| Southern Family Medicine Llc | |
|
1140 Brampton Ave Statesboro GA 30458 | |
| (912) 871-2273 | |
| (912) 872-3374 |
| Full Name | Southern Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1140 Brampton Ave, Statesboro, Georgia |
| Authorized Official Name and Position | Cindy R Rush (BILLING MANAGER) |
| Authorized Official Contact | 9122905235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Family Medicine Llc 1140 Brampton Ave Statesboro GA 30458 Ph: (912) 871-2273 | Southern Family Medicine Llc 1140 Brampton Ave Statesboro GA 30458 Ph: (912) 871-2273 |
| NPI Number | 1528299393 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 6608914056 |
|---|---|
| Medicare Enrollment ID | O20091105000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528299393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43354 (Georgia) | Primary |
| Provider Name | Glen J Dasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972684546 PECOS PAC ID: 3072414564 Enrollment ID: I20040308000573 |
| Provider Name | Thomas J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407173347 PECOS PAC ID: 7517121932 Enrollment ID: I20120615000281 |
| Provider Name | Kacy H Nesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023408523 PECOS PAC ID: 8921326919 Enrollment ID: I20150423002392 |
| Provider Name | Katelyn Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173997 PECOS PAC ID: 1254600323 Enrollment ID: I20170705001301 |
| Provider Name | Jason Boyd Hollis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942697495 PECOS PAC ID: 1951650126 Enrollment ID: I20180821002745 |
| Provider Name | Luke D Krautter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336434992 PECOS PAC ID: 5890017891 Enrollment ID: I20190326002062 |
| Provider Name | Linda Charanne Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932781408 PECOS PAC ID: 7911398003 Enrollment ID: I20211228001279 |
| Provider Name | Lorah Robin Moye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710346374 PECOS PAC ID: 2264829472 Enrollment ID: I20220418001280 |
| Provider Name | Jordyn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225737752 PECOS PAC ID: 3971976184 Enrollment ID: I20230308001250 |
East Georgia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459 Phone: 912-764-2273 | |
Statesboro Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Northside Dr E, Suite 200, Statesboro, GA 30458 Phone: 912-764-9684 Fax: 912-489-8676 | |
Gastroenterology Institute, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Brian A Moogerfeld Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1088a Bermuda Run, Statesboro, GA 30458 Phone: 912-681-7111 Fax: 912-871-7794 | |
My Heart Doctor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Rushing Ln, Statesboro, GA 30458 Phone: 912-243-9274 | |
Southeastern Spine And Pain Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1058 Bermuda Run, Statesboro, GA 30458 Phone: 912-542-0444 Fax: 833-639-1102 | |
Total Health Center For Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16741 Highway 67, Suite A, Statesboro, GA 30458 Phone: 912-871-7890 Fax: 912-871-7898 |