| South Georgia Physicians Group, Llc | |
|
204 E 15th St Alma GA 31510 | |
| (912) 632-0314 | |
| (912) 632-2554 |
| Full Name | South Georgia Physicians Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 E 15th St, Alma, Georgia |
| Authorized Official Name and Position | Cheryl Crawford Dubose (CFO) |
| Authorized Official Contact | 9126328961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Georgia Physicians Group, Llc 204 E 15th St Alma GA 31510-2908 Ph: (912) 632-0314 | South Georgia Physicians Group, Llc 204 E 15th St Alma GA 31510 Ph: (912) 632-0314 |
| NPI Number | 1336560952 |
|---|---|
| Provider Enumeration Date | 12/27/2013 |
| Last Update Date | 12/21/2023 |
| Medicare PECOS PAC ID | 8224208251 |
|---|---|
| Medicare Enrollment ID | O20110831000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336560952 | NPI | - | NPPES |
| 003144050A | Medicaid | GA |
| Provider Name | John T Madonna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912933870 PECOS PAC ID: 4981507175 Enrollment ID: I20050513000546 |
| Provider Name | Michael S Deen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154429991 PECOS PAC ID: 3173523560 Enrollment ID: I20070109000334 |
| Provider Name | Katherine G Harvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689909236 PECOS PAC ID: 9537204300 Enrollment ID: I20100304000159 |
| Provider Name | Khaldon Al Saadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760433304 PECOS PAC ID: 6103888763 Enrollment ID: I20171211001722 |
| Provider Name | Neha Kakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518318054 PECOS PAC ID: 5395073084 Enrollment ID: I20190819003488 |
| Provider Name | Ian L Furtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912358755 PECOS PAC ID: 1951699552 Enrollment ID: I20191210003554 |
| Provider Name | Ronald Newton Locke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528065406 PECOS PAC ID: 0446235212 Enrollment ID: I20201229000761 |
| Provider Name | Jessica Audrey Covington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134762750 PECOS PAC ID: 4284029059 Enrollment ID: I20220314000514 |
Charles E Bagley Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E 16th Street, Alma, GA 31510 Phone: 912-632-7203 Fax: 912-632-6491 | |
Mckinney Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Pierce St, Alma, GA 31510 Phone: 912-632-0872 Fax: 912-287-1568 | |
Bacon County Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 South Wayne Street, Alma, GA 31510 Phone: 912-632-8991 Fax: 912-632-2684 | |
Cox Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 E 16th St, Alma, GA 31510 Phone: 912-632-6000 Fax: 912-632-6002 | |
Bacon County Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Wayne St, Alma, GA 31510 Phone: 912-383-7826 Fax: 912-383-7299 | |
Jose R. Castro M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 W 12th St, Alma, GA 31510 Phone: 912-632-8979 Fax: 912-632-8970 |