Michelle G Dudley (NPI# 1104276708, PAC ID# 0042505901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104276708 |
| PAC ID by PECOS | 0042505901 |
| Professional Enrollment ID | I20160817001563 |
| Full Name | Michelle G Dudley |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA LLC |
| Address |
6103 Rd St Suite 202 Macon GA 31201-3262 |
| Phone Number | 4784642600 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901702059 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 610 3rd St, Suite 202, Macon, GA 31201-3262 | 4784642600 | GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA LLC |
| 6103 Rd St, Suite 202, Macon, GA 31201-3262 | 4784642600 | GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA LLC |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya M Burnett | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Debra S Kime | Physician Assistant | Gastroenterology Associates of Central Ga LLC | 260 W Clinton St, Suite 3, Gray, GA 31032-5430 |
| Kayla M Blount | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Rebeka L Mathis | Physician Assistant | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Gail D Conley | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 610 3rd St, Suite 202, Macon, GA 31201-3262 |
| Barbara W Lathrop | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 610 3rd St, Suite 202, Macon, GA 31201-3262 |
| Sarah P Hobbs | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Jessica Knight | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Carley S Ebanks | Gastroenterology | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Susan Debey | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Street Address |
6103 RD ST SUITE 202 |
| City | MACON |
| State | GA |
| Zip | 31201-3262 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya M Burnett | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Kayla M Blount | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Rebeka L Mathis | Physician Assistant | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Sarah P Hobbs | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Jessica Knight | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Carley S Ebanks | Gastroenterology | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Susan Debey | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Adrienne K Earl | Nurse Practitioner | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Adam H Levy | Gastroenterology | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Raymond B Bedgood | Gastroenterology | Gastroenterology Associates of Central Ga LLC | 6103 Rd St, Suite 202, Macon, GA 31201-3262 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fady S Wanna | Thoracic Surgery | 688 Walnut St, Suite 102, Macon, GA 31201-0329 | |
| Kuo L Lee | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Pankaj T Patel | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Felicity A Quansah | Ophthalmology | 1870 Hardeman Ave, Macon, GA 31201-1161 | |
| M Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | |
| Conrad N Miller | Family Medicine | 1818 Forsyth St, Suite 200, Macon, GA 31201-1170 | |
| Andrew Hall | Occupational Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Emily C Kell | Physical Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Steven A Kelham | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Brandon D Cantrell | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Find all physicians in zip 31201 | |||
| City | MACON |
| Zip Code | 31201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MACON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle G Dudley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.