| Care Medical Center Llc | |
|
2804 N Oak St Suite C Valdosta GA 31602-1716 | |
| (229) 241-8925 | |
| (229) 241-7672 |
| Full Name | Care Medical Center Llc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 2804 N Oak St, Valdosta, Georgia |
| Authorized Official Name and Position | James Ryan Moorman (OWNER) |
| Authorized Official Contact | 2292418925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Medical Center Llc 2804 N Oak St Suite C Valdosta GA 31602-1716 Ph: (229) 241-8925 | Care Medical Center Llc 2804 N Oak St Suite C Valdosta GA 31602-1716 Ph: (229) 241-8925 |
| NPI Number | 1063521250 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 6406807015 |
|---|---|
| Medicare Enrollment ID | O20050201000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063521250 | NPI | - | NPPES |
| GRP6935 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | 007773 (Georgia) | Primary |
| Provider Name | David R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215079983 PECOS PAC ID: 8325937956 Enrollment ID: I20040312000173 |
| Provider Name | John Lefand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659480598 PECOS PAC ID: 9133116643 Enrollment ID: I20040427001395 |
| Provider Name | Kim Kathleen Kuebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952530362 PECOS PAC ID: 8527057934 Enrollment ID: I20040511000478 |
| Provider Name | Richard W.a. Rickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609809300 PECOS PAC ID: 8921074667 Enrollment ID: I20040907000110 |
| Provider Name | James Ryan Moorman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366458440 PECOS PAC ID: 8123078821 Enrollment ID: I20050131000571 |
| Provider Name | Tony L Rowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760685978 PECOS PAC ID: 8921190653 Enrollment ID: I20070824000756 |
| Provider Name | Ghari Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306859020 PECOS PAC ID: 4082661624 Enrollment ID: I20080129000731 |
| Provider Name | Barbara J Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265612337 PECOS PAC ID: 0244317451 Enrollment ID: I20080411000090 |
| Provider Name | Wiley L Drury |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568439545 PECOS PAC ID: 6901964048 Enrollment ID: I20081020000001 |
| Provider Name | Stephen M Sutton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528394012 PECOS PAC ID: 5890839351 Enrollment ID: I20100222000374 |
| Provider Name | Fran A Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295063956 PECOS PAC ID: 2264568195 Enrollment ID: I20100331000060 |
| Provider Name | Tambrea T Ellison |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306005202 PECOS PAC ID: 6507016243 Enrollment ID: I20130624000446 |
| Provider Name | Joshua T Rhue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457695058 PECOS PAC ID: 9830325224 Enrollment ID: I20131113000293 |
| Provider Name | Rita Drake Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346679537 PECOS PAC ID: 0345478814 Enrollment ID: I20140107000631 |
| Provider Name | Heather Williams Hyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083017784 PECOS PAC ID: 9335361534 Enrollment ID: I20141103001576 |
| Provider Name | Evelyn Jane W Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902232838 PECOS PAC ID: 9436477585 Enrollment ID: I20150421001956 |
| Provider Name | Joseph Murray Herring |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164802476 PECOS PAC ID: 1052620614 Enrollment ID: I20151021001979 |
| Provider Name | Daniel Day |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699142661 PECOS PAC ID: 3779892161 Enrollment ID: I20151026002608 |
| Provider Name | Laura Diane Gwillim-deaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194898288 PECOS PAC ID: 6406871987 Enrollment ID: I20160407000451 |
| Provider Name | Thomas Smotherman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356892772 PECOS PAC ID: 1658652946 Enrollment ID: I20161228000850 |
| Provider Name | David Merab Katz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184900383 PECOS PAC ID: 8527342435 Enrollment ID: I20170221000768 |
| Provider Name | Arthur G Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366962227 PECOS PAC ID: 8527330679 Enrollment ID: I20170824000145 |
| Provider Name | Ibrahim Usman-oyowe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255695136 PECOS PAC ID: 7517274889 Enrollment ID: I20170908002217 |
| Provider Name | Nathan Kelly Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532280 PECOS PAC ID: 6507122306 Enrollment ID: I20171110002426 |
| Provider Name | David A Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993713 PECOS PAC ID: 6204192784 Enrollment ID: I20171116001243 |
| Provider Name | Kacie Parrish Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003287533 PECOS PAC ID: 6002173242 Enrollment ID: I20171127001736 |
| Provider Name | Alysia Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920779 PECOS PAC ID: 3870734833 Enrollment ID: I20180702000490 |
| Provider Name | Kate E Paylo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447287958 PECOS PAC ID: 6406867183 Enrollment ID: I20190820002797 |
| Provider Name | Robert Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023652948 PECOS PAC ID: 9436583606 Enrollment ID: I20191220000968 |
| Provider Name | Olivia Ann Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497214654 PECOS PAC ID: 8527492743 Enrollment ID: I20191222000027 |
| Provider Name | Flora Virginia Eleace Gatewood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336754274 PECOS PAC ID: 7911326202 Enrollment ID: I20201006002950 |
| Provider Name | Mi Hyun Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760075030 PECOS PAC ID: 3678988680 Enrollment ID: I20210224000856 |
| Provider Name | Carolyn L Hunter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780655316 PECOS PAC ID: 6800891839 Enrollment ID: I20210511001231 |
| Provider Name | Tyler Kabes |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720433881 PECOS PAC ID: 8527355668 Enrollment ID: I20210713003009 |
| Provider Name | Dara Lea Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376115998 PECOS PAC ID: 9931503422 Enrollment ID: I20210805001096 |
| Provider Name | Kirstyn Mahalia James |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669198032 PECOS PAC ID: 4183095888 Enrollment ID: I20230117000540 |
| Provider Name | Inderpal Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1902164981 PECOS PAC ID: 3577812445 Enrollment ID: I20230130002340 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912628769 PECOS PAC ID: 4880052539 Enrollment ID: I20230628000884 |
| Provider Name | Sarah M Kiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477118255 PECOS PAC ID: 0941532006 Enrollment ID: I20230927002018 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |