| Yourtown Health | |
|
16201 Barnesville St Zebulon GA 30295-3380 | |
| (770) 567-3323 | |
| (770) 567-0332 |
| Full Name | Yourtown Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 16201 Barnesville St, Zebulon, Georgia |
| Authorized Official Name and Position | Jon W Wollenzien (CEO) |
| Authorized Official Contact | 4049298824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yourtown Health 643 Main St Palmetto GA 30268-1138 Ph: (404) 929-8824 | Yourtown Health 16201 Barnesville St Zebulon GA 30295-3380 Ph: (770) 567-3323 |
| NPI Number | 1134344732 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 05/10/2019 |
| Medicare PECOS PAC ID | 3476586629 |
|---|---|
| Medicare Enrollment ID | O20050916000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134344732 | NPI | - | NPPES |
| 000228379A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H800040 (Georgia) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H800040 (Georgia) | Primary |
Pike Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16125 Barnesville Street, Zebulon, GA 30295 Phone: 770-567-9593 Fax: 770-567-8192 |