| The Medical Center Of Elberton, Llp | |
|
109 College Ave Elberton GA 30635-1705 | |
| (706) 283-3315 | |
| (706) 283-2159 |
| Full Name | The Medical Center Of Elberton, Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 College Ave, Elberton, Georgia |
| Authorized Official Name and Position | Brooke S Hall (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7062833315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Center Of Elberton, Llp 109 College Ave Elberton GA 30635-1705 Ph: (706) 283-3315 | The Medical Center Of Elberton, Llp 109 College Ave Elberton GA 30635-1705 Ph: (706) 283-3315 |
| NPI Number | 1891863569 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/06/2010 |
| Medicare PECOS PAC ID | 2062493083 |
|---|---|
| Medicare Enrollment ID | O20040526000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891863569 | NPI | - | NPPES |
| 85000124G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 11-3958 (Georgia) | Primary |
| Provider Name | Jonathan Y Poon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841340437 PECOS PAC ID: 6204938269 Enrollment ID: I20070221000369 |
| Provider Name | Ralph Crowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821282757 PECOS PAC ID: 2365574258 Enrollment ID: I20100712000450 |
| Provider Name | Kerri L Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447565668 PECOS PAC ID: 3577757970 Enrollment ID: I20101029000785 |
| Provider Name | James Mcavoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215917901 PECOS PAC ID: 0547213324 Enrollment ID: I20110216000234 |
| Provider Name | Roger David Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265439574 PECOS PAC ID: 3173576857 Enrollment ID: I20110308000725 |
| Provider Name | Mark Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700883659 PECOS PAC ID: 5991758773 Enrollment ID: I20110308000836 |
| Provider Name | Glenn Poon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508845629 PECOS PAC ID: 0446203228 Enrollment ID: I20110309000089 |
| Provider Name | Matthew L Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306141197 PECOS PAC ID: 0749438224 Enrollment ID: I20140812001987 |
| Provider Name | Jennifer S Coble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437604659 PECOS PAC ID: 5294023743 Enrollment ID: I20161017000122 |
| Provider Name | Lindsey G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821533704 PECOS PAC ID: 6901180702 Enrollment ID: I20170222001794 |
| Provider Name | Jillian Glaude Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447739230 PECOS PAC ID: 7618221284 Enrollment ID: I20181116002668 |
Elbert County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 618 Jones St, Elberton, GA 30635 Phone: 706-283-3775 Fax: 706-283-7155 | |
Elbert County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 618 Jones St, Elberton, GA 30635 Phone: 706-283-3775 Fax: 706-283-7155 | |
Lifetime Quality Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Medical Dr, Elberton, GA 30635 Phone: 706-283-4690 Fax: 706-283-4698 | |
Elbert Co Hlth Dept Dist 10 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Jones St, Elberton, GA 30635 Phone: 706-283-3775 Fax: 706-283-7155 | |
Larry R. Hart, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Chestnut St, Elberton, GA 30635 Phone: 706-283-1914 Fax: 706-283-1569 |