| Samuel L. Church, Md, Pc | |
|
85 Seasons Lane Hiawassee GA 30546 | |
| (706) 896-0505 | |
| (866) 796-2502 |
| Full Name | Samuel L. Church, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Seasons Lane, Hiawassee, Georgia |
| Authorized Official Name and Position | Samuel L Church (OWNER) |
| Authorized Official Contact | 7068960505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel L. Church, Md, Pc P.o. Box 1217 Hiawassee GA 30546-1217 Ph: (706) 896-0505 | Samuel L. Church, Md, Pc 85 Seasons Lane Hiawassee GA 30546 Ph: (706) 896-0505 |
| NPI Number | 1023153244 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 02/29/2016 |
| Medicare PECOS PAC ID | 2668455007 |
|---|---|
| Medicare Enrollment ID | O20040608001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023153244 | NPI | - | NPPES |
| 000901271D | Medicaid | GA | |
| 89066J3 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048990 (Georgia) | Primary |
| 305R00000X | Preferred Provider Organization | 048990 (Georgia) | Secondary |
| Provider Name | Samuel L Church |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398149 PECOS PAC ID: 9234238783 Enrollment ID: I20101110001252 |
Holly A. Berndt, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-3992 | |
Elizabeth Solomon Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Chatuge Cir, Hiawassee, GA 30546 Phone: 706-896-9442 Fax: 706-896-1246 | |
Chatuge Regional Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-3992 | |
Hiawassee Family Practice P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 386 Belaire Dr, Hiawassee, GA 30546 Phone: 706-435-9918 | |
D. Bryan Johnson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church St, Hiawassee, GA 30546 Phone: 706-896-4673 Fax: 706-896-6034 | |
Union County Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Church St Ste A, Hiawassee, GA 30546 Phone: 706-896-4673 |