| Waycross Internal Medicine | |
|
711 Knight Ave Waycross GA 31501-1943 | |
| (912) 283-9423 | |
| (912) 283-8204 |
| Full Name | Waycross Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 Knight Ave, Waycross, Georgia |
| Authorized Official Name and Position | Sirena H Cady (MANAGER) |
| Authorized Official Contact | 9122839423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waycross Internal Medicine 711 Knight Ave Waycross GA 31501-1943 Ph: (912) 283-9423 | Waycross Internal Medicine 711 Knight Ave Waycross GA 31501-1943 Ph: (912) 283-9423 |
| NPI Number | 1144420530 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 02/22/2022 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 0749276004 |
|---|---|
| Medicare Enrollment ID | O20040422000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144420530 | NPI | - | NPPES |
| CG6045 | Other | RAILROAD MEDICARE GRP NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
| Provider Name | Rhonda O Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538143607 PECOS PAC ID: 7416943022 Enrollment ID: I20040421000300 |
| Provider Name | Andrea M Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114007044 PECOS PAC ID: 9537263637 Enrollment ID: I20070329000447 |
| Provider Name | Randall W Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891875878 PECOS PAC ID: 3476658196 Enrollment ID: I20070425000015 |
| Provider Name | Jill G Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306820741 PECOS PAC ID: 6305973371 Enrollment ID: I20100422000810 |
| Provider Name | Lindsay Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124421284 PECOS PAC ID: 3072830546 Enrollment ID: I20150320000934 |
| Provider Name | Frank S Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467814228 PECOS PAC ID: 0941599146 Enrollment ID: I20160511001128 |
| Provider Name | Mary Beth Dixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710640669 PECOS PAC ID: 3870982085 Enrollment ID: I20211109003047 |
David H. Cheatham, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197 |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 |
Peter Wrobel MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 |
Thornton Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stephenson St, Waycross, GA 31501 Phone: 912-283-6043 Fax: 912-283-6043 |
Southeast Internal Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 |
Packer Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Knight Ave, Waycross, GA 31501 Phone: 912-283-2311 Fax: 912-283-8204 |