| Irwin County Hospital Authority | |
|
710 N Irwin Ave Ocilla GA 31774-5011 | |
| (229) 468-3800 | |
| Not Available |
| Full Name | Irwin County Hospital Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 N Irwin Ave, Ocilla, Georgia |
| Authorized Official Name and Position | Paige Wynn (CEO) |
| Authorized Official Contact | 2294579484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irwin County Hospital Authority 710 N Irwin Ave Ocilla GA 31774-5011 Ph: (229) 468-3800 | Irwin County Hospital Authority 710 N Irwin Ave Ocilla GA 31774-5011 Ph: (229) 468-3800 |
| NPI Number | 1487158135 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 02/22/2022 |
| Medicare PECOS PAC ID | 9537592084 |
|---|---|
| Medicare Enrollment ID | O20191213002028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487158135 | NPI | - | NPPES |
| Provider Name | Ashfaq Saiyed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225119407 PECOS PAC ID: 7113925215 Enrollment ID: I20090727000165 |
| Provider Name | Howard C Mcmahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457473779 PECOS PAC ID: 9931010451 Enrollment ID: I20120305000405 |
| Provider Name | Bridget M Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669880456 PECOS PAC ID: 6507181955 Enrollment ID: I20150206001177 |
| Provider Name | Alexander Blaine Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144699141 PECOS PAC ID: 8123338647 Enrollment ID: I20151112000398 |
| Provider Name | Jessica Marie Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285009555 PECOS PAC ID: 7315241072 Enrollment ID: I20160201002271 |
| Provider Name | Keri Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811351554 PECOS PAC ID: 6901198779 Enrollment ID: I20160714002134 |
| Provider Name | Jacqueline O'kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396085981 PECOS PAC ID: 3870815970 Enrollment ID: I20200720001770 |
| Provider Name | Shonda L Souther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346938222 PECOS PAC ID: 3577929710 Enrollment ID: I20230515001096 |
Irwin Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Cherry St, Ocilla, GA 31774 Phone: 229-468-5020 Fax: 229-468-5024 | |
Irwin Specialty Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-3800 | |
Irwin Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Cargile Rd, Ocilla, GA 31774 Phone: 229-468-3975 | |
South Central Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607c N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-5020 Fax: 229-468-5024 | |
Irwin Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Cargile Rd, Ocilla, GA 31774 Phone: 229-468-3975 | |
South Central Primary Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Chieftain Cir, Ocilla, GA 31774 Phone: 229-468-9166 Fax: 229-468-9188 |