| Peachtree Family Medicine, Llc. | |
|
330 Peachtree St Jesup GA 31545-0246 | |
| (912) 415-8552 | |
| Not Available |
| Full Name | Peachtree Family Medicine, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Peachtree St, Jesup, Georgia |
| Authorized Official Name and Position | Jennifer Holly Jones (OWNER) |
| Authorized Official Contact | 9124158552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Family Medicine, Llc. 1414 Ogden Loop Odum GA 31555 Ph: (912) 415-8552 | Peachtree Family Medicine, Llc. 330 Peachtree St Jesup GA 31545-0246 Ph: (912) 415-8552 |
| NPI Number | 1700608353 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 4183151582 |
|---|---|
| Medicare Enrollment ID | O20241226000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700608353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tandy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457632721 PECOS PAC ID: 1850565888 Enrollment ID: I20111130000908 |
| Provider Name | Jennifer Holly Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407365265 PECOS PAC ID: 2567721798 Enrollment ID: I20180117000196 |
| Provider Name | Jose Salvador Reyes Oliva Md |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770978900 PECOS PAC ID: 7012251705 Enrollment ID: I20200902003245 |
| Provider Name | Kayla Mathie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609684331 PECOS PAC ID: 5193255859 Enrollment ID: I20250210003364 |
Lentz Urgent Care & Family Med, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Headley Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 S 1st St, Jesup, GA 31545 Phone: 912-427-7400 Fax: 912-385-2953 | |
Wayne Family Practice Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 | |
Resurrection Institute For Biblical Studies Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S 1st St, Jesup, GA 31545 Phone: 912-427-8031 Fax: 912-427-8032 | |
Internal Medicine Of Southeast Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 Peachtree St, Jesup, GA 31545 Phone: 912-530-6582 Fax: 912-530-6584 | |
Vn Properties Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Brunswick St, Jesup, GA 31546 Phone: 912-385-2755 Fax: 912-385-2785 | |
Winnie Claire Hicks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Memorial Dr, Jesup, GA 31545 Phone: 912-588-2511 Fax: 912-588-2518 |