| Medplus Immediate Care | |
|
5585 Thomaston Rd Ste A600 Macon GA 31220-8200 | |
| (478) 219-9514 | |
| (478) 259-2836 |
| Full Name | Medplus Immediate Care |
|---|---|
| Speciality | General Practice |
| Location | 5585 Thomaston Rd Ste A600, Macon, Georgia |
| Authorized Official Name and Position | John Souza (OWNER) |
| Authorized Official Contact | 4782199514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medplus Immediate Care 1101 Hillcrest Pkwy Ste L Dublin GA 31021-3581 Ph: (478) 272-8140 | Medplus Immediate Care 5585 Thomaston Rd Ste A600 Macon GA 31220-8200 Ph: (478) 219-9514 |
| NPI Number | 1215600564 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 5597162842 |
|---|---|
| Medicare Enrollment ID | O20210929001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215600564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | John W Souza |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699718056 PECOS PAC ID: 7012829609 Enrollment ID: I20031104000603 |
| Provider Name | Herschel L Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952612103 PECOS PAC ID: 3274773551 Enrollment ID: I20130710000178 |
| Provider Name | Gregory D Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366651507 PECOS PAC ID: 1850466210 Enrollment ID: I20180820000034 |
| Provider Name | Angela Kennedy Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681495 PECOS PAC ID: 1355691155 Enrollment ID: I20180828003651 |
| Provider Name | Detra Kerr Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376101196 PECOS PAC ID: 3375948003 Enrollment ID: I20210818003627 |
| Provider Name | Renee Nichols Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407018872 PECOS PAC ID: 1951778034 Enrollment ID: I20221102001060 |
| Provider Name | Michael Paul Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588225106 PECOS PAC ID: 5597093765 Enrollment ID: I20221205003113 |
Harbormed Care of Ga PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Whiteside Rd, Macon, GA 31216 Phone: 478-347-2400 |
Harvey Jones MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2460 Shurling Dr, Macon, GA 31211 Phone: 478-787-4266 Fax: 478-787-4199 |
Internal Medicine Associates, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 |
Metabolic Health of Lawrenceville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Bowman Park Ste D, Macon, GA 31210 Phone: 678-431-1119 |
New Chance Centers LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2733 Sheraton Dr Ste 110, Macon, GA 31204 Phone: 478-202-7273 Fax: 478-239-0094 |