| The Camilla Pediatric Center | |
|
25 Perry St Camilla GA 31730-1852 | |
| (229) 336-7472 | |
| (229) 336-1661 |
| Full Name | The Camilla Pediatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Perry St, Camilla, Georgia |
| Authorized Official Name and Position | Greg Hembree (SENIOR VP/CFO) |
| Authorized Official Contact | 2292282853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Camilla Pediatric Center 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 227-5500 | The Camilla Pediatric Center 25 Perry St Camilla GA 31730-1852 Ph: (229) 336-7472 |
| NPI Number | 1366472003 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 6002724598 |
|---|---|
| Medicare Enrollment ID | O20041109000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366472003 | NPI | - | NPPES |
| 000001339G | Medicaid | GA | |
| 11D0909917 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 101120 (Georgia) | Primary |
Phoebe Primary Care Of Camilla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-8260 | |
Camilla Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Perry St, Camilla, GA 31730 Phone: 229-336-1499 Fax: 229-336-1534 | |
Health Professionals Of Mitchell County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 E Broad St, Camilla, GA 31730 Phone: 229-336-5259 Fax: 229-336-9433 | |
Albany Area Primary Heath Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newton Rd, Camilla, GA 31730 Phone: 229-889-7393 Fax: 229-889-8494 | |
Mitchell County Pediatrics And Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 E Oakland Ave Ste A, Camilla, GA 31730 Phone: 229-449-6671 | |
Camilla Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 |