| Wayne Family Practice Associates, P.C. | |
|
118 Azalea Rd Ste 1 Baxley GA 31513-9197 | |
| (912) 294-0380 | |
| (912) 427-0591 |
| Full Name | Wayne Family Practice Associates, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 118 Azalea Rd Ste 1, Baxley, Georgia |
| Authorized Official Name and Position | Kevin O. Keown (PROVIDER/OWNER) |
| Authorized Official Contact | 9122940380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Family Practice Associates, P.C. 118 Azalea Rd Ste 1 Baxley GA 31513-9197 Ph: (912) 294-0380 | Wayne Family Practice Associates, P.C. 118 Azalea Rd Ste 1 Baxley GA 31513-9197 Ph: (912) 294-0380 |
| NPI Number | 1114962487 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 06/27/2025 |
| Certification Date | 06/27/2025 |
| Medicare PECOS PAC ID | 6507851425 |
|---|---|
| Medicare Enrollment ID | O20040419001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114962487 | NPI | - | NPPES |
| 85001314G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Kevin O Keown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083606800 PECOS PAC ID: 1658467428 Enrollment ID: I20071010000404 |
| Provider Name | Tandy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457632721 PECOS PAC ID: 1850565888 Enrollment ID: I20111130000908 |
| Provider Name | Jennifer Holly Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407365265 PECOS PAC ID: 2567721798 Enrollment ID: I20180117000196 |
Appling Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Tollison St Ste B, Baxley, GA 31513 Phone: 912-367-0102 Fax: 912-367-9966 |
Telehealth Resources, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 North Main Street, Suite B, Baxley, GA 31513 Phone: 912-208-3824 Fax: 912-705-9111 |
Baxley Medical Clinic, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Main St, Baxley, GA 31513 Phone: 912-367-9112 Fax: 912-367-6233 |
South Georgia Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Tollison St, Baxley, GA 31513 Phone: 912-367-4122 Fax: 912-367-4136 |
Family Medicine of Baxley Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 S Main St, Baxley, GA 31513 Phone: 912-705-1227 Fax: 912-705-0673 |
Yurhealth, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Jekyll Road, Baxley, GA 31513 Phone: 478-401-0477 |