DR. ROBERT M PACKER III


Address: 711 Knight Ave, Waycross, GA 31501-1943
Phone: 9122839423

DR. ROBERT M PACKER III (NPI# 1417948282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417948282
Entity Type Individual
Full Name DR. ROBERT M PACKER III
Credential M.D.
Practice Address 711 Knight Ave
Waycross
GA 31501-1943
Practice Telephone 9122839423
Practice Fax Number 9122838204
Mailing Telephone 9122839423
Mailing Fax Number 9122838204
Enumeration Date 2005-11-02
Last Update Date 2016-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 18716 GA Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
18716 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000151665C 05
GA MEDICARE NPI 1417948282 01
GA RAILROAD MEDICARE GROUP ID CG6045 01

Other Providers ROBERT PACKER

NPI Name Taxonomy Address Enumeration
1366453516 Robert H Packer Dermatology 8550 W 38th Ave, Ste 108, Wheat Ridge, CO 80033 2006-08-11
1770564098 Robert Charles Packer Ophthalmology 1266 E Sherman Blvd, Muskegon, MI 49444-1847 2005-11-14
1679572317 Robert B Packer Internal Medicine 1330 Mercy Dr Nw, Canton, OH 44708 2005-07-15

Office Location

Street Address 711 KNIGHT AVE
City WAYCROSS
State GA
Zip Code 31501-1943

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831456409 Roxy J Sheffield Physician Assistant 711 Knight Ave, Waycross, GA 31501-1943 2012-04-19
1396983227 Mitzi Braddock Tyre Registered Nurse 711 Knight Ave, Waycross, GA 31501-1943 2009-01-30
1144420530 Internal Medicine Associates of Waycross, P.C. Internal Medicine 711 Knight Ave, Waycross, GA 31501-1943 2007-07-23
1891875878 Randall W Mccarthy Physician Assistant 711 Knight Ave, Waycross, GA 31501-1943 2006-10-16
1114007044 Andrea M Deloach Nurse Practitioner 711 Knight Ave, Waycross, GA 31501-1943 2006-10-16
1538143607 Rhonda O Williams Internal Medicine 711 Knight Ave, Waycross, GA 31501-1943 2005-12-02
1306820741 Jill G Bryant Internal Medicine 711 Knight Ave, Waycross, GA 31501-1943 2005-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962906115 Davenport Health Pa Family Medicine 1401 Cherokee Drive, Waycross, GA 31501 2018-03-22
1962940478 Blake Darren Aldridge Physical Therapy Assistant 401 Preston Street, Waycross, GA 31501 2017-02-03
1669922142 Jebediah S. Christy Dds - Waycross Pllc Dentist 2271 Memorial Dr, Waycross, GA 31501 2016-10-10
1558721944 Jana Kirby Massage Therapist 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 2016-02-29
1962877001 Courtney Baldwin Specialist/Technologist, Other 2403 Spurgeon St, Waycross, GA 31501 2015-12-01
1912389784 Grayson Stuart Griffis Dentist 2103 Tebeau St., Waycross, GA 31501 2015-06-29
1730561267 Trishla Amit Desai Internal Medicine Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 2015-06-20
1316330913 Hanger Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 512 City Blvd Ste H, Waycross, GA 31501 2015-03-06
1942699079 Jose Ramon Martinez Anesthesiology 701 City Blvd, Waycross, GA 31501 2015-01-13
1023356714 Orthopedics Surgeons of Georgia, LLC Orthopaedic Surgery 2015 Alice Street, Waycross, GA 31501 2013-01-30
Find all providers in zip 31501

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730561267 Trishla Amit Desai Internal Medicine Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 2015-06-20
1124441308 Packer Medical Services,llc Internal Medicine 709 Knight Ave, Waycross, GA 31501-1943 2014-01-24
1023227766 Thomas Joseph Ferrell Internal Medicine 3620 Harris Rd, Waycross, GA 31503-0311 2007-05-21
1104847607 Southeast Internal Medicine PC Internal Medicine 406 Riverside Dr, Waycross, GA 31501-5315 2006-07-21
1538185467 Muhammad Akram Internal Medicine 615 Pendleton St, Waycross, GA 31501-4724 2006-07-14
1386922938 Victor Hugo Urbieta Caceres Internal Medicine 1908 Alice St, Waycross, GA 31501-6208 2011-08-01
1891073482 Roberto Jafet Lopez Vega Internal Medicine 1900 Tebeau St, Waycross, GA 31501-6357 2011-07-30
1285881201 Jawad Sheqwara Internal Medicine 1706 Alice St, Waycross, GA 31501-5216 2008-08-20
1104002666 Prasanna Sampurna Srinagesh Internal Medicine 220 Uvalda St, Waycross, GA 31501-4569 2008-01-15
1144420530 Internal Medicine Associates of Waycross, P.C. Internal Medicine 711 Knight Ave, Waycross, GA 31501-1943 2007-07-23
Find all providers in WAYCROSS

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City WAYCROSS
Zip Code 31501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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