| Asa Mccann, Llc | |
|
235 E Washington Ave Ashburn GA 31714-5224 | |
| (229) 484-2300 | |
| Not Available |
| Full Name | Asa Mccann, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 E Washington Ave, Ashburn, Georgia |
| Authorized Official Name and Position | Amanda Chavers (DIRECTOR OF NURSING) |
| Authorized Official Contact | 2294842300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asa Mccann, Llc 235 E Washington Ave Ashburn GA 31714-5224 Ph: () - | Asa Mccann, Llc 235 E Washington Ave Ashburn GA 31714-5224 Ph: (229) 484-2300 |
| NPI Number | 1194305680 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 2769883396 |
|---|---|
| Medicare Enrollment ID | O20210702000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194305680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Susan R Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316922206 PECOS PAC ID: 2769371079 Enrollment ID: I20040315000119 |
| Provider Name | Joseph Morgan Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811980352 PECOS PAC ID: 5092847202 Enrollment ID: I20100722000795 |
Tift Regional Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3407 Fax: 229-567-4467 | |
Phoebe Worth Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3361 | |
Careconnect Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-4414 Fax: 229-567-4419 | |
Chl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 E Washington Ave, Ashburn, GA 31714 Phone: 229-778-9216 |