| Blue Ridge Concierge Medicine Llc | |
|
101 Riverstone Vis Ste 203 Blue Ridge GA 30513-6668 | |
| (706) 946-4240 | |
| Not Available |
| Full Name | Blue Ridge Concierge Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Riverstone Vis Ste 203, Blue Ridge, Georgia |
| Authorized Official Name and Position | Raymond Tidman (PRESIDENT) |
| Authorized Official Contact | 7069464240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Concierge Medicine Llc 101 Riverstone Vis Ste 203 Blue Ridge GA 30513-6668 Ph: (706) 946-4240 | Blue Ridge Concierge Medicine Llc 101 Riverstone Vis Ste 203 Blue Ridge GA 30513-6668 Ph: (706) 946-4240 |
| NPI Number | 1013504174 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 12/23/2020 |
| Medicare PECOS PAC ID | 0244643666 |
|---|---|
| Medicare Enrollment ID | O20210104001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013504174 | NPI | - | NPPES |
| 32826 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raymond E Tidman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588663686 PECOS PAC ID: 9931132909 Enrollment ID: I20060405000340 |
| Provider Name | Lee Ann Tidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316947260 PECOS PAC ID: 9537260450 Enrollment ID: I20070723000439 |
Georgia Mountains Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Blue Ridge Overlook, Blue Ridge, GA 30513 Phone: 706-374-3100 Fax: 706-374-7628 | |
Hidden Valley Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis Ste 300, Blue Ridge, GA 30513 Phone: 706-946-4206 Fax: 706-946-4289 | |
Riverstonemd Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 205, Blue Ridge, GA 30513 Phone: 706-258-4100 Fax: 706-632-3585 | |
Kenney S. Atkins M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4799 Blue Ridge Drive, Suite 100, Blue Ridge, GA 30513 Phone: 706-964-3345 Fax: 706-964-3347 | |
Marc S Berger Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Ste 217, Blue Ridge, GA 30513 Phone: 706-946-4240 Fax: 706-946-4241 | |
Mccaysville Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Elm St, Blue Ridge, GA 30513 Phone: 706-492-4294 Fax: 706-492-4226 |