Lora Denise Efaw (NPI# 1417913369, PAC ID# 1052392644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1417913369 |
| PAC ID by PECOS | 1052392644 |
| Professional Enrollment ID | I20040601000314 |
| Full Name | Lora Denise Efaw |
| Organization Legal Name | LORA FULP EFAW MD PC |
| Address |
39 Kent Rd Suite 2 Tifton GA 31794-1698 |
| Phone Number | 229388939327 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7214918895 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 110073 | DORMINY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39 Kent Rd, Suite 2, Tifton, GA 31794-1698 | 229388939327 | LORA FULP EFAW MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Organization Legal Name | LORA FULP EFAW MD PC |
| Physicians | 1 |
| Street Address |
39 KENT RD SUITE 2 |
| City | TIFTON |
| State | GA |
| Zip | 31794-1698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Alan Savelli | Internal Medicine | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 | |
| Marvin T Mcafee Iii | Physician Assistant | Tift Regional Health System, Inc. | 39 Kent Rd, Tifton, GA 31794-1697 |
| Patrick G Goodman | Anesthesiology | Centers for Pain Management of Georgia LLC | 39 Kent Rd, Suite 8, Tifton, GA 31794-1697 |
| Megan Robbins | Nurse Practitioner | Tift Regional Health System, Inc. | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 |
| Shannon L Price | Obstetrics/gynecology | Tift Regional Health System, Inc. | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | TIFTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Lora Denise Efaw.
| 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.