| Collier B Gladin Jr MD | |
|
140 Northcrest Blvd. Macon GA 31210 | |
| (478) 757-8335 | |
| (478) 757-8353 |
| Full Name | Collier B Gladin Jr MD |
|---|---|
| Speciality | Family Medicine |
| Location | 140 Northcrest Blvd., Macon, Georgia |
| Authorized Official Name and Position | Collier B. Gladin (OWNER) |
| Authorized Official Contact | 4787578335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier B Gladin Jr MD 140 Northcrest Blvd. Macon GA 31210 Ph: (478) 757-8335 | Collier B Gladin Jr MD 140 Northcrest Blvd. Macon GA 31210 Ph: (478) 757-8335 |
| NPI Number | 1780992198 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3375692296 |
|---|---|
| Medicare Enrollment ID | O20140514000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992198 | NPI | - | NPPES |
| 000383446D | Medicaid | GA | |
| D29570 | Other | GA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030609 (Georgia) | Primary |
| 305R00000X | Preferred Provider Organization | 030609 (Georgia) | Secondary |
| Provider Name | Collier B Gladin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063527430 PECOS PAC ID: 1153400064 Enrollment ID: I20080505000109 |
| Provider Name | Valencia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973790 PECOS PAC ID: 4789943127 Enrollment ID: I20180110003363 |
Harbormed Care of Ga PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Whiteside Rd, Macon, GA 31216 Phone: 478-347-2400 |
Harvey Jones MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2460 Shurling Dr, Macon, GA 31211 Phone: 478-787-4266 Fax: 478-787-4199 |
Internal Medicine Associates, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 |
Metabolic Health of Lawrenceville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Bowman Park Ste D, Macon, GA 31210 Phone: 678-431-1119 |
New Chance Centers LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2733 Sheraton Dr Ste 110, Macon, GA 31204 Phone: 478-202-7273 Fax: 478-239-0094 |