| Phoebe Family Medical Center - Camilla | |
|
48 Us Highway 19 S Camilla GA 31730-1960 | |
| (229) 336-5208 | |
| (229) 336-8260 |
| Full Name | Phoebe Family Medical Center - Camilla |
|---|---|
| Speciality | Clinic/Center |
| Location | 48 Us Highway 19 S, Camilla, Georgia |
| Authorized Official Name and Position | Robert Lagesse (SR VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 2293124055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoebe Family Medical Center - Camilla Po Box 3109 Albany GA 31706-3109 Ph: (229) 312-5800 | Phoebe Family Medical Center - Camilla 48 Us Highway 19 S Camilla GA 31730-1960 Ph: (229) 336-5208 |
| NPI Number | 1821293788 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 05/30/2014 |
| Medicare PECOS PAC ID | 4486559549 |
|---|---|
| Medicare Enrollment ID | O20031202000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821293788 | NPI | - | NPPES |
| GRP1226 | Other | GA | MEDICARE GROUP |
| 000001482M | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Cynthia P Drury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194790626 PECOS PAC ID: 4082635214 Enrollment ID: I20051215000020 |
| Provider Name | Kitty M Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902005358 PECOS PAC ID: 3274620935 Enrollment ID: I20071029000381 |
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 | |
Camilla Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-1499 Fax: 229-336-1534 | |
The Camilla Pediatric Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-7472 Fax: 229-336-1661 | |
Health Professionals Of Mitchell County 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 | |
Mitchell County Pediatrics And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 E Oakland Ave Ste A, Camilla, GA 31730 Phone: 229-449-6671 | |
Camilla Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 |