| Accordia Healthcare Llc | |
|
3193 E 1st St Vidalia GA 30474-8830 | |
| (912) 537-8588 | |
| Not Available |
| Full Name | Accordia Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3193 E 1st St, Vidalia, Georgia |
| Authorized Official Name and Position | John Welch (OWNER) |
| Authorized Official Contact | 9122450379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accordia Healthcare Llc 125 Church St Ste 200 Vidalia GA 30474-4770 Ph: (912) 245-0379 | Accordia Healthcare Llc 3193 E 1st St Vidalia GA 30474-8830 Ph: (912) 537-8588 |
| NPI Number | 1962826511 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 1153544945 |
|---|---|
| Medicare Enrollment ID | O20140523001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962826511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 68199 (Georgia) | Primary |
| Provider Name | Jeffrey Q Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861620387 PECOS PAC ID: 3476702937 Enrollment ID: I20120927000615 |
| Provider Name | Matthew Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295172773 PECOS PAC ID: 3274773171 Enrollment ID: I20130716000869 |
| Provider Name | Lanie Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205265683 PECOS PAC ID: 0547491839 Enrollment ID: I20140331001029 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699184895 PECOS PAC ID: 1557582228 Enrollment ID: I20141021002640 |
| Provider Name | Dorothy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298900 PECOS PAC ID: 3779889035 Enrollment ID: I20160311001874 |
| Provider Name | Cynthia Jill Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164899787 PECOS PAC ID: 7618269135 Enrollment ID: I20160701000878 |
| Provider Name | Heather H Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245768266 PECOS PAC ID: 7517233877 Enrollment ID: I20171101001190 |
| Provider Name | Pamela W Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366800559 PECOS PAC ID: 6800152729 Enrollment ID: I20171109001813 |
| Provider Name | Sharifa Abou-mediene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750571956 PECOS PAC ID: 2264795376 Enrollment ID: I20180423002857 |
| Provider Name | Margaret Rene Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609324631 PECOS PAC ID: 2466704689 Enrollment ID: I20181016001955 |
| Provider Name | Lindsay E Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760703094 PECOS PAC ID: 9739328915 Enrollment ID: I20181022002337 |
| Provider Name | Desha H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245721687 PECOS PAC ID: 7719226737 Enrollment ID: I20190308000116 |
| Provider Name | Bambi Ivey Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679122501 PECOS PAC ID: 2062744873 Enrollment ID: I20191029000646 |
| Provider Name | Jenna Rubin Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164066106 PECOS PAC ID: 6204265556 Enrollment ID: I20200407003482 |
| Provider Name | Susan J Montford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750914925 PECOS PAC ID: 3476974783 Enrollment ID: I20200521002826 |
| Provider Name | Arlie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972888477 PECOS PAC ID: 2163832536 Enrollment ID: I20201113002353 |
| Provider Name | Deidre Patrice Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396330411 PECOS PAC ID: 4789075821 Enrollment ID: I20211227000864 |
| Provider Name | Kristen Nicole Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032106 PECOS PAC ID: 6608269477 Enrollment ID: I20220131002619 |
| Provider Name | Kara Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326781766 PECOS PAC ID: 5991187569 Enrollment ID: I20220728001576 |
| Provider Name | Chasity Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881359941 PECOS PAC ID: 2567831456 Enrollment ID: I20221215002941 |
| Provider Name | Jessica Leigh Langenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487374005 PECOS PAC ID: 9436514445 Enrollment ID: I20230426002664 |
| Provider Name | Anissa Dawn Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336834746 PECOS PAC ID: 1658737945 Enrollment ID: I20230511000491 |
| Provider Name | Avery Seelhammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235837253 PECOS PAC ID: 6103282223 Enrollment ID: I20230516001847 |
Vidalia Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Meadows Medical Group Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Optim Primary Care-vidalia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 | |
Williams Rural Surgical & Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Meadows Ln, Vidalia, GA 30474 Phone: 912-245-4179 Fax: 912-403-3346 |