East Georgia Hma Physician Management, Llc - Medicare Primary Care in Statesboro, GA

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East Georgia Hma Physician Management, Llc is a medicare enrolled primary clinic (Internal Medicine) in Statesboro, Georgia. The current practice location for East Georgia Hma Physician Management, Llc is 1497 Fair Rd, Statesboro, Georgia. For appointments, you can reach them via phone at (912) 486-1710. The mailing address for East Georgia Hma Physician Management, Llc is 4000 Meridian Blvd, Franklin, Tennessee and phone number is (615) 465-7000.

East Georgia Hma Physician Management, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487983151. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (912) 486-1710.

Contact Information

East Georgia Hma Physician Management, Llc
1497 Fair Rd
Statesboro
GA 30458-0822
(912) 486-1710
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameEast Georgia Hma Physician Management, Llc
SpecialityInternal Medicine
Location1497 Fair Rd, Statesboro, Georgia
Authorized Official Name and PositionJennifer L Jackson (SR DIR PROV ENROLLMENT)
Authorized Official Contact6154657000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Georgia Hma Physician Management, Llc
4000 Meridian Blvd
Franklin
TN 37067-6325

Ph: (615) 465-7000		East Georgia Hma Physician Management, Llc
1497 Fair Rd
Statesboro
GA 30458-0822

Ph: (912) 486-1710

NPI Details:

NPI Number1487983151
Provider Enumeration Date12/09/2009
Last Update Date11/04/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7214068592
Medicare Enrollment IDO20100630000504

Medical Identifiers

Medical identifiers for East Georgia Hma Physician Management, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487983151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. East Georgia Hma Physician Management, Llc acts as a billing entity for following providers:
Provider NameBrian A Moogerfeld
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235287004
PECOS PAC ID: 3971405408
Enrollment ID: I20040123000872
Provider NameCarl A Scott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275578239
PECOS PAC ID: 6507753696
Enrollment ID: I20040303000306
Provider NameHenry K Purvis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780687954
PECOS PAC ID: 8426952540
Enrollment ID: I20040308000453
Provider NameMaria A Moogerfeld
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750439436
PECOS PAC ID: 0941276901
Enrollment ID: I20040909001277
Provider NameRobert M Benson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013921428
PECOS PAC ID: 7810950821
Enrollment ID: I20041110000997
Provider NameTeresa B Cheney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144239104
PECOS PAC ID: 9234177940
Enrollment ID: I20050422000530
Provider NameBrian M Deloach
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841202868
PECOS PAC ID: 8729010038
Enrollment ID: I20050908000067
Provider NameAndrew V Cichelli
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1710044557
PECOS PAC ID: 4183527799
Enrollment ID: I20070723000341
Provider NameTimothy R Thaller
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1407849706
PECOS PAC ID: 0648360800
Enrollment ID: I20071212000470
Provider NameJoseph M Hathaway
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760461925
PECOS PAC ID: 5799738860
Enrollment ID: I20100913000406
Provider NameCarla Branch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851394969
PECOS PAC ID: 4688790652
Enrollment ID: I20100928000019
Provider NamePatrick Dorvilus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144222456
PECOS PAC ID: 3274555248
Enrollment ID: I20110107000558
Provider NameKenneth Brian Walton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699719179
PECOS PAC ID: 8325065253
Enrollment ID: I20110418000195
Provider NameJason Floyd Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912272675
PECOS PAC ID: 8426212770
Enrollment ID: I20120618000169
Provider NameJennifer L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699184895
PECOS PAC ID: 1557582228
Enrollment ID: I20141021002640
Provider NameTiffany B Kreun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598155004
PECOS PAC ID: 2365752342
Enrollment ID: I20151103001204
Provider NameWendy Futch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386010478
PECOS PAC ID: 6002117462
Enrollment ID: I20151209001937
Provider NameShelly Clary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437557287
PECOS PAC ID: 3779870126
Enrollment ID: I20160928001734
Provider NamePatricia V Law
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700962651
PECOS PAC ID: 0547557860
Enrollment ID: I20160929001041
Provider NameAnastasia C Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487197505
PECOS PAC ID: 2264715069
Enrollment ID: I20170201000959
Provider NameWilliam N Hallmon
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1780603555
PECOS PAC ID: 8628979069
Enrollment ID: I20171006000793
Provider NameJeanna Lynn Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649789041
PECOS PAC ID: 9335409218
Enrollment ID: I20180214002731
Provider NameTina L. Hathaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023529914
PECOS PAC ID: 1355604174
Enrollment ID: I20180409002444
Provider NameJohn Michael Allen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912142720
PECOS PAC ID: 1951605575
Enrollment ID: I20181003002537
Provider NameScott L Mikell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386056422
PECOS PAC ID: 8820371974
Enrollment ID: I20181010003298
Provider NameJustin Lee Rountree
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053572800
PECOS PAC ID: 8628210432
Enrollment ID: I20190107001017
Provider NameNicolle Maria Digerolamo-thaller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881873099
PECOS PAC ID: 7214027481
Enrollment ID: I20210503002547
Provider NameRichard T Cowart
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568862381
PECOS PAC ID: 1658674957
Enrollment ID: I20210820003020
Provider NameFrenchye Garcia Bonds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184354326
PECOS PAC ID: 2264816081
Enrollment ID: I20220829001123
Provider NameBailey Harville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346974250
PECOS PAC ID: 5092181487
Enrollment ID: I20221027000493
Provider NameRichard Petrella
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1902800972
PECOS PAC ID: 0345134276
Enrollment ID: I20230501001109
Provider NameTarek Amoun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487176327
PECOS PAC ID: 9436517067
Enrollment ID: I20230614001151
Provider NameThomas Sorbera
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1649382342
PECOS PAC ID: 2769468636
Enrollment ID: I20240723000300
Provider NameBasil Sohail Bangash
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1144750571
PECOS PAC ID: 4981022498
Enrollment ID: I20240725004313
Provider NameRosa Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831491091
PECOS PAC ID: 6800033606
Enrollment ID: I20250116002541

Reviews and Comments


Internal Medicine in Statesboro, GA

East Georgia Urgent Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459
Phone: 912-764-2273    
Smith & Purvis Family Practice Clinic, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 412 Northside Dr E, Suite 200, Statesboro, GA 30458
Phone: 912-764-9684    Fax: 912-489-8676
East Georgia Healthcare Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 150 Langston Chapel Rd, Statesboro, GA 30458
Phone: 478-494-9926    Fax: 478-237-9138
South Georgia Family Medicine Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1203 Brampton Ave, Statesboro, GA 30458
Phone: 912-871-7890    Fax: 912-871-7897
Gastroenterology Institute, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458
Phone: 912-681-6944    Fax: 912-681-8744
Ogeechee Wound Healing, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1497 Fair Rd., Department Of Wound Care And Hyperbaric Medicine, Statesboro, GA 30458
Phone: 912-296-8633    
Brian A Moogerfeld Md, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1088a Bermuda Run, Statesboro, GA 30458
Phone: 912-681-7111    Fax: 912-871-7794

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.