| Mid Georgia Total Care Llc | |
|
1111 Griffin Ave Ste 1b Eastman GA 31023-9104 | |
| (478) 374-8998 | |
| (478) 374-8525 |
| Full Name | Mid Georgia Total Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Griffin Ave, Eastman, Georgia |
| Authorized Official Name and Position | Kevin Bierschenk (CEO) |
| Authorized Official Contact | 4783442550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Georgia Total Care Llc 1111 Griffin Ave Ste 1b Eastman GA 31023-9104 Ph: (478) 374-8998 | Mid Georgia Total Care Llc 1111 Griffin Ave Ste 1b Eastman GA 31023-9104 Ph: (478) 374-8998 |
| NPI Number | 1003200015 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 4587978960 |
|---|---|
| Medicare Enrollment ID | O20150729008143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003200015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
| Provider Name | Blake E Milner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336256015 PECOS PAC ID: 0446311534 Enrollment ID: I20101130000884 |
| Provider Name | Jennifer Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528776861 PECOS PAC ID: 3476928003 Enrollment ID: I20230412001240 |
Middle Georgia Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Plaza Ave, Eastman, GA 31023 Phone: 478-374-9309 Fax: 478-374-3310 | |
Careconnect Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Eastman Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 Plaza Ave, Eastman, GA 31023 Phone: 478-448-4435 Fax: 478-374-0337 | |
Heather T Herrington Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 | |
Dodge County Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 | |
John A. Glenn Jr. Center For Community Healthcare Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 Plaza Ave, Suite C, Eastman, GA 31023 Phone: 478-374-1308 Fax: 478-374-0302 |