| The Raisig Clinic And Wellness Center | |
|
60 Highland Ct Ste 101 Ellijay GA 30540-6773 | |
| (706) 698-3627 | |
| (706) 698-3630 |
| Full Name | The Raisig Clinic And Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 60 Highland Ct Ste 101, Ellijay, Georgia |
| Authorized Official Name and Position | William George Raisig (PROVIDER) |
| Authorized Official Contact | 7066983627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Raisig Clinic And Wellness Center 60 Highland Ct Ste 101 Ellijay GA 30540-6773 Ph: (706) 698-3627 | The Raisig Clinic And Wellness Center 60 Highland Ct Ste 101 Ellijay GA 30540-6773 Ph: (706) 698-3627 |
| NPI Number | 1063695724 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 5496718108 |
|---|---|
| Medicare Enrollment ID | O20041104000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063695724 | NPI | - | NPPES |
| DD7615 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055290 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 000494 (Georgia) | Secondary |
| Provider Name | William G Raisig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184614240 PECOS PAC ID: 4486617198 Enrollment ID: I20041105000011 |
| Provider Name | Lisa Ann Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235624347 PECOS PAC ID: 8628138682 Enrollment ID: I20181103000099 |
| Provider Name | Amanda J Hammonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558753525 PECOS PAC ID: 6901101716 Enrollment ID: I20191209002064 |
| Provider Name | Jake Paul Lundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348280 PECOS PAC ID: 8820405541 Enrollment ID: I20210325000688 |
| Provider Name | Michelle Lee Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275106783 PECOS PAC ID: 5991109068 Enrollment ID: I20210811002704 |
| Provider Name | Tolulope Arowosegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174283386 PECOS PAC ID: 8729470646 Enrollment ID: I20220126000570 |
| Provider Name | Chelsea Nicolle Lineberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113696 PECOS PAC ID: 0840682779 Enrollment ID: I20220126001359 |
Southern Health Corp Of Ellijay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Old Highway 5 South, Ellijay, GA 30540 Phone: 706-276-4741 Fax: 706-276-4645 | |
Mountain Top Primary Care Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Industrial Blvd, Suite 114, Ellijay, GA 30540 Phone: 706-636-4364 Fax: 706-636-5264 | |
Ng Clinical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Industrial Blvd Ste A, Ellijay, GA 30540 Phone: 706-276-6550 | |
Gateway Treatment Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Kiker St, Ellijay, GA 30540 Phone: 706-703-2517 Fax: 706-273-2517 | |
Kelvin Moss Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Southside Church St, Ellijay, GA 30540 Phone: 706-636-6677 | |
Huffs Select Care Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136-a Industrial Blvd, Ellijay, GA 30540 Phone: 706-636-4833 Fax: 706-636-4407 |