| Haven Medical Home Pc | |
|
4480 Deer Run Evans GA 30809-4442 | |
| (706) 833-8810 | |
| (800) 504-1362 |
| Full Name | Haven Medical Home Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4480 Deer Run, Evans, Georgia |
| Authorized Official Name and Position | Jennifer Ward (OWNER) |
| Authorized Official Contact | 7068338810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Medical Home Pc 4480 Deer Run Evans GA 30809-4442 Ph: (706) 833-8810 | Haven Medical Home Pc 4480 Deer Run Evans GA 30809-4442 Ph: (706) 833-8810 |
| NPI Number | 1114587763 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 2668897786 |
|---|---|
| Medicare Enrollment ID | O20200806002911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114587763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Helena Ryan Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447729207 PECOS PAC ID: 6406194844 Enrollment ID: I20190211002186 |
| Provider Name | Jennifer Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891727749 PECOS PAC ID: 4486670080 Enrollment ID: I20200806003085 |
| Provider Name | Barbara Ann Tarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998662 PECOS PAC ID: 2860819224 Enrollment ID: I20200831001233 |
| Provider Name | Lamesha Camielle Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942052 PECOS PAC ID: 2466861943 Enrollment ID: I20210513001131 |
Transitional Care Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4480 Deer Run, Evans, GA 30809 Phone: 706-833-8810 Fax: 800-504-1362 | |
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Med Now Urgent Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 N Belair Rd Suite 101, Evans, GA 30809 Phone: 706-922-3669 Fax: 706-364-7971 | |
Welcome Health Evans Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Town Park Blvd Ste 1a, Evans, GA 30809 Phone: 706-736-5848 Fax: 706-504-9322 | |
Global Mentality Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4246 Washington Rd Ste 8, Evans, GA 30809 Phone: 762-218-5328 Fax: 631-350-0321 |