| Family Medical Center | |
|
1657 N Expressway Griffin GA 30223-1276 | |
| (770) 228-2641 | |
| Not Available |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1657 N Expressway, Griffin, Georgia |
| Authorized Official Name and Position | Kristin Gore (OWNER) |
| Authorized Official Contact | 7702282641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 1657 N Expressway Griffin GA 30223-1276 Ph: (770) 228-2641 | Family Medical Center 1657 N Expressway Griffin GA 30223-1276 Ph: (770) 228-2641 |
| NPI Number | 1750996070 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 0547671984 |
|---|---|
| Medicare Enrollment ID | O20201116002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750996070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Anthony Rives |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376578583 PECOS PAC ID: 7810892049 Enrollment ID: I20031202000056 |
| Provider Name | Benjamin R Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003044199 PECOS PAC ID: 9830346345 Enrollment ID: I20120905000500 |
| Provider Name | Kristin M Gore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831327923 PECOS PAC ID: 8729236211 Enrollment ID: I20120906000697 |
| Provider Name | Rebecca Lea Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676638 PECOS PAC ID: 8022236215 Enrollment ID: I20140829001934 |
| Provider Name | Jacqueline Jester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467810697 PECOS PAC ID: 3476845314 Enrollment ID: I20160713000958 |
| Provider Name | Jonniece Priester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568974681 PECOS PAC ID: 4981963568 Enrollment ID: I20180108000930 |
| Provider Name | Kholi Anne Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457835571 PECOS PAC ID: 4284970245 Enrollment ID: I20190111000861 |
| Provider Name | Kaylyn Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902648579 PECOS PAC ID: 5799221123 Enrollment ID: I20240722004059 |
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