| Southern Primary Care, Llc | |
|
197 Bass Rd Macon GA 31210-2060 | |
| (478) 365-2164 | |
| Not Available |
| Full Name | Southern Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 197 Bass Rd, Macon, Georgia |
| Authorized Official Name and Position | Jayesh D Patel (BUSINESS OWNER) |
| Authorized Official Contact | 4783652164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Primary Care, Llc 197 Bass Rd Macon GA 31210-2060 Ph: () - | Southern Primary Care, Llc 197 Bass Rd Macon GA 31210-2060 Ph: (478) 365-2164 |
| NPI Number | 1225551328 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 01/21/2024 |
| Medicare PECOS PAC ID | 3173897196 |
|---|---|
| Medicare Enrollment ID | O20170914001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225551328 | NPI | - | NPPES |
| Provider Name | Jayesh D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548385966 PECOS PAC ID: 3678757929 Enrollment ID: I20110411000489 |
| Provider Name | Sharon Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736602 PECOS PAC ID: 9234426420 Enrollment ID: I20161003002239 |
| Provider Name | Crystal Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417481516 PECOS PAC ID: 8426328592 Enrollment ID: I20170721002374 |
| Provider Name | Dipenkumar Rameshchandra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124407499 PECOS PAC ID: 2860701216 Enrollment ID: I20181009000715 |
| Provider Name | Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396398053 PECOS PAC ID: 3779916598 Enrollment ID: I20191210001220 |
| Provider Name | Tracy Tarvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315848 PECOS PAC ID: 3577957588 Enrollment ID: I20220308000587 |
| Provider Name | Tonya Ann Burgamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275274185 PECOS PAC ID: 3274912530 Enrollment ID: I20220617000394 |
| Provider Name | Lindsey Marie Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992436604 PECOS PAC ID: 4688056377 Enrollment ID: I20220727002595 |
| Provider Name | Beverly Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023548591 PECOS PAC ID: 6305220088 Enrollment ID: I20220830000336 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 | |
Abc Anesthesia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Ingleside Ave, Macon, GA 31204 Phone: 404-408-3100 |