| Mitchell County Pediatrics And Health Center | |
|
94 E Oakland Ave Ste A Camilla GA 31730-1529 | |
| (229) 449-6671 | |
| Not Available |
| Full Name | Mitchell County Pediatrics And Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 94 E Oakland Ave Ste A, Camilla, Georgia |
| Authorized Official Name and Position | Alana Williams (RCM) |
| Authorized Official Contact | 6788209447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell County Pediatrics And Health Center 94 E Oakland Ave Ste A Camilla GA 31730-1529 Ph: (229) 449-6671 | Mitchell County Pediatrics And Health Center 94 E Oakland Ave Ste A Camilla GA 31730-1529 Ph: (229) 449-6671 |
| NPI Number | 1568117737 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7911437421 |
|---|---|
| Medicare Enrollment ID | O20250213002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568117737 | NPI | - | NPPES |
| 003218939A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Antonio Renaldo Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041107 PECOS PAC ID: 1557794187 Enrollment ID: I20191211003010 |
Phoebe Primary Care Of Camilla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-8260 | |
Hospital Authority Of Mitchell County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-1499 Fax: 229-336-1534 | |
Hospital Authority Of Mitchell County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-336-1661 | |
Mitchell County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 E Broad St, Camilla, GA 31730 Phone: 229-336-5259 Fax: 229-336-9433 | |
Albany Area Primary Heath Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newton Rd, Camilla, GA 31730 Phone: 229-889-7393 Fax: 229-889-8494 | |
Dr Raymond J Otis Sr Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 |