| Nicholas a Pietrzak, MD, LLC | |
|
3951 Ridge Ave Ste B Macon GA 31210-5050 | |
| (478) 757-1934 | |
| (478) 757-1596 |
| Full Name | Nicholas a Pietrzak, MD, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3951 Ridge Ave, Macon, Georgia |
| Authorized Official Name and Position | Kim Cook (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4787571934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas a Pietrzak, MD, LLC 3951 Ridge Ave Ste B Macon GA 31210-5050 Ph: (478) 757-1934 | Nicholas a Pietrzak, MD, LLC 3951 Ridge Ave Ste B Macon GA 31210-5050 Ph: (478) 757-1934 |
| NPI Number | 1285837716 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 06/07/2010 |
| Medicare PECOS PAC ID | 6608039136 |
|---|---|
| Medicare Enrollment ID | O20120521000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285837716 | NPI | - | NPPES |
| 00834413D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044308 (Georgia) | Primary |
| Provider Name | Nicholas a Pietrzak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792034 PECOS PAC ID: 1850554387 Enrollment ID: I20120521000587 |
| Provider Name | Amanda J Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518372937 PECOS PAC ID: 4688975667 Enrollment ID: I20151216001374 |
| Provider Name | Tyler Kael Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796501 PECOS PAC ID: 4688099781 Enrollment ID: I20200806002079 |
| Provider Name | Mary R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740073162 PECOS PAC ID: 7214428846 Enrollment ID: I20251112000590 |
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 |