| Douglas Internal Medicine P.c. | |
|
306 Westside Dr Douglas GA 31533-3530 | |
| (912) 383-7826 | |
| (912) 383-7299 |
| Full Name | Douglas Internal Medicine P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 Westside Dr, Douglas, Georgia |
| Authorized Official Name and Position | Penny Adams (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9123837826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Internal Medicine P.c. 306 Westside Dr Douglas GA 31533-3530 Ph: (912) 383-7826 | Douglas Internal Medicine P.c. 306 Westside Dr Douglas GA 31533-3530 Ph: (912) 383-7826 |
| NPI Number | 1275542953 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 05/20/2015 |
| Medicare PECOS PAC ID | 4789608738 |
|---|---|
| Medicare Enrollment ID | O20060118000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275542953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James S Sinclair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437142320 PECOS PAC ID: 0941224992 Enrollment ID: I20060119000089 |
| Provider Name | Teresa Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710269220 PECOS PAC ID: 0042441198 Enrollment ID: I20140402002311 |
| Provider Name | Jennifer Wildes Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447641048 PECOS PAC ID: 1153642335 Enrollment ID: I20150601001471 |
| Provider Name | Amanda Boatright-scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407159437 PECOS PAC ID: 7113231341 Enrollment ID: I20150801017342 |
| Provider Name | Katie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669903084 PECOS PAC ID: 8022395789 Enrollment ID: I20170505000755 |
| Provider Name | Lauren W Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020228 PECOS PAC ID: 4981951811 Enrollment ID: I20180723002934 |
| Provider Name | Alyssa Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487138590 PECOS PAC ID: 5597019307 Enrollment ID: I20181114001875 |
| Provider Name | Kayla Shurai Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158887 PECOS PAC ID: 2769810241 Enrollment ID: I20200316001940 |
| Provider Name | Allison Tucker Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477312759 PECOS PAC ID: 0446692982 Enrollment ID: I20240529002046 |
| Provider Name | Leigh Anna Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427884212 PECOS PAC ID: 5698216513 Enrollment ID: I20240919000669 |
Crh Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
South Central Primary Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Shirley Ave, Ste B, Douglas, GA 31533 Phone: 912-384-2474 Fax: 912-384-4995 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Crh Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Ste 101, Douglas, GA 31533 Phone: 912-389-1558 Fax: 912-389-1558 | |
Douglas Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Madison Ave S, Douglas, GA 31533 Phone: 912-383-7826 Fax: 912-383-7299 |