| Ensign Family Medicine Llc | |
|
1302 Plant Ave Waycross GA 31501-3537 | |
| (912) 490-5080 | |
| (912) 490-5081 |
| Full Name | Ensign Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1302 Plant Ave, Waycross, Georgia |
| Authorized Official Name and Position | Shad Stormant (PRESIDENT) |
| Authorized Official Contact | 9124905080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensign Family Medicine Llc 1302 Plant Ave Waycross GA 31501-3537 Ph: (912) 490-5080 | Ensign Family Medicine Llc 1302 Plant Ave Waycross GA 31501-3537 Ph: (912) 490-5080 |
| NPI Number | 1770224495 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9537541388 |
|---|---|
| Medicare Enrollment ID | O20220727000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770224495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shad A Stormant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295084374 PECOS PAC ID: 2365744539 Enrollment ID: I20180810001787 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 | |
Waycross Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-8204 |