| Family Specialty Care Llc | |
|
4310 Hartley Bridge Rd Macon GA 31216 | |
| (478) 788-4007 | |
| (478) 788-5070 |
| Full Name | Family Specialty Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4310 Hartley Bridge Rd, Macon, Georgia |
| Authorized Official Name and Position | Kirsten J Hampton (OWNER) |
| Authorized Official Contact | 4787884007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Specialty Care Llc 4310 Hartley Bridge Rd Macon GA 31216 Ph: (478) 788-4007 | Family Specialty Care Llc 4310 Hartley Bridge Rd Macon GA 31216 Ph: (478) 788-4007 |
| NPI Number | 1144432048 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 7012978448 |
|---|---|
| Medicare Enrollment ID | O20041020000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144432048 | NPI | - | NPPES |
| 527716214A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GA051141 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | GA048078 (Georgia) | Primary |
| Provider Name | Kirsten J Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164598710 PECOS PAC ID: 6901867332 Enrollment ID: I20041021000019 |
| Provider Name | Jamie Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134732589 PECOS PAC ID: 1759700040 Enrollment ID: I20201006002867 |
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