph: (229) 463-7071 |
| NPI Number | 1730793639 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 2961814694 |
|---|---|
| Medicare Enrollment ID | O20201222000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730793639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Appavuchetty Soundappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912951500 PECOS PAC ID: 9335152867 Enrollment ID: I20100922000156 |
| Provider Name | Darl W Rantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911102 PECOS PAC ID: 5496914939 Enrollment ID: I20120302000188 |
| Provider Name | Heather Lynn Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174003917 PECOS PAC ID: 8527307818 Enrollment ID: I20190304002744 |
| Provider Name | Mark Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20210205002129 |
| Provider Name | Rachel Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467062620 PECOS PAC ID: 4880011105 Enrollment ID: I20210420002201 |
| Provider Name | Tyler Yvonne Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760053144 PECOS PAC ID: 3577966449 Enrollment ID: I20210729002300 |
| Provider Name | Cori Beth Sutton Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629722376 PECOS PAC ID: 4880080878 Enrollment ID: I20220330002188 |
| Provider Name | Jessica Lee Vognet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639799240 PECOS PAC ID: 8820429871 Enrollment ID: I20220504000029 |
| Provider Name | Kaleise Jade Tennille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700424496 PECOS PAC ID: 1254716210 Enrollment ID: I20220913000526 |
| Provider Name | Shelby Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091340 PECOS PAC ID: 6406231265 Enrollment ID: I20220914001557 |
| Provider Name | Misty Michelle Schales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083339220 PECOS PAC ID: 5698120723 Enrollment ID: I20231010002669 |
| Provider Name | Jennifer Nwangburuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730653122 PECOS PAC ID: 3971858697 Enrollment ID: I20231205001775 |
| Provider Name | Janelle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487436515 PECOS PAC ID: 7416303474 Enrollment ID: I20240530001427 |
| Provider Name | Laura Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982336533 PECOS PAC ID: 4981147956 Enrollment ID: I20240618003386 |
| Provider Name | Jason Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932943313 PECOS PAC ID: 6507303310 Enrollment ID: I20250225003149 |
Perry Internal Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-988-0022 Fax: 478-987-0444 | |
Perry Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Wes Park Drive, Perry, GA 31069 Phone: 478-987-2578 Fax: 478-987-2598 | |
Houston Primary Care Associates P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Keith Dr, Suite A, Perry, GA 31069 Phone: 478-987-2556 | |
Middle Georgia Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 Morningside Dr, Perry, GA 31069 Phone: 478-988-3060 Fax: 478-988-3098 | |
Jonathan Velasquez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Morningside Dr, Suite A, Perry, GA 31069 Phone: 478-224-3322 Fax: 478-224-3325 | |
Capstone Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Keith Dr, Perry, GA 31069 Phone: 478-988-1100 Fax: 478-988-8211 | |
Houston Health Care Complex, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Morningside Dr, Perry, GA 31069 Phone: 478-542-7963 |