JEFF DAVIS FAMILY MEDICAL GROUP (NPI# 1912379082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912379082 |
| Entity Type | Organization |
| Organization Name | JEFF DAVIS FAMILY MEDICAL GROUP |
| Practice Address |
9 Hester St Hazlehurst GA 31539-6323 |
| Practice Telephone | 9123750418 |
| Practice Fax Number | 9123755775 |
| Mailing Telephone | 9123750418 |
| Mailing Fax Number | 9123755775 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | CATHY CASON (CFO) |
| Authorized Official Telephone | 9123757781 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN117135 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9 HESTER ST |
| City | HAZLEHURST |
| State | GA |
| Zip Code | 31539-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808967 | Alejandro F Pernett | Family Medicine | 9 Hester St, Hazlehurst, GA 31539-6323 | 2005-06-02 |
| 1588273403 | America Rae Guthrie | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539-6323 | 2020-07-27 |
| 1154975647 | Preston Allen Crawford | Family Medicine | 9 Hester St, Hazlehurst, GA 31539-6323 | 2019-08-01 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1316319692 | Bonnie Pittman | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539-6323 | 2015-10-26 |
| 1013190131 | Alejandro F. Pernett, M.d., P.C. | General Practice | 9 Hester St, Hazlehurst, GA 31539-6323 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536646 | Eric Wayne Carelock | Registered Nurse | 209 S Tallahassee St P O Box 770, Hazlehurst, GA 31539 | 2017-09-04 |
| 1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
| 1003112376 | Rogers W Wood Jr. | Pharmacist | 54 E Jarman St, Hazlehurst, GA 31539 | 2011-02-04 |
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1629135355 | Janie W Baxter | Chiropractor | 171 Burketts Ferry Road, Hazlehurst, GA 31539 | 2007-01-02 |
| 1760708580 | Jason Laney | Internal Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539 | 2010-04-19 |
| 1770889040 | Chips Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 240 S. Tallahassee St., Hazlehurst, GA 31539-0571 | 2011-02-04 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| 1912902263 | Hospital Authority of Jeff Davis County Georgia | General Acute Care Hospital | 163 S Tallahassee St, Hazlehurst, GA 31539-1690 | 2005-06-14 |
| 1073798401 | Southeast Georgia Homehealth Care Inc. | Home Health | 256 Satilla Church Rd, Hazlehurst, GA 31539-4442 | 2008-01-03 |
| Find all providers in zip 31539 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194221564 | Sharon Lakisha Cray | Nurse Practitioner | 45 Libby Ave, Hazlehurst, GA 31539-5952 | 2018-04-03 |
| 1588273403 | America Rae Guthrie | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539-6323 | 2020-07-27 |
| 1740767920 | Christopher J Price | Nurse Practitioner | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 | 2018-07-20 |
| 1285129833 | Lauren Coleman Thompson | Nurse Practitioner | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 | 2018-06-26 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1316450125 | William Alton Shaw | Nurse Practitioner | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 | 2017-11-15 |
| 1043761331 | Dana Marie Morgan | Nurse Practitioner | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2016-10-20 |
| 1316319692 | Bonnie Pittman | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539-6323 | 2015-10-26 |
| 1598098733 | Andrea Presley Reed | Nurse Practitioner | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 | 2009-09-04 |
| 1497976781 | Sherryl C. Copeland | Nurse Practitioner | 209 S Tallahassee St, Hazlehurst, GA 31539-6025 | 2007-05-02 |
| Find all providers in HAZLEHURST | ||||
| City | HAZLEHURST |
| Zip Code | 31539 |
Please comment or provide details below to improve the information on JEFF DAVIS FAMILY MEDICAL GROUP.
| 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.