| Clayton Family Medicine | |
|
458 N Main St Clayton GA 30525-4254 | |
| (706) 960-9550 | |
| (706) 960-9551 |
| Full Name | Clayton Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 458 N Main St, Clayton, Georgia |
| Authorized Official Name and Position | Brian Pratt (PRINCIPAL) |
| Authorized Official Contact | 7067821645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Family Medicine 458 N Main St Clayton GA 30525-4254 Ph: (706) 960-9550 | Clayton Family Medicine 458 N Main St Clayton GA 30525-4254 Ph: (706) 960-9550 |
| NPI Number | 1194283002 |
|---|---|
| Provider Enumeration Date | 03/10/2019 |
| Last Update Date | 05/06/2019 |
| Medicare PECOS PAC ID | 0840527255 |
|---|---|
| Medicare Enrollment ID | O20190807004194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194283002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janice B Cochrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740261320 PECOS PAC ID: 1456393313 Enrollment ID: I20050601000770 |
| Provider Name | Anna M Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154671063 PECOS PAC ID: 3072732171 Enrollment ID: I20140923001356 |
| Provider Name | Virginia A Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679921134 PECOS PAC ID: 6800178609 Enrollment ID: I20170130002599 |
| Provider Name | Brian E Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679861256 PECOS PAC ID: 9537301254 Enrollment ID: I20170918002168 |
| Provider Name | Anne E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780184366 PECOS PAC ID: 3173938792 Enrollment ID: I20210212000520 |
| Provider Name | Rachel Ragina Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975206 PECOS PAC ID: 2062719156 Enrollment ID: I20211013003037 |
North Shore Healthcare Associates - Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Ridgecrest Cir, Clayton, GA 30525 Phone: 706-782-0440 | |
Stephens County Hospital Physician Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Bo James St Ste 105, Clayton, GA 30525 Phone: 706-282-4200 | |
Medlink Rabun North Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 773 N Main St, Clayton, GA 30525 Phone: 706-782-5991 | |
Mountain Laurel Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 N Main St, Clayton, GA 30525 Phone: 706-782-0293 Fax: 706-782-0118 | |
Medlink Georgia, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 563 Mountain City Rd, Clayton, GA 30525 Phone: 706-521-3113 | |
Medlink Rabun Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 896 Highway 441 S, Clayton, GA 30525 Phone: 706-782-5991 Fax: 706-782-5111 |