| Robert A Pumpelly Iv Md Pc | |
| 124 Memorial Dr Jesup GA 31545-0101 | |
| (912) 427-4413 | |
| (912) 530-6348 | 
| Full Name | Robert A Pumpelly Iv Md Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 124 Memorial Dr, Jesup, Georgia | 
| Authorized Official Name and Position | Nancy Hoover (OFFICE MANAGER) | 
| Authorized Official Contact | 9124274413 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robert A Pumpelly Iv Md Pc 124 Memorial Dr Jesup GA 31545-0101 Ph: (912) 427-4413 | Robert A Pumpelly Iv Md Pc 124 Memorial Dr Jesup GA 31545-0101 Ph: (912) 427-4413 | 
| NPI Number | 1255406229 | 
|---|---|
| Provider Enumeration Date | 11/22/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 5597746362 | 
|---|---|
| Medicare Enrollment ID | O20040527000250 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255406229 | NPI | - | NPPES | 
| 300024546 | Medicaid | GA | |
| CH9108 | Other | GA | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 022461 (Georgia) | Primary | 
| Provider Name | Robert A Pumpelly | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1235121658 PECOS PAC ID: 9537201017 Enrollment ID: I20100506000278 | 
| Provider Name | Karen E Bamberg | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437409331 PECOS PAC ID: 0840424776 Enrollment ID: I20131009000679 | 
| 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 | |
| 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 |