| Family Care Group Of Thomson, Inc | |
|
315 Fluker St Thomson GA 30824-2108 | |
| (706) 595-1090 | |
| (706) 595-6010 |
| Full Name | Family Care Group Of Thomson, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 315 Fluker St, Thomson, Georgia |
| Authorized Official Name and Position | Daryl C Wiley (PRESIDENT) |
| Authorized Official Contact | 7065951090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Group Of Thomson, Inc 315 Fluker St Thomson GA 30824-2108 Ph: (706) 595-1090 | Family Care Group Of Thomson, Inc 315 Fluker St Thomson GA 30824-2108 Ph: (706) 595-1090 |
| NPI Number | 1669660783 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 9133153273 |
|---|---|
| Medicare Enrollment ID | O20050919000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669660783 | NPI | - | NPPES |
| GRP4411 | Other | GA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 032327 (Georgia) | Primary |
| Provider Name | Robert F Polglase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871630483 PECOS PAC ID: 6507810314 Enrollment ID: I20050304000127 |
| Provider Name | Michael Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831318187 PECOS PAC ID: 1153355102 Enrollment ID: I20050920000848 |
| Provider Name | Daryl C Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508859448 PECOS PAC ID: 4688608730 Enrollment ID: I20060329000464 |
| Provider Name | James C Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528075835 PECOS PAC ID: 2668540550 Enrollment ID: I20081006000180 |
| Provider Name | Megan Stuckey Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093156341 PECOS PAC ID: 1557610227 Enrollment ID: I20180814003467 |
| Provider Name | Amanda Nicole Britt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649436569 PECOS PAC ID: 7315125978 Enrollment ID: I20181114003702 |
| Provider Name | Merritt Echols Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962797712 PECOS PAC ID: 9537482344 Enrollment ID: I20200107002890 |
| Provider Name | Mallory Mayers Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992550 PECOS PAC ID: 8729484407 Enrollment ID: I20210903000679 |
| Provider Name | Tyler J Provost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588186191 PECOS PAC ID: 0143575381 Enrollment ID: I20210924001569 |
Family Care Group South, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Fluker St, Thomson, GA 30824 Phone: 706-595-1090 Fax: 706-595-6010 | |
Family First Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Washington Rd, Thomson, GA 30824 Phone: 706-595-7825 Fax: 706-595-1235 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 University Dr, Thomson, GA 30824 Phone: 706-790-4440 Fax: 706-790-4393 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 Fluker St, Thomson, GA 30824 Phone: 706-790-4440 Fax: 706-790-4393 | |
Thomson Pediatrics And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Mount Pleasant Rd, Thomson, GA 30825 Phone: 706-595-0090 | |
M. Frank Powell, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Mount Pleasant Rd, Thomson, GA 30824 Phone: 706-595-9080 Fax: 706-595-7090 |