| Homestead Hospice Of Augusta, Llc | |
|
4210 Columbia Rd Building 12, Suite D Augusta GA 30907-4047 | |
| (706) 396-5600 | |
| (706) 396-5605 |
| Full Name | Homestead Hospice Of Augusta, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4210 Columbia Rd, Augusta, Georgia |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Hospice Of Augusta, Llc 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-6547 | Homestead Hospice Of Augusta, Llc 4210 Columbia Rd Building 12, Suite D Augusta GA 30907-4047 Ph: (706) 396-5600 |
| NPI Number | 1962140392 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 2264676113 |
|---|---|
| Medicare Enrollment ID | O20220711000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962140392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anthony G Captain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463 |
| Provider Name | David B Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538174933 PECOS PAC ID: 8527017607 Enrollment ID: I20100122000338 |
| Provider Name | Frederick A Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740299650 PECOS PAC ID: 9537118617 Enrollment ID: I20100125000597 |
| Provider Name | Georg Laemmerhirt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851586747 PECOS PAC ID: 9032263926 Enrollment ID: I20120620000479 |
| Provider Name | Blanche L. Kearley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871978148 PECOS PAC ID: 8527357870 Enrollment ID: I20160510001814 |
| Provider Name | Amethyst Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396168753 PECOS PAC ID: 3072861764 Enrollment ID: I20180813002860 |
| Provider Name | Amy L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851069470 PECOS PAC ID: 2163814666 Enrollment ID: I20220112002928 |
Jack H. Austin, Jr., Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 Phone: 706-724-4376 Fax: 706-731-5289 | |
Augusta Hypertention, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 15th St Ste 2, Bio Tech Park, Augusta, GA 30901 Phone: 706-722-4688 Fax: 706-722-8194 | |
Reba Brown Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Pleasant Home Rd Ste A, Augusta, GA 30907 Phone: 706-364-7398 | |
Benjamin L. Rucker M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Druid Park Ave, Suite B, Augusta, GA 30904 Phone: 706-733-9447 Fax: 706-738-0863 | |
Neighborhood Improvement Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-790-4440 | |
Christ Community Health Services Augusta, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Telfair St, Augusta, GA 30901 Phone: 706-922-0600 Fax: 706-922-0604 | |
Halbert C Capuy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Garredd Blvd, Suite A, Augusta, GA 30909 Phone: 706-863-5776 Fax: 706-868-7057 |