| Mckinney Community Health Center | |
|
218 Quarterman St Waycross GA 31501 | |
| (912) 287-9140 | |
| (912) 287-1568 |
| Full Name | Mckinney Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 Quarterman St, Waycross, Georgia |
| Authorized Official Name and Position | Ola Smith (CEO) |
| Authorized Official Contact | 9122870301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinney Community Health Center 218 Quarterman St Waycross GA 31501 Ph: (912) 287-0301 | Mckinney Community Health Center 218 Quarterman St Waycross GA 31501 Ph: (912) 287-9140 |
| NPI Number | 1487665733 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 3173432226 |
|---|---|
| Medicare Enrollment ID | O20040430000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487665733 | NPI | - | NPPES |
| 336243 | Other | GA | WELLCARE |
| 10066125 | Other | GA | AMERIGROUP |
| 000715415A WAYCROSS | Medicaid | GA |
| Provider Name | Dan A Lott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457463812 PECOS PAC ID: 7517062375 Enrollment ID: I20070424000190 |
| Provider Name | James Blasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619997384 PECOS PAC ID: 4385714633 Enrollment ID: I20080529000642 |
| Provider Name | Eric K Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942363130 PECOS PAC ID: 0840468393 Enrollment ID: I20110727000581 |
| Provider Name | Earl T Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215948260 PECOS PAC ID: 1456599430 Enrollment ID: I20130603000632 |
| Provider Name | Lashunda Nicole Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245598523 PECOS PAC ID: 9335375443 Enrollment ID: I20131120000824 |
| Provider Name | Donald N Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346668407 PECOS PAC ID: 9133447725 Enrollment ID: I20150410001151 |
| Provider Name | Allen Vergen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578701157 PECOS PAC ID: 2567631708 Enrollment ID: I20160609002371 |
| Provider Name | Katherine C Varnadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971857 PECOS PAC ID: 7911275052 Enrollment ID: I20170614002033 |
| Provider Name | Stacy Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851869150 PECOS PAC ID: 2466797329 Enrollment ID: I20181220001685 |
| Provider Name | Janett Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972649374 PECOS PAC ID: 9032456967 Enrollment ID: I20190130001032 |
| Provider Name | Marcus Allen Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341518 PECOS PAC ID: 8527300193 Enrollment ID: I20190430003179 |
| Provider Name | Nancy Elizabeth Clines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861827891 PECOS PAC ID: 1254673718 Enrollment ID: I20190502000881 |
| Provider Name | Jennifer Nicole Clairday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407486954 PECOS PAC ID: 1052749991 Enrollment ID: I20200309000112 |
| Provider Name | Miney Mathews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447209937 PECOS PAC ID: 8325176597 Enrollment ID: I20200414002806 |
| Provider Name | Brittany N Hickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508391970 PECOS PAC ID: 0446526305 Enrollment ID: I20201116000289 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 | |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 | |
Waycross Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-8204 |